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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Cavic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2Ol64050 <br />Pin #: 99507 <br />Project Address: 520 N Main St <br />Assessor'sParcel: 398-254-11 Lot: '1, 4, 5, 8, 9 <br />Bldg: Address Range; 500-520 - <br />Tract: TOWN OF SANTA Allistoric: No <br />Suite Range: <br />Zoning: SD84 <br />EUnit: 250 <br />Block: 19 <br />Owner: <br />Address <br />Contraclor: <br />Address: <br />Phone <br />Tenant Name: <br />CCP Holdings Group, LLc <br />520 N. Main St. <br />Santa Ana, cA 92701 <br />17141925-5827 <br />Hassard Construction <br />1355 Logan Avenue, Unit g <br />Costa Mesa, CA 92626 <br />(949) 836-1679 <br />Fee Type Amount Qty Fee <br />125 Volt Receptacle 1.4o 99.00 $138.60 <br />Light switches, occ. se 1.52 46.00 $69.92 <br />Light Fixtures 1.01 76.00 $76.76 <br />Air Conditioner 93.28 2.00 $186.56 <br />Dedicated Circuit 23.87 6.00 $143.22 <br />Subpanel 51.29 1.00 $51.29 <br />PIC - 650/o 0.65 667.00 $433.55 <br />General Plan Update 21 .25 'l .00 $2'1.25 <br />lssuance 52.98 1.00 $52.98 <br />Botch+:41211 - 12/6/?nl1 ID: CCUELLARtlffice! CTYH Trensi: 68 ? ol 3 <br />Acct+ | fiel+: 2trl64rllrl <br />R,-pt+:tr21t11962 - 12/6/21f7 12:35 PII <br />Tfsnscct ion Totcl l1'r:r19.r:rg <br />Hnssard (:onstruct ion <br />Phone <br />State Lic #: 937779 <br />Lic Type: B <br />Bus. Lic #: 341444 <br />Workers' Compensalion lnsurance: <br />Carrier: Norguard lns Co <br />Policy #: EDWC855975 <br />Expires: 0911212018 <br />B <br />VB <br />cEc 2016 <br />Commercial <br />Tenant lmprovement <br />T.l. <br />Notes: <br />6enerol PlBn Updote F€e <br />0ll16002- 5160r]000- <br />E lectr icol <br />01116002- 516030rir1- <br />V isn <br />CC+: I*** *f*r**IltlQ I4 <br />_ ,21.?1 <br />*719. 33 <br />tlr0l9.t1B <br />Auth+:133s11 <br />Planning Approval By: Date: <br />Plan Checked By: Davis, Scott \(\,/,/ Date: 1011112017 <br />Permil lssued By: Zuniga, Allissa\ Date: 1AOG12O17 <br />Subject to Field: Account# <br />Planning Conditions: <br />Buildins Permit #: 101 931 53 <br />Every permit issued shall become invalid unlass the work on the site <br />authoized by such permil is commencod within 180 days afler its <br />issuance, or if the wo* authoized on the site by such permit is suspended <br />or abandoned fot a period of 180 days after the tine the wo* is <br />cofimenced. <br />lnspector MID#: 20'17-136558 <br />Misc. Receipt: 70005 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />01 1 16002 51600 <br />0'1 1 16002 51603 <br />$21.25 <br />$719.33 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$1,174.13 <br />$433.55 <br />$740.58 <br />01116002 51603 <br />01116002 51603 <br />011'16002 51603 <br />01116002 5'1603 <br />01116002 51603 <br />01 1 16002 51603 <br />011 16002 53601 <br />01 1 16002 51600 <br />01116002 51603 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type: <br />Code: