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Project Address: 2100 S Fairview St <br />Assessor'sParcel: 408-011-Ol Lot: POR I <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: NA <br />Address Range: <br />Historic: No <br />Suite Range: { <br />Zoning Ml <br />City of Santa Ana <br />' Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lD14775lD <br />Pin#: o9237 <br />Owner: <br />Address: <br />Contraclor: <br />Address: <br />Phone: <br />Tenant Name: Brixen & Sons <br />COREY M BRIXEN <br />I5542 MOSHER AVE <br />Tustin, CA 927806425 <br />Masterline ConBtruction lnc <br />13526 S Normandio Avenue <br />Gardena, CA 90249 <br />(2r3) 305-r4s5 <br />GOPY <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />0'1116002 51603 <br />o1116002 51603 <br />0'1116002 51603 <br />01 116002 53601 <br />01116002 51600 <br />01116002 51603 <br />Feo Type Amount <br />125 Volt Receptacle 'l .22 <br />Light Switches, Occ. Se 1.32 <br />Light Fixtures 0.88 <br />FWU 20,83 <br />Dedicated Circuit 20.83 <br />Subpanel 44.75 <br />Subpanel 122.02 <br />Over 100-500 HP, KWc 126.64 <br />Over 500 HP, l(W or l<v 158.'t9 <br />Ptc - 65% 0.65 <br />General Plan Update 18.54 <br />lssuance 46.23 <br />Qty <br />12.00 <br />16.00 <br />161.00 <br />19.00 <br />3.00 <br />1.00 <br />2.OO <br />2.00 <br />1 .00 <br />'t ,3'16.17 <br />1 .00 <br />'I .00 <br />Feo <br />$ 14.64 <br />$21.',t2 <br />$141.68 <br />$395.77 <br />$62.49 <br />$44.75 <br />$244.U <br />$253.28 <br />$158.19 <br />$855.51 <br />$ 18.54 <br />$46.23 <br />Phone: <br />State Lic #: 959366 <br />Lic Type: B <br />Bus. Lic #: 342367 <br />WorkeE' Compensation lnsurance:Canier: State Comp lnS Fund <br />Policy #: 1967719-2013 <br />Expir6s: 0510112011 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Commsrcial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type: <br />Code: <br />B, F-1, S-t <br />lll B, SPK <br />cEc 20t0 Notes: roplacedw120151287 <br />Planning Conditions: <br />Planning Approval By: Date: <br />Plan Chacked By: Davis, Scott Date; <br />Permit lssuad By: Brodowski, Teri Date: <br />Subject to Field: <br />BuildinsPermit#: 10174992 <br />Evary pemit issued shall become invalid unlesa the wot* <br />on tha site authoizod by such pemit is commanced within <br />180 days afler its issusnce, or if tha wotu authoized on the <br />site by such pemit is suspended or abandoned lor a period <br />d 180 days afrar the time the wo* is commanced. <br />lnspector MID#: 2012-102768 <br />01116002 5't600 <br />01116002 51603 <br />Fee Total: <br />Paid to Oate: <br />Balance Due: <br />07126t2012 <br />11t07t2012 <br />Account# <br />Misc. Receipt: 59122 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />E18.54 <br />$1,382.19 <br />$2,256.24 <br />s855.51 <br />s1,400.73 <br />coPy