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Project Address: 501 E Memory Ln <br />Assessor'sParcel: 041-213-04 Lot <br />Unit: <br />Block: NA <br />Address Range: 501-555 <br />Historic: No <br />Suile Range: <br />Zoning <br />dJ <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectaon: (714) 647-5853 <br />Permit #: 20{7O156 <br />Pin #: 20495 <br />Conlraclor <br />Address: <br />Tenant Name <br />01116002 51603 <br />01 r 16002 51603 <br />01116002 51603 <br />01 1 16002 51603 <br />01116002 51603 <br />011 16002 51603 <br />01 1 16002 51603 <br />011 16002 51603 <br />01'1 16002 51603 <br />01116002 51603 <br />01 116002 53601 <br />01 116002 51600 <br />01116002 51603 <br />01116002 57770 <br />Qty <br />837.00 <br />262.00 <br />'1,080.00 <br />57.00 <br />12.00 <br />18.00 <br />12.OO <br />1.00 <br />61.00 <br />2.00 <br />1.00 <br />1 .00 <br />'1 .00 <br />1.00 <br />Fee <br />$1,263 87 <br />$429.68 <br />$1.171.20 <br />$5,739.90 <br />$309.12 <br />$463.68 <br />$201.24 <br />$55.37 <br />$3,377.s7 <br />$25.14 <br />$230.87 <br />$22.9s <br />$s7.20 <br />$3.91 <br />Town & Country Manor <br />555 E MEMORY LN <br />Santa Ana, CA 927051705 <br />CW Driver LLC <br />468 N. Rosemead Blvd. <br />Pasadena, CA 91107 <br />(626) 351-8800 <br />Fee Typs Amount <br />125 Voll Receptacle 1.51 <br />Lighl Switches, Occ. Se 1.64 <br />Light Fixtures 1.09 <br />Air Conditioner 100.70 <br />FWU 25,76 <br />Dedicaled Circuil 25.76 <br />Control Panel 16.77 <br />Serv Meter 55.37 <br />Subpanel 55.37 <br />Time Clock 12.57 <br />P/C - Repeat al 50% 230.87 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Phone <br />State Lic #: 1009002 <br />Lic Type: B <br />Bus. Lic #: 373580 <br />Workers' Compensation lnsurance:Carrier: Old Republic General lnsurance Corporation <br />Policy #: AiCW98931 <br />Expires: 1Ol21l2O2O <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />commercial occupancy: <br />New Conslr Type <br />New Asslsted Living Facilitycode: <br />A-2, A-3, B, R-2.'t, S-2 <br />IA,VA,SPK <br />cEc 20r6 <br />'10197634 <br />Every pemil issued shall becomo nvalid unless lhe workon the site <br />authonzed by such pemil B commenced w hin3@daysaftet s <br />tssuance, ot tf the wo* authorized on tho sito by such perrnit ts suspended <br />or abandohecl fot a pe od of 360 days aftet lhe hme lhe wotl< ts <br />commenccd <br />lnspector MtD# 2017-134648 <br />01 1 16002 51600 <br />01 116002 51603 <br />01 116002 53601 <br />o1116002 57770 <br />$22 95 <br />$13,099.97 <br />$230.87 <br />$3.91 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Notes: Replaces #20156854. Electrical for new assisted living <br />facility. <br />$13,357 70 <br />$0.00 <br />t13,357.70 <br />CSG Consultanls <br />Chavez, Dave <br />Date <br />Date <br />Date <br />12119t2019 <br />12119t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Bldg: <br />Tract: NA <br />Owner: <br />Address: <br />P hone <br />Building Use: <br />Job Type: <br />Nature of Work: