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Project Address: 1345 N Cabrillo Park Dr <br />Assessor'sParcel: 400-141-06 Lot: I <br />Suite: 8 <br />Block: NA <br />Bldg: S <br />Tract: 10823 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R4 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 <br />Electrical permit #: 2Oi3,2127 <br />lnspector's Section: (7 14) 647-5853 <br />Owner: <br />Address <br />Contractor <br />Address: <br />Phone <br />Tenant Name <br />Fee Type <br />Receptacle <br />Switch <br />Light Fixture <br />lssuance <br />Amount <br />0.84 <br />0.84 <br />0.84 <br />32.50 <br />Fee <br />$16.80 <br />$8.40 <br />$3.36 <br />$32.50 <br />$61.06 <br />$0.00 <br />$61.06 <br />Pacifica Cabrillo, LLC <br />'1345 N Cabrillo Park Dr#r15 <br />Santa Ana, CA 927013106 <br />(714) 479-0060 <br />PDQ Construction <br />10846 Louise Ave <br />Granada Hills, CA 913/t4 <br />(818) 3664015 <br />Qty <br />20.00 <br />10.00 <br />4.00 <br />1.00 <br />Phone <br />State Lic #: 706088 <br />Lic Type: B <br />Bus. Lic #: 314292 <br />Workers' Compensalion lnsuranceCarrier: State Fund <br />Policy #: 1773370-200s <br />Expires: 1112112006 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Alteration <br />Fixture Change Outs <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Sub.iect to Field: <br />Serna, Janet <br />(: itv ol Sontn Antt <br />P0:11/?S/?trr-1lI0rCI(ELLY LoCl CTYH - r:rf-r 1(:t]$T! I HV: ?!132127rll1g Br.rr:16 t'ltl:r11944 l1l?g/?0(r5 1:l9Fll <br />TI(ANSA(:TI0N T0TALT $559.12 <br />Bu i ld ins $61.116 <br />a ncy <br />Constr Type <br />Code: <br />R-3 <br />cEc 2004 Notes: Direct change out of fixtures <br />Date <br />Datef^" <br />11t28t2005 Misc. Receipt <br />Misc. Receipt <br />Misc. ReceiptSerna, Janet 1112812005 <br />Building Permit #:_ <br />This pemit shall expire by limitation and become null and void if the wotu authoized by this pemit <br />is not commenced within 180 days from the date of this pemit, or if the wo* authoized by this <br />pemit is suspended or abandoned at any time after the wo* is commenced for a peiod of 180 days. <br />Before such wotk can be recommenced, a new pemit sha be tirst obtained to do so. <br />Account #: 01 'l -0 1 -59'l 3 lnspector <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />MID#: 2005-66359