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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests; (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2O1G8117 <br />Pin #.: , 49649 <br />Project Address: 1628 S Grand Ave <br />Assessor'sParcel: 403-111-08 Lol. NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract; NA <br />Address Range: 1628-1640 <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Rick D Kagsoff <br />2420 Cape cod way <br />Santa Ana, CA 92703 <br />(323) 893-7269 <br />WCW Organization lnc. <br />Owner-Builder <br />Amount <br />222.16 <br />Qty <br />300 <br />Fee <br />$666.48 <br />Botchi:48859 - 3/18/2tr19 I0: C(:UELLAI <br />offi.er CTYH 1r0n5f3 45 1 E,f iAccLl: Refir 201611117 <br />Rcpti:0?560609 - 3/18/2ttl9 10:33 AI{ <br />TnonsocL ion Totsl !{4{. J2Phone <br />Ri,: k D K(lssoff <br />E I rrctr irnl <br />0l r16002- 516031"10(r- <br />Visu <br />C(:+ : r*rrrr*rrrrrSJTl f 4,1,+ . 3 <br />Authi:077838 <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />Commercial <br />Revision <br />Revision <br />B <br />VB <br />cEc 2016 Notes: Revision to 20156935 <br />auth of file <br />Occupancy: <br />Constr Type <br />Code: <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Buildins Permit #: 10'l 97730 <br />Ewry pemit issued shall bacome invalid unless the wo* on the site <br />dutllonzed by such pemil B commonccd within 180 doys afiet its <br />issuance, ot if the wo* authodzed on lhe site by such peinit is suspended <br />or abandoned lot a psnod of 180 days aflet the time lhe wo* is <br />cofifienced <br />Date <br />Date <br />Date <br />o3t13t2019 <br />03/r 8,20r9 <br />Account# <br />Misc. Receipl: 72277 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$666.48 <br />$222.16 <br />1444.32 <br />lnspector <br />01 116002 53601 $6€rqn <br />+qq o:Fee Total: <br />Paid lo Dale: <br />Balance Due: <br />Fee Type <br />01116002 5360'l Revision <br />Contractor: <br />Address: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Sm h, Mark J <br />Verduzco, Vrolfi{ <br />MID#: 2018-'141908