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City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cA 92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 <br />Electrical Permit #: 2|,14260,2 <br />lnspector's Section: (714) 647-5853 <br />Project Address: 901 S Harbor Blvd Unit: <br />Block: NA <br />Bldg; <br />Tract: NA <br />Suite Range:a <br />Assessor's Parcel: 144-361 -51 Lot: NA Zoning: SP2 <br />Advanced Group 93-7 <br />23792 Rockfield Blvd f'|00 <br />Lake Forest, CA 926302868 <br />01 1 16002 51603 <br />0'1116002 51603 <br />0't'116002 53601 <br />01116002 51603 <br />Fee Type <br />Light Fililure <br />Lite Stds <br />PIC - 65'/o <br />lssuance <br />Amount <br />0.99 <br />10.45 <br />0.65 <br />Qty <br />10.00 <br />7.00 <br />83.05 <br />'l .00 <br />Fes <br />$9.90 <br />$73.15 <br />$53.98 <br />$37.85 <br />Phone <br />Tenant Name: California Palms <br />Contraclor <br />Address: <br />R-3 Construction Services <br />1305 N Knollwood Circle <br />Anaheim, CA 92801 <br />(949) 595-5960 gotch; | 99i: <br />tlff ice: CTI <br />A(,:t+: <br />Rcpt +:0044r <br />Tr.nngoct iol <br />li-3 (:onstrr <br />State Lic #: 908168 <br />Lic Type: B <br />Bus. Lic #: 322655 <br />Workers' Compensation lnsurance:Carrier: ICW Group <br />Policy #; WSD-1557368-00 <br />Expires; 11/30/2009 <br />Extended Stay Hotel/Motel <br />Alteration <br />Light standards <br />Occupancy: <br />Constr Type <br />Code: <br />R-l <br />VB <br />cEc 2007 Notes: (7) light standards and (10) wall packs <br />Planning Conditions: <br />* <br />Davis, Scott <br />Hernandez, Kathy <br />11t24t2009 <br />11t25t2009 <br />Account# <br />Every permit issued shall become invalid unless tho wotk <br />on the sile authoized by such pemit is commenced within <br />180 days after its issuance, or il the wotu authoized on the <br />site by such petmit is suspended or abandoned for a peiod <br />d 180 days after the time the wot* is commenced. <br />$174.88 <br />$53.98 <br />i120.90 <br />lnspector <br />01 1 16002 51603 s120.90 <br />Address Range: <br />Historic: No <br />Owner: <br />Address: <br />Phone: <br />JOl <br />?n11266" <br />tr /21/10(t9 ?|10 Pn <br />t1{1.21 <br />ier v I ce5 <br />/?1/ <br />rn s+ <br />t|9 ID: t.06AI <br />Refi: <br />Misc. Receipt: 55469 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />El ectr icol <br />|lrl116002- 516030U0-Check 5061 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />l1?U - (.) U <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Date: <br />Date: <br />Date: <br />MID#: 2009-86135