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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 20167141 <br />Pin #: 37017 <br />Proiect Address: 2525 W Westminster Ave <br />Assessor'sParcelr 101-132-29 Lot NA <br />Unit: G <br />Block NA <br />Bldgr <br />Tract: NA <br />Address Range. <br />Historic: No <br />Suite Range: <br />Zoning: Cl <br />q <br />Owner. <br />Address <br />Contractor: <br />Address: <br />Tenant Name: <br />Design Concopt and constr <br />14371 StaBla St <br />Weslminster, CA 92683 <br />(714! 612-7112 <br />Fee Typo <br />01 1 16002 5160:'125 Voll Receptacle <br />01116002 5160: Min Fee Adj <br />01116002 5160C General Plan Update <br />011 16002 5160: lssuance <br />Amount <br />1.45 <br />7'1 .93 <br />22 08 <br />55 04 <br />Fe€ <br />$1.45 <br />$71.93 <br />$22 08 <br />$55.04 <br />Qty <br />100 <br />100 <br />100 <br />100 <br />EoLchi:46376 - lla/lL/2o|g I0: NGARCIA <br />off i,:e: CTYH TronE+: 32 2 ol iAcct+: Ref+: 201671( 1 <br />Rcpti:lf2411tlt95 - lO/Ll/20L8 11:z(r nn <br />Tronsoct ion Totol i550.6i <br />State Lic #: 593586 <br />Lic Typer B <br />Bus. Lic #: 187798 <br />Workers' Compensalion lnsurancel <br />Ca.rie( Southem lnsuranc€ Company <br />Policy f : PWC008/164 <br />Expires: 09/i5/2019 <br />Oes isn Con,:ept ond Construct io <br />Gener(ll Plon Updote Fee <br />0t 116002- 516110000- <br />Electr i cs I <br />8111600?- 51603tr00- <br />V iEo <br />CCi: TI TIT TII IIT T9888 <br />t 123 .4 <br />Aut hi:028 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subjecl to Field; <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />TI <br />Zuniga, Alhssa <br />10197650 <br />Occupancy: <br />Conslr Type <br />Code: <br />M <br />VB <br />cEc 2015 Notes: Upgrade exisitng bathroom <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />'1ot1112018 <br />Account# <br />$22 08 <br />$128.42 <br />$150 50 <br />$0 00 <br />$150.50 <br />Every pormit 6sued shall become invalid unless tho wo* on the site <br />aulhonzed by such permit ts commenced wtthin180 days aftot ils <br />issuance, ot I the wofu authonzod on tho stte by such pem is suspended <br />ot abandoned fot a penod of 180 days aftot the tine the work is <br />commenced <br />lnspector MID#: 2018-145990 <br />01 1 16002 51600 <br />01 116002 51603 <br />Fee Total <br />Paid lo Date: <br />Balance Due <br />Phone: <br />Rosemarie Reisch <br />'1575 Shenadoah <br />Santa Ana, CA 92701 <br />Phone: <br />I . 0ll <br />It' ir ,61 <br />./o^,", <br />Y:::