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thnp=e:s cs$il\}\e.r\z\ra.g1}-' Electll'cal <br />@ City of Santa Ana 20 civic center Plaza (lv,-19), santa Ana, c492702 <br />Perm t Counter (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section. (7'14) 647-5853 ftt <br />Project Addres S <br />Lot POR 4 <br />Unit: <br />Block: NA <br />Suile Range: <br />Zoning: P <br />Bldg: Address Range: <br />Tract: FELIPE YORBA Historc: No <br />,rat <br />KPC Healthcare <br />1301 N Tu3tin <br />Santa Ana, CA 92705 <br />01116002 51603 <br />011 16002 53601 <br />01 1 16002 51600 <br />01116002 51603 <br />Fee <br />$192 08 <br />$124.85 <br />$22 95 <br />$57 20 <br />Foe Type Amount <br />Ove|l0-50 HP, KW or I 48.02 <br />Ptc - 65% 0.65 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Notes: lnstall EV charging station <br />Phone <br />Tenant Name <br />Contraclor <br />Address: <br />lmperial Electric Service lnc <br />5861 E Plaft Avenue <br />Fresno, CA 93727 <br />(559) 903-8909Phone <br />Slate Lic #: 1015335 <br />Lic Type: C.10 <br />Bus Lic f: 373204 <br />Workers' Compensation lnsuranceCarrier: State Fund <br />Policy #: 9170952 <br />Exprres: 1A0912019 <br />Building Use <br />Job Type: <br />Nature of Work <br />Commercial <br />Miscellaneous <br />EV Chargers <br />Occupancy: <br />Constr Type <br />Code <br />U <br />VB <br />cEc 2015 <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />SubJect to Field: <br />Buildins Permit #: 101 100854 <br />Evory paml issued shall bocomo nvahcl unless tl,e wod on lho sil6 <br />authonzed by such pomtl is commenced within360days aflor its <br />|ssuanco or t the wo* aulhonzed on the sito by such peint is suspended <br />ot abandoned lor a period 01360 days aftet the ttme lho work ts <br />commenced <br />08/01/2019 <br />10t29t2019 <br />Account# <br />CSG Consultants <br />Amsden. Julie <br />Date <br />Date <br />Date <br />Misc. Receipt: 73229 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />lnspector tr,/lD#: 20'19-153144 <br />$22.95 <br />$249 28 <br />Fee Total. <br />Paid lo Date. <br />Balance Due: <br />$397.08 <br />$124 85 <br />i272.23 <br />Permit #: 2lJ1(i9244 <br />Pin #: 27227 <br />Assessor'sParcel 400-221-02 <br />Owner. <br />Address: <br />Qty <br />4.00 <br />192.08 <br />1.00 <br />1.00 <br />Eslchi:52770 - <br />0f i r ce: r-l yH <br />Acct i: <br />RcaL!.t17?g?941 <br />Tronsd,:L lon iot <br />to/2 <br />In(ln <br />-1 <br />ol <br />lnpen iol Electr ic Sprvr <br />/ tltl <br />Ref <br />r'79 t <br />Generol Plon Updqte Fee <br />r-rl I 16(r[r2- 516r-rir0tu- <br />Electr r (ol <br />(r1116002- 5l6r-'3000- <br />V isq <br />C(.i: r rr{ r rr r r*r r 34 g9 <br />01 1 't6002 51600 <br />01 116002 51603