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Project Address: 2808 W Fifth St <br />Assessor'sParcel 405-222-05 lol NA <br />Unir 10 <br />Srock NA <br />Brdg <br />Tract: NA <br />Address Ran0e. <br />Hrslolic; No <br />Suite Range: <br />Zonina: M1 <br />( ilr ul \: rlrr \rtlr grr <br />Permit #: 201716A3 <br />Pin #: 46134 <br />Owner <br />Address <br />l,hone <br />Tenant Na me <br />Contraclor <br />Address <br />The Stanley And Yolanta Swialek Famil <br />P O 8ox 354 <br />santa Ana, cA 92702 <br />(949) 432-9353 <br />Owner'Builder <br />01 1 't6002 <br />01116002 <br />01 1 16002 <br />01 1'16002 <br />0'1'l't6002 <br />51603 <br />51603 <br />51600 <br />5r603 <br />5t-770 <br />Amount <br />57.40 <br />17 .61 <br />2.\ 1cJ <br />59 30 <br />4.05 <br />Fee <br />$57 40 <br />$17.61 <br />$59.30 <br />$4 05 <br />Fee Type <br />Re-Set t\rlr <br />Nrin Fee Adj <br />General Plan Update <br />lssuance <br />L,licrolilnr Records <br />(Jt) <br />1 .00 <br />100 <br />r00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #r <br />Lrc Type: <br />Bus Lrc #r <br />Workers' Compensatron lnsurance <br />Carrier: <br />Po|cy #. <br />Exprresl <br />Botc <br />off i <br />Ac,:t <br />Rcp t <br />:56202 -: CTYH <br />(r3(r30954 <br />g/L7/2,{t2A I0: nFI EDA <br />Trons+: 3 5of !Reli: 21.1r 716S3- s/r7/?a20 l?ts ?f1 <br />hl <br />ae <br />Tnonsoct ion Totol <br />The Stdnlee And Yol(lnt(l Suinte <br />Generol Plon Updqte Fee 125. /l <br />0l I 160(t2- :16(r00tr(r- <br />Electr icol i 1.11 .:i I <br />rrl 1 l6(r(12- 516(rJrr0tr- <br />i1i,:rof i ifi A oocurents t4. r:r: <br />Lrl I 16002- i7770(r(r(r- <br />ICL Check ll8sg t910.7' <br />lnspector to verify equipment ok for SCE re-release per <br />SCE request. <br />tSlrl - 75 <br />Burldrng Use: <br />Job Type <br />Nature of Work <br />Planning Conditions <br />Plannrng Approval By <br />Plan Checked By <br />Permil lssued By <br />Sublect to Freld <br />Burlding Permit # <br />lndustrial <br />Miscellaneous <br />Re-set meter <br />a <br />VB <br />cEc 2019 <br />Occupancyr <br />Constr Type <br />Code floles <br />Amsden Juhe <br />Date <br />Dale <br />Dale <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />o8t'1712020 <br />Account# <br />01116002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23.79 <br />$134.3l <br />s4.05 <br />Fee Total <br />Paid to Date <br />Balance Due <br />5162 15 <br />$0 00 <br />$162.15 <br />Evety perml tssued shall becotne invahd unless the work o, lhe s,le <br />aulhonzed by such permit ts commenced within360 days aftet ls <br />tssuance or I lhe work duthoi2ed on the sile by such peftnil ts suE)enalec! <br />or ahandoned lot a period of360 days aflet lhe ltme lhe wo* ts <br />lnspector MID#: 2020-160851