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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2O167560 <br />Pin #: 832E9lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 200 W Santa Ana Blvd Bldg: Address Range: <br />Tract: TOWN OF SANTA Allistoric: No <br />T <br />Assessor'sParcel. 398-253-06 Lot: 1-10 <br />Owner: <br />Address <br />Park Tower Center Of Santa Ana, LLC <br />1200 N. Main, Suite 922 <br />Santa Ana, CA 92701 <br />01116002 51603 <br />0r 1 16002 51603 <br />01116002 51600 <br />01115002 51603 <br />Fee Type <br />FWU <br />Dedicated Circuit <br />General Plan Update <br />lssuance <br />Amount <br />24.79 <br />24.79 <br />22.O8 <br />55.04 <br />Qlv <br />4.00 <br />4.00 <br />1.00 <br />1.00 <br />Fee <br />$99.16 <br />$99.16 <br />$22.08 <br />$55.04 <br />Phone: <br />Tenant Name: County of Orange Health Care Agency- <br />Conlractor <br />Addressi <br />Williams & Maher, lnc <br />1406 S Ritchey St, "E" <br />Santa Ana, CA 92705 <br />(714) 835-5011 <br />t/6/20t8onsi: 17 <br />Ref+ <br />t2 / 6/2(l <br />Phone <br />State Lic #: 470111 <br />Lic Type: B, C-io <br />Bus. Lic #: 21386 <br />Workers' Compensation lnsurance:Carrier: OAK RIVER INSURANCE COMPANY <br />Policy #: W|WC907823 <br />Expires: 01/01/2019 <br />er r IDC <br />lDdote Fe€ <br />0000- <br />3000- <br />rrr 1865 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Miscellaneous <br />Electrical <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />II B, SPK <br />cEc 2016 Notes: (4) FWU and (4) dedicated circuits <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit #: <br />Chavez, Dave <br />Date <br />Date <br />Date 1210612018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Totalt9' <br />Every pemit issuod sholl become invalid unless the wo* on the site <br />authoized by such pemit is comfionced wilhin 1 80 days aftet its <br />issuance. or if the $rod< authodzed on the site by such Wmit is suspended <br />or abandoned lot d peiod ol 180 days afret the time the wotu is <br />comtpn@d. <br />s275.44 <br />$0.00 <br />9275.44 <br />lnspector MID#: 2018-148115 <br />01 1 16002 51600 <br />01116002 51603 <br />$22.08 <br />$253.36 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />unit: 100 <br />Block: 20 <br />Suite Range; 100 & 900 <br />Zoning: SD84 <br />gotchi!{ <br />0f f iie:. <br />Acct i: <br />Fcpti: l:, <br />Trdnsoct <br />gill iorg <br />GENETII <br />01116u02 <br />Electr I ( <br />o11 16D02 <br />Viso