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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, cAg27o2 Electrical <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2O165959 <br />Pin #: 49717 <br />Proiect Address: 3771 S Plaza Dr Unil: <br />Block: NA <br />Bldg: <br />Tract NA <br />AddressRange: 3701-3795 <br />Historac: No <br />Suite Range: <br />Zoning: CR <br />E <br />Assessor'sParcel: 412-131-12 Lot: NA <br />Contractor: <br />Address: <br />Phone <br />Tenant Name: <br />51603 <br />51603 <br />5160.. <br />5160: <br />5160.r <br />5160C <br />5160r' <br />Fee <br />$5.80 <br />$3.16 <br />$2.10 <br />$49.s8 <br />$53.28 <br />$22.08 <br />$55.04 <br />Phone <br />State Lic #: 994034 <br />Lic Type: B <br />Bus. Lic #: 370002 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fund <br />Policy #: 9134311 <br />Expires: 06/0312019 <br />Metro Town Square LLC <br />3604 S Bristol St <br />Santa Ana, CA 92704 <br />(714) 546-2856 <br />Goldline Construction <br />300{ Gainsborough Dr <br />Pasadena, CA 91107 <br />(5261222-6174 <br />011 16002 <br />011 16002 <br />011 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />Fee Type Amount <br />125 Voll Receptacle 1.45 <br />Light Switches, Occ. Se 1.58 <br />Lighl Fixtures 1.05 <br />FWU 24.79 <br />Subpanel 53.28 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />4.00 <br />2.OO <br />2.00 <br />2.00 <br />1.00 <br />1.00 <br />'1.00 <br />SeoeroI PIon l,pdote Fee <br />r111160(12- 5150(1000* <br />E lectr icol <br />r:r1116(102- !1603tr0u- <br />ICL Cherk tit12l2? <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 />Commercial <br />Tenant lmprovement <br />Upgrade Restrooms <br />Flores, lvan ost2412018 <br />Occupancy: <br />Constr Type <br />Code: <br />M <br />VB <br />cEc 2016 <br />Notes: <br />{\\H",nuno",, x"tny <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt; <br />Misc. Receipt: <br />Total <br />10196544 <br />Every permit issuod shall become invalid unless the wo* on the site <br />authotizod by such pemit is commenced within180 days after its <br />issuance ot if the wo* authorized on the site by such pemit is suspended <br />or abandonecl ,ot a peiod of180 days after tho time the wo* is <br />commenced. <br />$191 .04 <br />$0.00 <br />$191.04 <br />lnspector MID#: 2018-143563 <br />011 16002 51600 <br />011 16002 51603 <br />$22.08 <br />$168.96 <br />Owner: <br />Address: <br />P.,otch+ r 4,l7S0 - 7/L2/2n18 <br />off ice3 CTYH Trqns+r ?f,A.cti: Refi: <br />Rcpt+:02323?48 - 7/!2/2918 <br />Troosoct ion Toto I <br />/ioIdl ine Construct ion <br />ID: oii <br />2rrl6 <br />11:4tgD. <br />Planning Conditions: <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />o7t12t2018 <br />Account#