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City of S8nta Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical <br />Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit # <br />Pin #: <br />: zoreS)or <br />22364 <br />ProjectAddress: 1505 N Bush St Suite Range: <br />Zoningi SP3Lol 5 <br />Owner <br />Address <br />Contractor <br />Address <br />Mercy Living House Center <br />807 N Garlield <br />Santa Ana, CA 92701 <br />(657) 269-3969 <br />Carmody Construction <br />1240 Birch Tree Court <br />La Habra, CA 90631 <br />(714) 8704640 <br />Fee Type <br />01 116002 51603 FWU <br />01116002 51600 General Plan Update <br />011'16002 51603 lssuance <br />Amount <br />25 76 <br />22 95 <br />57.20 <br />Fee <br />$2s.76 <br />$22 95 <br />$57 20 <br />Qly <br />1 .00 <br />1 .00 <br />1.00 <br />Tenant Name <br />Phone <br />State Lic #: 399097 <br />Lic Type: B, C-33 <br />Bus Lic #: 369028 <br />Workers' Compensalion lnsurance: <br />Carrier: Nat'l Liability and Flre lns Co <br />Policy #r V9WC083871 <br />Expires: 0311812020 <br />Botchi:506{2 '7/L/2O19 I0: EL I ZAg <br />ofr ice: CTYH Tnonsi: 63 3 siAc(t+! Refi: 2rJl6?tu{ <br />Rcpti:02676404 - 7/!/2019 11:25 An <br />Tronsoct ion Totol 11r26i.99 <br />(:nrmode Con struct ionIGener(tl PIon Updote Fee <br />01116002- 916001100- <br />Electr icol <br />01116002- 51603000- <br />i(:L Che':k 03{ 105 TI <br />Building Use <br />Job Type <br />Nalure of work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permrl lssued By <br />Single Family Owelling <br />Miscellaneous <br />FWU <br />I or r ooezg <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEc 20r5 Notes FWU <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Amsden. Julie <br />Subject to Field: <br />Building Permit #: <br />Every pointt rssued shall becomo invahd unloss the work on the s/le <br />authonzed by such porfiil ts comn enced wtthn360 days altet ls <br />rs'suonco- ot I the wo authonzod on th9 ste by such pefin $ suspenated <br />ot abenclgnecl lot a ponod o1360 days after the lme lhe wo* ts <br />comfienccd <br />lnspector MtD# 2019-152647 <br />01 1 16002 51600 <br />01 '1 't6002 51603 <br />$22 95 <br />$82 96 <br />Fee Totall <br />Pard to Oate <br />Balance Due: <br />Assessor'sParcel 398-125-06 <br />Unit <br />Block: D <br />Btdg Address Range <br />Tract GOOOWIN'S ADD Historic: No <br />Phone: <br />Date. <br />Date: <br />Date:07t0112019 <br />Account# <br />$105 91 <br />$0.00 <br />$ 105.91