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@ City of Santa 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 #: 2IJ172930 <br />Pin #: 70433 <br />Proiect Address: 1327 E St Gertrude P!Unit. <br />Block: NA <br />Bldg <br />Tract: 726 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: MlLol NA <br />Contractor <br />Address: <br />East Saint Gertrude 1327 LLC <br />35,45 Long Beach Bl <br />Long Beach, cA 90807 <br />(562) 264-5078 <br />Bud & Bloom Oc dba Farmacy Santa A <br />Fathom and Form LLC <br />1218 E Washington Blvd <br />Los Angeles, CA 90021 <br />(323) 806-7,t49 <br />01 116002 5160: <br />0'1 1 16002 5160C <br />01 1 16002 5160: <br />011't6002 5777( <br />Amount <br />80.95 <br />23.79 <br />59 30 <br />4.05 <br />Fee <br />$80 95 <br />$23 79 <br />$59 30 <br />$4 05 <br />Fee Type <br />Signs & Neon <br />General Plan Update <br />lssuance <br />N,licrofilm Records <br />Qty <br />1.00 <br />100 <br />100 <br />1.00 <br />Phone <br />State Lic #: '1071897 <br />Lic Type: B <br />Bus. Lic #: 3773/5 <br />Workers' Compensalion lnsurance: <br />' Carrier: SIRIUS AMERICA INSURANCE COMPANY <br />Polic-y #: WC7l952 <br />Expires: O4,lO5l2O22 <br />6en.:rq1 Pl <br />011l6Lrt2- <br />11i ,:rof i 1r <br />r:r I I l6r:I:12- <br />EIectn icql <br />r:r1ll6tr02- <br />& Do.;uien <br />Building Use <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />lndustrial <br />Signs <br />Signs-illuminated <br />Occupancy <br />Constr Type <br />Codel <br />N/A <br />N/A <br />cEc 2019 <br />Noles <br />; <br />lnstall(1) wall sign & (1) illuminated, double-sided <br />blade sign for "Farmacy, Santa Ana", bond included on <br />101106120. <br />$168 09 <br />$0 00 <br />$168.09 <br />Date <br />Date <br />Date <br />051o6t2021 <br />051o6t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receiplr <br />Total <br />Every pemit issued shall become hvahd unless the work oo lhe sle <br />authonzod by such peftni ts cornmencec! wthn 360 days after tts <br />tssuance. ot if the work aulhonzed on lhe sJle by such permi ts suspenclad <br />or abandoned lor a penod of 360 days after lhe trno the work 6 <br />cofimenced. <br />lnspector <br />0'11'16002 51600 <br />01116002 51603 <br />01116002 57770 <br />$23.79 <br />$140.25 <br />$4.05 <br />Assessor'sParcel: 014-331-15 <br />Ownerl <br />Addressl <br />Phone: <br />Tenant Name: <br />Botch+:5?tr8(r <br />trf a ice: (:TYH <br />Rcpra:tr328?79t <br />Tronso,:t | 6n T1 <br />ri21 <br />thon ond Foci! l.l <br />Planning Approval By <br />Plan Checked By: Zuniga, Allissa <br />Permit lssued By: Zuniga, Allissa <br />Subject to Fieldl <br />Buitdins Permit #: 101 1 061 20 Fee Total <br />Paid to Date: <br />Balance Oue: <br />MtD# 2021-164807