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Proiect Address: 1570 E Seventeenth Sta <br />- <br />Assessor's Parcel: 400-251-07 Lot: NA <br />lnspection Requests'. (714) 667 -2738 lnspector's Section: (714) 647 -5853 <br />Suite Range: <br />Zoning: C5 <br />Unit: A <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />O Cify of Santa Ana <br />Permit Corrnter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #:2Q14438{ <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor. <br />Address: <br />Phone: <br />Easter Seals of Southern Calif <br />1801 E Edinger Ave #190 <br />Santa Ana, CA 92705 <br />(7141 834-1 111 <br />Easter Seals of Souther Calif <br />Tl's By Design <br />3595 Cadillac Avenue, #103 <br />Costa Mesa, CA 92626 <br />(714l. 434-0se6 <br />01 1 1 6002 51 603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 1 6002 51 603 <br />01 1 16002 51603 <br />01 1 1 6002 51 603 <br />01 1 1 6002 51 603 <br />01116002 53601 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Fee Type Amount <br />125 Volt Receptacle 1 .19 <br />Light Switches, Occ. Se 1.29 <br />Light Fixtures 0.86 <br />Dedicated Circult 20.30 <br />Low Voltage/Comm 27.72 <br />Add'l Devices/Low Volt 2.64 <br />Subpane! 43.56 <br />Ptc - 65% 0.65 <br />General Plan Update 18.00 <br />lssuance 45.00 <br />Qty <br />60.00 <br />16.00 <br />186.00 <br />14.00 <br />I .00 <br />101 .00 <br />4.0c <br />711 .09 <br />.r.c0 <br />1.00 <br />Fee <br />$/1 40 <br />$20 64 <br />$159.96 <br />$284.20 <br />$27.72 <br />$266.64 <br />$'i'i4.24 <br />$462.21 <br />$18.00 <br />$45.00State Lic #: 565438 <br />Lic Type: B <br />Bus. Lic #: 148210 <br />Workers' Compensation I nsurance:Carrier: State Compensation lnsurance Fund <br />Policy #: 713-0034531 <br />Expires: 0912912011 <br />1I <br />!tr,trr r <br />: + : 0LI6L[. <br />r'rsttr-t iot <br />:- F,q Derq <br />*r'nl rrfln upoctci <br />1 6Utl2" 5 16rjr_rr-r0r_r,:trirnI <br />I .trlr t?- 5l .(irSfriu-r <br />Buiicling Use <br />.iob Ty.'ner: <br />l'.lature oi Work <br />PiannrnE Conditions: <br />Frianning Approval By <br />Plarr Checked By <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Cori.mercial <br />Tenant lmprovement <br />TI <br />Davis, Scott <br />01 69777 <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />11t04t2010 <br />01t24t2011 <br />Account# <br />B <br />VB <br />cEc 2007 <br />, Julie <br />Every permitissued shail become invalid unless fhe work <br />on the sife authorized by such permit is commenced within <br />180 days afterifs issuance, or if the work authorized on the <br />sife by such permif is suspended or abandoned for a period <br />d 180 days after the time the work is commenced. <br />Inspector rv rD# . 201 0-93765 <br />01 1 1 6002 51 600 <br />01 1 1 6002 51 603 <br />01116002 53601 <br />$18 00 <br />$1 ,049.80 <br />$2t2.87 <br />Misc. Receipt: M56891 <br />Misc. Receipt: <br />Misc. Receipt: <br />Tota! <br />Notes: <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$i,530.0 i <br />s249.34 <br />$1,280.6 r- <br />LI <br />a <br />r7L /24/ lL <br />T r'flrr s.* : 34 <br />Ret't <br />r.Jvt I <br />$3r6