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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #:2(J1730,44 <br />Pin #: 97492 <br />Proiect Address: 2800 N Main St-a- - <br />Assessor's Parcel: 111-111-11 Lot: 1 <br />Unit 2495 Bldg: Address Range <br />Block: NA Tract: RESUB OF SHAFEftlistoric: No <br />Suite Range: <br />Zoning. C2 <br />Owner: <br />Address. <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone. <br />Centennial Real Estate Company <br />8750 N Central Expressway #1740 <br />Dallas, TX 75231 <br />(s721 888-8044 <br />Spike Construction lnc <br />7915 Harper Ave <br />Downey, CA 90241 <br />(562) 454-7673 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />51 603 <br />51 603 <br />51 603 <br />51 603 <br />51 603 <br />5160C <br />s1 603 <br />5777C <br />Qty <br />2.00 <br />1 .00 <br />200 <br />1.00 <br />1.00 <br />100 <br />100 <br />100 <br />Fee <br />$3 14 <br />$1.70 <br />$2.26 <br />$52 21 <br />$1s.70 <br />$23 7e <br />$5e.30 <br />$4 05 <br />Fee Type Amount <br />125 Volt Receptacle 1 .57 <br />Light Switches, Occ. Se 1.7O <br />Light Fixtures 1 .1 3 <br />Demolition (includes ren 52.21 <br />Min Fee Adj 15.70 <br />Genera! Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />State Lic #: 435582 <br />Lic Type: B <br />Bus. Lic #: 378785 <br />Workers' Compensation I nsurance:Carrier: Berkley Nat'l lns <br />Policy #: BNUWCOl54643 <br />Expires: 0711312022 <br />PERttllT CAI,ICELLED\6:1 ( o".irrCrcto r <br />DATE:Cl)_\\\_>\ <br />lNlTlAL: ,?p7 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type. <br />Code: <br />Date: <br />Date: <br />Date: <br />M, S-1 <br />II A, SPK <br />cEc 2019 <br />: <br />Notes: Remove all partition walls, t-bar ceiling, finishes on <br />wall and floor and pre-fab walk-in cooler <br />09/01 t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Amsden, Julie <br />Buirdins Permit #: 1 01 1 06 289 <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on fhe sife by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />01 1 16002 s1600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23.79 <br />$134 31 <br />$4.05 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$162 1 5 <br />$0 00 <br />$162.15 <br />f -31-l++ <br />lnspector MID#: 2021-165206 <br />a'