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City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrica! <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: 2017399{ <br />Pin #: 364{64t <br />Proiect Address: 104 E Fourth St-a- - <br />Assessor's Parcel: 398-501-02 Lot: POR 7 & POR 10 <br />Unit: <br />Block: 10 <br />Bldg: Address Range: <br />Tract: TOWN OF SANTA Allistoric: Yes <br />Suite Range: <br />Zoning: SD84 <br />Owner: <br />Address: <br />Phone <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone: <br />TAVISTOCK INVESTMENTS <br />104 E 4TH ST <br />Santa Ana, CA 927014602 <br />D J Z Construction <br />23806 Elyce Court <br />Moreno Valley, CA 92553 <br />(e4e) 836-2631 <br />01 1 16002 51603 <br />01 1 16002 5160.. <br />01 1 16002 5160-2 <br />01 1 16002 5160C <br />01 1 16002 5160;' <br />01 1 16002 5777C <br />Fee Type Amount <br />125 Volt Receptacle 1 .57 <br />Light Switches, Occ. Se 1 .70 <br />Min Fee Adj 71.74 <br />General Plan Update 23.19 <br />lssuance 59.30 <br />Microfilm Records 4.0S <br />Qty <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$1 s7 <br />$1 .70 <br />$71 74 <br />$23.79 <br />$5e.30 <br />$4.05 <br />$4, [15 <br />$23 .79 <br />$134,31 <br />$2t-ttt. I 5 <br />( $38, t-t t-t l <br />State Lic #: 1029251 <br />Lic Type: B <br />Bus. Lic #: 378364 <br />Workers' Compensation Insurance:Carrier: State Fund <br />Policy #: 92GG2S3 <br />Expires: 1212112021 <br />Botch*:60348 g/16/}it?i ID: o,ilorolesll <br />0f f i ce: (:TYH Trarr s* : 35 I of' IAcct+r Rei*: 201 73991 <br />Ficpti:t-ts38tt7,+2 8r 16i7it2l ltt:39 A|'|'[ransocttCIn lcrtnl t162. 15 <br />D J Z (:onstr'uction <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />4.2, B <br />V B, SPK <br />cEc 2019 electrical for Tl <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: Verduzco, Violet- <br />Subject to Field: <br />Buirdins Permit #: 1 01105998 <br />\-l\08/1 6t2021 <br />Account# <br />Mrsc. Receipt: <br />Misc. Recerpt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Total <br />Paid to Date: <br />Balance Due: <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 the site 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 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23.7e <br />$134.31 <br />$4.05 <br />$162 1 s <br />$0 00 <br />$162.15 <br />lnspector MID#: 2021-164238