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Assessor'sParcel: 430-191-20 Lol POR 115 <br />unit: 130 <br />Block.9 <br />Bldg: Address Range: <br />Tract: IRVINE SUB Historic: No <br />City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Electrical <br />Permit Counler (714\ 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 20172823 <br />Pin #: 95246 <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Conlraclor <br />Address: <br />Cusumano & IBC Partners LLC <br />101 S 1st Street #400 <br />Burbank, CA 91502 <br />(8181 845-7477 <br />Edwards Lifesciences <br />011'16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />0'1'116002 <br />011 16002 <br />011 16002 <br />01116002 <br />5160: <br />5160: <br />5160: <br />5160: <br />5160: <br />5160: <br />5160C <br />5'160;. <br />5777t <br />Fe6 <br />$28.26 <br />$10.20 <br />$13.56 <br />$36.50 <br />$20.70 <br />$17.39 <br />$23.79 <br />$s9.30 <br />$4.05 <br />Fee Typ€ Amount <br />125 Volt Receptacle 1.57 <br />Light Switches, Occ. Se 1.70 <br />Light Fixtures 1.13 <br />LowVollage/Comm 36.50 <br />Add'l Devices/Low Volt 3.45 <br />Control Panel 17.39 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Notes: Electrical for Tl <br />Qty <br />18.00 <br />6.00 <br />12.00 <br />1.00 <br />6.00 <br />1.00 <br />1.00 <br />'1.00 <br />1.00P hone <br />State Lic #: 921615 <br />Lic Type: B <br />Bus. Lic #: U2788 <br />Workers' Compensation lnsurance:Carrier: LIBERTY MUTUAL FIRE INSURANGE COMPANY <br />Policy #: WC229147O1O1011 <br />Expires: O1l2Ol2O22 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />III B, SPK <br />cEc 2019 <br />Commercial <br />Tenant lmprovement <br />TI <br />Planning Conditions: lnterior Tl only <br />Planning Approval By: <br />Plan Checked By: <br />Date <br />Date <br />Oate <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Permit lssued By: Zuniga, Allissa <br />Subjecl to Field: <br />Buirdins Permir #: 101105225 <br />Every pennit issued shall become invalid unles$ the work on lhe site <br />allhoized by such peinil is comnenced wilhin 360 days afret ns <br />issuance. ot il the wo* authonzod on the sile by such pemit is suspended <br />ot abandonecl lot a peiod 01360 days effer the tirne lhe work is <br />lnspector lVllD#: 2021-163936 <br />0212212021 <br />Account# <br />01116002 51600 <br />01116002 51603 <br />01116002 57770 <br />$23.79 <br />$185.91 <br />$4.05 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Proiect Address: 1901 E Alton Ave suite RanseC <br />Zoning P <br />COG Builders, lnc <br />24 Executive Park, #150 <br />lrvine, CA 926'14 <br />(9/r9) 892.3510 <br />pt;iLrrly: <br />qns(liL r on <br />n Llrd. <br />$213.75 <br />$0.00 <br />$213.7 s