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City of Santa Ana 20 civrc Center Plaza (M-19), Santa Ana cA92702 Electrical Permit #: 2O168857 <br />Pin #: 47774Permit Counter: (714) 647-5800 lnspection Requests (7141667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 200 W Santa Ana Bivd unit: 180 Bldgr Address Range: <br />Block: 20 Tract TOWN OF SANTA Aliistoric: No <br />Suite Range: <br />Zoningr SO84Assessor'sParcel: 398-253-06 Lol: 1-10 <br />Owner: <br />Address <br />Ocean West <br />200 Weat Santa Ana blvd, Suite <br />Sta Ana, CA 92701 <br />(714) 24s-94s5 <br />Orange County Healthcare Agency <br />011't6002 <br />01 1 16002 <br />01 1 '16002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Voll Receptacle 1.45 <br />Light Switches, Occ. Se 1 58 <br />Lighl Fixtures 1 05 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />60.00 <br />15 00 <br />65 00 <br />1 .00 <br />100 <br />Fee <br />$87.00 <br />s23.70 <br />$68 25 <br />$22.08 <br />$ss.04 <br />Phone. <br />Tenant Name <br />Contractor <br />Address: <br />Phone <br />State Lic #: 485'187 <br />Lic Type. B <br />Bus Lic #: 1610,f4 <br />Workers' Compensation lnsuranceCarrier. Benchmark <br />Policy # CST5014784 <br />Expires O1l01l2O2O <br />High-Rise Commercial <br />Tenant lmprovement <br />TI <br />NoteS <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subject to Fieldl <br />Building Permil #: <br />, ViofJ <br />101100052 <br />06/10/2019 <br />Account# <br />Misc. Receipt: <br />Mrsc. Receipt. <br />Misc. Receipl: <br />Total <br />Every peftnl tssuecl shall become nvaltd unless the wo* on the stte <br />aulhonzed by such pemtt ts cofimenced wtthtn360 days after ts <br />tssuance, ot if the wod< authonzod on the stto by such pofinl ts suspenclecl <br />ot ebandoned fot a penod of 360 days aftor lhe lime lhe wo* ts <br />cofimenced <br />$256 07 <br />$0.00 <br />s2s6.07 <br />lnspector MrD# 2019-151384 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$22.08 <br />$233 99 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$n <br />Coastline Development <br />1391'l Enterprise Dr <br />Garden Grove, CA 92843 <br />(714) 255-0250 got,:h+:8U252 - <br />0fl r ce: CTYH <br />R,: p l+: tr265t:1729 <br />Tronso,:t ion To <br />,/ lit/1,|19 <br />nnct I ine Deve lopfiel I <br />Genero I l'lon UPdotL' <br />0l I 16(102- 516r:r(t000- <br />Electr ical <br />01116002- i160300(r- <br />I(:L (:heck n3565Building Usel <br />Job Type: <br />Nature of Work. <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />I A, SPK <br />cEc 2016 <br />Date <br />Date. <br />Date: