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Project Address: 1029 E Fourth St <br />AssessoisParcel: 398-342-15 Lot NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 rc <br />Permit #: 2(J171176 <br />Pin #: 5346{ <br />Contractor <br />Address. <br />01 116002 <br />01116002 <br />01116002 <br />01 1 '16002 <br />01 1 16002 <br />01 1 16002 <br />01 't16002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Q.y <br />10.00 <br />10.00 <br />10 00 <br />100 <br />100 <br />100 <br />1.00 <br />Fee <br />$ 1 5.10 <br />$'16.40 <br />$10.90 <br />$29 95 <br />$22.95 <br />$57.20 <br />$3 91 <br />Phone <br />Tenant Name: Taqueria Oe Anda <br />Rafael de Anda <br />1019 N. Magnolia Blvd <br />Anaheim, CA 92801 <br />(714) 381-7602 <br />PS Construction Group <br />12233 Crewe Street <br />Norwalk, CA 90650 <br />(s52) 301-5429 <br />Fee Typo Amount <br />125 Voll Receplacle 1.51 <br />Light Switches, Occ. Se 1.64 <br />Light Fixtures 1 09 <br />Min Fee Adj 29.95 <br />General Plan Update 22.95 <br />lssuance 57 20 <br />Microfilm Records 3.91 <br />State Lic #: 940599 <br />Lic Typei B <br />Bus. Lic #: 347524 <br />Workers' Compensalion lnsuranceCarrier: State Fund <br />Policy #r 9154392 <br />Expires: 0811312020 <br />Bullding 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 />Building Permit #: <br />Commercial Occupancy <br />Tenant lmprovement Constr TYPe <br />walk-in-cooler/Roof Mtd EqtCode: <br />A-2 <br />V B, SPK <br />cEc 2019 <br />Notes electrical ,or vralk in coolcr and roof mountod <br />equipemnt <br />{{ <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Verduzco, Violet <br />101102231 <br />o6toa2020 <br />Account# <br />01 1 16002 51600 <br />0't 1 16002 51603 <br />01116002 57770 <br />$22.95 <br />$129.55 <br />$3.91 <br />Evory pemit issued shall become invalid unless the wo* on the site <br />authoized by such perfil is comhencecl within 360 days anet its <br />ot abandoned lor a penod ol,360 days aftet the lime the work ts <br />MID#: 20'19-155860 <br />$156.41 <br />$0.00 <br />$156.41 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: SO84 <br />Owner: <br />Address: <br />Phone:P.o t <br />trl i <br />F:u, t, i:1.1??757?3 - <br />Tronso,rL ion Totol <br />F'S (:ohstru(t ion 6roup <br />6,/ ?/ zt-t?t-t <br />Tr finsi: <br />IO: CCUELLAfi2of3 <br />?ul71 176 <br />9:29 An <br />tg11 .5rl <br />H <br />h <br />02r:l <br />t22. ?5 <br />t 129.:i5 <br />t{111.:;0 <br />t3.7t <br />Date: <br />Date: <br />Date: <br />Fee Total: <br />Paid to Oate: <br />Balance Due: <br />lnspector