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Project Ad dress: 1241 E Dver Rd <br />Lot NA <br />unrt 120 <br />Block. NA <br />Btdg: <br />Tract: NA <br />AddressRange: 123,1-1241 <br />Historic: No <br />Suite Range <br />Zonrng. SD63 <br />w <br />City of Santa Ana 20 civic center Plaza (M-19), Santa Ana' cAg27o2 Electrical <br />Permrt Counter (714) 647-5800 lnspection Requestsr (714).667-2738 lnspector Section (714) 647-5853 <br />Permit #: 20173498 <br />Pin #: 24459 <br />Owner <br />Address <br />Contractor: <br />Address: <br />01'116002 <br />011 16002 <br />01116002 <br />01116002 <br />011 16002 <br />01 1 16002 <br />01 1 16002 <br />5160: <br />5160: <br />5160: <br />5160: <br />5160( <br />5160!. <br />5777C <br />Phone: <br />T€nant Name: Orange County HCA Environmental Hei <br />Greenlaw Management, lnc <br />1830'l Von Karman Ave, Suite 250 <br />lrvine, CA 92612 <br />Helmco Electric lnc <br />17985 Skypark circle, Suite <br />lwinc, CA 92514 <br />(7r4) 863-2933 <br />Foe Type Amount <br />125 Volt Receptacle 1.57 <br />Light Switches, Occ. Se 170 <br />Light Fixtures 1.13 <br />Min Fee AdJ 52 98 <br />General Plan Update 23 79 <br />lssuance 59.30 <br />Microfilm Records 4 05 <br />Qty <br />400 <br />500 <br />10 00 <br />100 <br />1.00 <br />100 <br />100 <br />Fee <br />$6.28 <br />$8 50 <br />$11 3C <br />$s2.98 <br />$23.79 <br />$59 30 <br />$4.05 <br />Phone <br />Slate Lic #: 933623 <br />Lic Type: C-10 <br />Bus. Lic #: 329045 <br />Workers' Compensation lnsurance:Carrier. Hartlord Accid A Ind Co <br />Policy #: 72WECAA20JT <br />Expires: O2lO4l2O22 <br />Botch+:59555 - 6/15/2'n71 I0: otorolesloffice: (:TYH Trons+: 6 1 of 1Acct+3 Rel+: 2017349S <br />Fcat;:U332t1102 - 6/1:i/2i2! 911(t An <br />Trsnso€t iofl Totql 3166.20 <br />ll ichoel Heltr <br />HelLCo Electr ic lnc <br />Electrical fot interior Tl <br />_ ,2i.79 <br />,{,o5 <br />t 138. 36 <br />t166,2ll <br />Auth+ 3 441322 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditaons <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type <br />Coder <br />B <br />V B, SPK <br />cEc 2019 <br />Noles <br />lnterior Tl only. No exterior alterations/modifications. All materials to <br />match existing. <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: / \ rynsden, Julre <br />Subrecl lo Freld: ,/'/ <br />Buildins Permit # 101 1 05489 <br />06115t2021 <br />Account# <br />01 1 16002 s1600 <br />011 16002 51603 <br />o1116002 57770 <br />s23 79 <br />$138.36 <br />$4 05 <br />Fee Total <br />Pard lo Date: <br />Balance Due <br />Dale <br />Date <br />Dale <br />Misc. Receipt' <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every penn $sued shall becolne nvahcl unless the work on the sle <br />authonzed by such peml6 cofimenced withn360 days aftet tls <br />tssuance. or t the work authon2ec! on lhe sle by such pemtt 1s suspondod <br />or abandoned tot a penod o1360 days after lhe ttme lhe wo* ts <br />commenced <br />lnspector MtD# 2020-163389 <br />Assessor'sParcel 411-131-36 <br />$166.20 <br />$0.00 <br />9166.20