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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 <br />Permit #: 2lJ1711(l,() <br />Pin #: 4O9O2 <br />Proj ect Address: 1301 E Seventeenth St <br />Assessor's Parcel. 396-21 1-45 Lol 99-10'l <br />Bldg Address Range: <br />Tract: S.A. GRAND AV Historic: No <br />Suite Range: <br />Zoning: Cl <br />Ownerl <br />Address <br />Phone: <br />Tenant Name <br />0'l 1 <br />011 <br />01 'l <br />011 <br />0'l 1 <br />011 <br />0'1 1 <br />011 <br />01r <br />011 <br />0'1 1 <br />0'1 'l <br />01 'l <br />011 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />Fee <br />$1 s7 <br />$1.70 <br />$1 .13 <br />$104.40 <br />$26.71 <br />$36.50 <br />$34.50 <br />$ 1 7.39 <br />s57 40 <br />$3 8.t <br />$25.0e <br />$23.79 <br />$59.30 <br />$4.05 <br />Construction Developmenl I <br />3423 W Fordham Ave <br />Santa Ana, CA 92704 <br />(949) 330-0s2s <br />s1603 <br />s1603 <br />51603 <br />51603 <br />51603 <br />5'1603 <br />s1603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Qlr., <br />100 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />100 <br />10.00 <br />1.00 <br />1.00 <br />'1.00 <br />1.00 <br />1.00 <br />100 <br />100 <br />Fee Type Amount <br />125 Volt Receptacle 1 57 <br />Light Switches. Occ. Se 1.7O <br />Light Fixtures '1.13 <br />Air Conditioner 104.40 <br />Dedicated Circuit 26 71 <br />Low Voltage/Comm 36.50 <br />Add'l Devices/Low Voll 3.45 <br />Control Panel 17.39 <br />Subpanel 57.40 <br />0-1 HP, KW or KVA: 3.84 <br />over 1-10 HP. Kwdi Kt 2509 <br />General Plan Uiidate i 23.19 <br />lssuance : 59.30 <br />Microfilm Records 4.05 <br />Phone <br />State Lic #j 1009335 <br />Lic Type; B <br />Bus. Lic #: 376175 <br />Workers' Compensation lnsurance:Carner. United Wisconsin lns Co <br />Policy #: WC52900179019S2 <br />Expires: <br />Commercial <br />Tenant lmprovement <br />Tl /Roof Mtd Equip <br />Occupancy: <br />Constr Type <br />Code: <br />B,M <br />V B, SPK <br />cEc 2019 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By <br />^Permit lssued By. / 'y'msden. Julie <br />Sublect to Field / /t/ <br />Buirdins Permir #: 101103457 <br />Noles: Interior Tl includca remodeling ol interior stockroom to <br />ancorpo.ate a new consulation room. <br />$397 37 <br />$0 00 <br />$397.37 <br />Date: <br />Date: <br />Date: OBl25l2O20 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pefinit tssued shall become invahd unless the work on lhe 9le <br />authonzed by such peinil is commenced wtthin360 days aflet ls <br />issuance or if the worl< authonzec! on the ste by such pemil is suspendod <br />ot abandoned fot a penod o1360 days aftet the hmo the wo* is <br />cofifiorlciad <br />lnspector MtD#. 2020-158429 <br />01116002 51600 <br />01 1'16002 51603 <br />01 116002 57770 <br />$23.79 <br />$369.53 <br />$4.05 <br />Fee Total: <br />Pard to Date: <br />Balance Oue <br />Unit: <br />Block: NA <br />17th/Grand Land PartneE LP <br />121 Spear Street Ste 250 <br />Belmont, CA 94002 <br />(4151227-2228 <br />Wa lgreeng <br />Contraclor: <br />Address: <br />Burlding Usel <br />Job Type: <br />Nature of Work: