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CitV 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 #:2O17166'4 <br />Pin #: 38662 <br />Proiect Address:1217 N Cabrillo Park Dr <br />Assessor's Parcel: 400-172-35 Lot: 35 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 9207 <br />Address Range: <br />Historic: No <br />Suite Range N <br />Zoning: R4 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Phone: <br />HENRY H WILSON <br />1217 CABRILLO PARK DR <br />Santa Ana, CA 927013180 <br />(71419s3-1942 <br />Greenstar Home Services ln <br />1951 N Main Street <br />Orange, CA 92865 <br />(949) 885-0102 <br />Fee Type Amount Qty <br />01116002 51603 FWU 26.71 1.00 <br />01116002 51600 General Plan Update 23.79 1.00 <br />01 1 16002 51603 lssuance 59.30 1.00 <br />01 1 16002 57770 Microfilm Records 4.05 1 .00 <br />BoL,:hi!561?4 - S//14,/;i-l;r-l j[: <br />0ff ice: CTYH Trnns*: / <br />A.--! r. Flr:f +:HLLt,?. <br />Rcpt* : rJ3t-t?92i6 - g/ L1/ ?i-t?ll <br />Trunsoct i on Totnl <br />6reenstor Hone Servi,:es Inc <br />Generol F'Inn Updsbe Fee <br />r:t1 1 16[Lr?- 5l 60lJi[JI:l- <br />EIectr i coI <br />u11 16(trr?- :l6Lr3urrlr- <br />11 icrof i Itt & DocumentE <br />r:rl 1. 1601t2- t7770LrL[:r- <br />I(:L Chertr u3641i <br />Fee <br />$26.71 <br />$23.79 <br />$59.30 <br />$4.05 <br />(:i:uEi.l-AFi <br />i LII t <br />Afi <br />State Lic #: 795556 <br />Lic Type: C-36, C-20 <br />Bus. Lic #. 344246 <br />Workers' Compensation lnsurance: <br />Carrier: Liberty lnsurance Corp <br />Policy #: WA763D508631019 <br />Expires: 1Ol01l2O2O <br />$23.79 <br />$86. r-rt <br />$4. r-r5 <br />s635. 96 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Alteration <br />HVAC <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEC 2019 <br />Planning Conditions: <br />Planning Approval By:Date: <br />Date: <br />Date:Amsden, Julie <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />lssuance, or if the work authorized on the site by such permit is suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />08t14t2020 <br />Account# <br />l\tlisc. Receipt: <br />Misc. Receipt: <br />l\4isc. Receipt: <br />Total <br />Notes: Direct change out of furnace & a/c <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />$23.79 <br />$86.01 <br />$4.0s <br />$1 13.85 <br />$0.00 <br />$113.8s <br />lnspector lVlD#: 2020-160760 <br />,l <br />ry