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City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 20{70663 <br />Pin #: 813dQ <br />Assessor'sParcel: 931-775-10 Lot: 2-5 <br />Unit; E <br />Block: NA <br />Bldg: <br />Tract: 10580 <br />Address Ranger 1002-1098 <br />Historic: No <br />Suite Range: <br />Zoning: R4 <br />Amount <br />25.76 <br />57 .20 <br />3.9'l <br />Fee <br />$25.76 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />Tenant Name: <br />Kimberly Alba <br />1004 Cabrillo Park Drive Unit #E <br />Santa Ana, CA 92701 <br />(714) 8s6-6793 <br />Fee Type <br />01'1 16002 51603 FWU <br />011 16002 51600 General Plan Update <br />011 ,l6002 51603 lssuance <br />011 16002 57770 Nlicrofilm Records <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1 <br />Y Irnn <br />t-r?r_l <br />A ir (:ond i <br />IO! C(:UELt.AI <br />7 Fn <br />Phone <br />State Lic #: 936041 <br />Lic Type; C-20 <br />Bus. Lic #: 374929 <br />Workers' Compensalion lnsurance <br />Carrier: Exempt <br />Policy #: <br />Expires: <br />Ficpt, ! 0298(19:;3 -- 1/ <br />TrrinE(rct ion Tot,fl1 <br />Fof nel Rivn, <br />ftcfoel 's Appl icrncps <br />2ll L <br />6Prieral Flon UFdote <br />t]1I16irt?- 5l6t:rt'lit t- <br />E I ectr icol <br />t"rI 116[l]?- 516|]3t, 1u- <br />lli rrol i I iri & Dorrrhent <br />l-11 I I 6tl[?- 5777r:fl]r:ri- <br />Planning Conditions <br />Condominium <br />Alteration <br />A,/C Change out <br />Graham, Jeffery <br />Chavez, Da <br />R-1 <br />VB <br />cEc 2019 <br />Notes <br />{-:i:-1 : *r xi r i}r+r ra*i <br />Change out A/C like for like. <br />Date <br />Date <br />Date"ttg'?'01t23t2020 <br />Account# <br />01123t2020 Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every permit issued shall become invalid unless ,he work on lhe site <br />authorized by such pemit is commenced within 360 days aftet its <br />issuance, ot if the work aulhorized oh the site by such pemil is susponded <br />orabandoned fora petiod ol 360 days after the timo the wotk is <br />commenced. <br />lnspector MID#: 2020-157312 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />$22.95 <br />$82.96 <br />$3.91 <br />Fee Total: <br />Paid to Date: <br />Balance Oue <br />$109.82 <br />$0.00 <br />$109.82 <br />Proiect Address: 1004 N Cabrillo Park Dr <br />Owner: <br />Address: <br />Rafael's Appliances Air Con <br />9375 Joshua Road <br />Oak Hills, CA 92344 <br />(909) 457-s332 <br />Contractor: <br />Address: <br />s9,2.96 <br />,3.9 r <br />Building Use: <br />Job Type: <br />I'lqture ol Work: <br />Occupancy: <br />Constr Type: <br />Code: <br />*62s.71 <br />Auth+:713i.|73 <br />Planning Approval By; <br />Plan Checked By: <br />Permit lssued Byl <br />Subject to Field: <br />Building Permit #: