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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 201ll.25t9 <br />Pin #: 78354lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Unit: D <br />Block: NA <br />Bldg: <br />Tract:7584 <br />AddressRange: 400.460' <br />Historic: No <br />Suite Range: <br />Zoning: Rl AtAssesso/sParcel: 933-'180.17 Lot: 1, 2 <br />Owner: <br />Address: <br />Roberl Halnes Jr <br />410 W Carriage #D <br />Santa Ana, CA 92707 <br />(7',t41662-7273 <br />011'16002 <br />01 1 16002 <br />01116002 <br />01 1 16002 <br />01 1 '16002 <br />01116002 <br />5't603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee Typo Amount <br />125 Volt Receptacle 1.35 <br />Lighl Switches, Occ. Se 1.47 <br />Lighl Fixtures 0.98 <br />Dedicaled Circuat 23.09 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Fes <br />$6.75 <br />$2.94 <br />$4.90 <br />$23.09 <br />$20.56 <br />$s1.26 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Owner-Builder <br />Phone Bot.ci l l <br />off ice: CTYH <br />Accr-l I <br />Rcpti:01755294Tronsc -t <br />1/f3/201? ID: utlor ol cs 15 <br />ironsS: tr| I ol 2Refi! 20162539- 2/t3/2017 10:20 Al1oI ,211.23 <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy *: <br />Expires: <br />Robert Ho ines Jr <br />GenEroI f'Ior <br />01Llf,:tr irol <br />0lJ l <br />Viro <br />Updote Fee <br />llilt rU0- <br />r20.56 <br />rt8.94 <br />921{. 23 <br />Authi:070410Condominium <br />Alteration <br />Remodel <br />Occupancy: <br />Constr Type <br />Code: <br />R.2 <br />VB <br />cEc 2016 <br />rr3000- <br />rrlr 1331 <br />Noles. <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />$ uernandez, Kathy <br />Date <br />Date <br />Date o?J13t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemil issued shall become invalid unless lhe wo* on the site <br />outhoized by such peinit is commenced within 180 days afrer its <br />issuence, ot if the wo* authoized on the site by such pomit is susponded <br />o. abandoned lor a peiod ol,180 ddys after the time lho work $ <br />comrnerrccd. <br />s109.50 <br />$0.00 <br />s109.50 <br />lnspector MID#: 2017-134385 <br />$20.56 <br />$88.94 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Project Address: 410 W Carriaoe Dr <br />Qiy <br />5.00 <br />2.00 <br />5.00 <br />1.00 <br />1.00 <br />1.00 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />01116002 51600 <br />01 1 16002 51603