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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2Ol63l07 <br />Pin #: 67737 {lnspection Requests: (7'14\ 667-2738 lnspector Section: (714\ 647-5853 <br />Project Address: 3122 W Westminster Ave U nit: <br />Block: NA <br />Bldg: <br />Tract: 880 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: SP2Assessor'sParcel: 198-201-01 Lot: POR 'l <br />Ov,/ner: <br />Address <br />Ole Vandburg <br />3122 Westminster <br />Santa Ana, CA 92703 <br />Fee Typ6 <br />01'l'16002 51603 '125 Volt Receplacle <br />01116002 51603 Air Conditioner <br />01116002 51600 General Plan Updale <br />01116002 51603 lssuance <br />Amount <br />1 .35 <br />90.25 <br />20.56 <br />51.26 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />'t.00 <br />Fee <br />$1.35 <br />$90 25 <br />$20.56 <br />$s1.26 <br />Phone <br />Tenant Name: <br />Contraclor <br />Address: <br />M H Graves lnc <br />5852 Mueller St <br />Bell, CA 90201 <br />(562) 833-3703 <br />hi:38617 <br />ce3 (:TYH T <br />'/rL/2nt7rons+: ,11 <br />Refi- 1/ lL/2(l <br />State Lic #: 241731 <br />Lic Type: C-20 <br />Bus. Lic #: 365592 <br />Workers' Compensation lnsurance:Carrier: Security National lnsurance Company <br />Policy #: SWC1135048 <br />Expires: O'll01l2O1A <br />ir0184837s - <br />i socL ion Totol <br />i 6rove5 In( <br />)!,i'anol Plon UDdote <br />ul l l6002- 5160000tr- <br />I I e.:tr icol <br />u1116002- 5160300U-llu:ter Cqrd <br />,. i- +: IIt*II*ttrI*22 <br />Fee <br />t9 Authi <br />Building Use: <br />Job Type: <br />Nature of work <br />Commercial <br />Miscellaneous <br />Roof Mounted Equipt <br />Occupancy: <br />Constr Type <br />Code: <br />B, S.1 <br />flt B <br />cEc 2016 Notes <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Bualding Permil #: <br />\t Hernandez, Kathy <br />Datel <br />Date: <br />Date:o't11t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every permit issued shall bocone invalid unless the work on the site <br />authodzed by such pennit is comnenced within 180 days aller ls <br />issuance, ot if the u/ot* authodzed on the site by such pemil is suspended <br />ot abandoned for a pedod of 180 days after lhe tme the wo* is <br />commenced <br />$163.42 <br />$0 00 <br />$163.42 <br />lnspector MtD# 2017-135929 <br />01 't 't6002 51600 <br />01 1 16002 51603 <br />$20.s6 <br />$142.86 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Phone