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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 #: 2lJ1G,4()17 <br />Pin #: 58620lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 215 S Main St Unit: <br />Block: C <br />Bldg: Address Range: <br />Tract: BLEES SECOND AlXistoric: No <br />Suite Range: <br />Zoning; CSM IvAssessor'sParcel: 40il-091-03 Lot: 4 <br />Owner: <br />Address: <br />Wen Chung Chao <br />461 E Rockaway Dr <br />Placenlia, CA 9247 O324'l <br />17't4l412-2564 <br />Dylans Appliances <br />Fee Type <br />01116002 51603 Light Fixtures <br />01116002 5'1603 Min Fee Adj <br />01116002 51600 General Plan Update <br />01'116002 5'1603 lssuance <br />Qty <br />5.00 <br />1 .00 <br />1 .00 <br />'1 .00 <br />Foe <br />$s.05 <br />$65.59 <br />$21.25 <br />$52.98 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Botch+340011 - 3/3!/28L7 ID: ororolesl9 <br />office: CTYH Trqng+! 4? 1 Bf 1 <br />Acctir Ref+: 20161017 <br />Rcpti:01993905 - 8/31/2017 3:55 Pn <br />Trsnsoct ion Totol t141.87 <br />[,]{ n Chuns Chco <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Commercial <br />Miscellaneous <br />Fixtures <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 2016 <br />Generol Plsn [Jpdote Fee <br />01116002- 51600000- <br />Electr icol <br />01116002- 51603000- <br />I(:L Check 1945 <br />121,25 <br />tt23.62 <br />JL11 .47 <br />Notes. <br />Qhternanoez, xattrv <br />Date <br />Date <br />Date o4t31t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemil issued shall become invalid unless the wg* on lhe site <br />authoized by such pemit is cafimenced wilhin 180 days after ts <br />issuance, ot il the work authodzed on the site by such pennil is suspanded <br />or abandoned fgt a period oi,180 deys aftet the time the wo* is <br />cornrnonced . <br />$ 144.87 <br />$0.00 <br />$144.87 <br />lnspector l\rlD#: 2017-138380 <br />$21 .2s <br />$123 62 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Amount <br />1 .01 <br />65.59 <br />21.25 <br />52.98 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #:01116002 51600 <br />0't116002 51603