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20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />l nspection Requests: 17 1 4) 667 -27 38 l nspector Section: (7 1 41 647 - 5853 <br />Electrical Permit #: 2o2G5283 <br />Pin #: 27372 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Project Address: 4025 W Mary Cir <br />Assessor'sParcel:19a-O22-27 Lot 50 <br />Unit: <br />Block: NA <br />Suite Range: <br />Zoning: Ri <br />E <br />Owner; <br />Address <br />Phone. <br />Tenant Name <br />Contractor <br />Address: <br />Thanh Duc Nguyen Family Trust <br />4025 W Mary Cir <br />Santa Ana, CA 927031629 <br />(714) 808-2216 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />0't 1 16002 <br />01116002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Voll Receptacle 140 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1 01 <br />Dedrcated Circuit 23 87 <br />General Plan Update 21.25 <br />lssuance 52 98 <br />Qty <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />Fee <br />$4.20 <br />$1.52 <br />$1.01 <br />$23.87 <br />$21.25 <br />$52.98 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Polic, #: <br />Expires: <br />8ot.h+:4 2:ii3 <br />:Hg <br />tt <br />6t <br />et <br />{l <br />|: *x)*r*rrI!. <br />a: fr <br />tPt <br />r11 <br />Elt <br />0t: <br />llor <br />r(rjt-:1d01([ <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Single Family Dwelling <br />Addition <br />Bathrm/Porch Addn/Demo <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 20r5 Notes <br />Planning conditions: All materials to match existing <br />t(,U <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Buildins Permit #: 1 0294006 <br />Every permil issued shall become invalid unless the wo* on the sile <br />authonzod by such peml 6 cofimenced within 180 days aftet ls <br />issuehce. ot if the wo* authonzed on lho site by such pennit is susponded <br />ot abandonod lot a penod gt 1 80 days aftet the time the wo* is <br />commerrcod. <br />$104 83 <br />$0 00 <br />s104.83 <br />lnspector MID#: 2017-'138003 <br />01 1 '16002 51600 <br />01 1 16002 51603 <br />$21 .2s <br />$83.58 <br />Fee Total: <br />Paid lo Dale: <br />BalancG Due <br />Bldg: Address Range: <br />Tracl: 1830 Historic: No <br />Owner-Builder <br />l! <br />o3to2l201a <br />Account#