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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 <br />l nspection Req uests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853 <br />Project Address: 2106 N Forest Ave <br />Assessor's Parcel: 001-083-13 Lot: 120 <br />Unit. <br />Block NA <br />Bldg: <br />f rucI 1724 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Contrac:lor <br />Address: <br />Pedro Gonzalez <br />2106 N Forest Ave <br />Santa Ana, CA 927062427 <br />(714) 931-558s <br />Newimage Restoration lnc. <br />'10122 Flanner Avenue <br />Garden Grove, CA 92840 <br />(714) 458.3014 <br />Fee Typo <br />01116002 51603 TPP <br />01116002 51600 General Plan Update <br />011 16002 51603 lssuance <br />Amount <br />99.22 <br />21 .25 <br />52.98 <br />6ener0I Plqn lJpdote Fee <br />(tl I 16r.1r-12- i16(ttttl-r[r- <br />Electr icnl <br />lrl 1 1600?- i16!5(rt(r- <br />V iso <br />(:(:+: *x rixrr *r * ** 4199 <br />Qty <br />1.00 <br />1 .00 <br />1 .00 <br />Feo <br />$99.22 <br />$21 .25 <br />$52.98Phone <br />Tenant Name; <br />Eotch+:4194t - !/21/2o1$ I0: i16p0fl icer CTYH TrqnE+: 9 1 <br />Acct+ | Refi: 211165r <br />of' <br />Phone <br />State Lic #: 1006312 <br />Lic Type: B, C-21, C-23 <br />Bus. Lic #: 12345 <br />Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company <br />Policy #: NEWC998497 <br />Expires: 01/15/2019 <br />ficpt,i:tt21lig32 ^ L/21/2i18 9121 hn <br />Tronsoct ion Totol ll73.4i <br />NeB irase Eestor(lt ion Inc, <br />Aulh+:171rr9t <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: ' <br />Subiect to Field: <br />Building Permit #: <br />Slngla Family Dwelling <br />Mircellaneoug <br />TPP <br />Occupancy: <br />Conslr Type <br />Code:Notes: TPP <br />Date: <br />Oale: <br />Dale: <br />Masc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />msden, Julie <br />Every pennit issued shall become invalid unless the wo* on lhe site <br />aulhoized by such pennit is cornnenced u/ithin 180 days after tts <br />issuance, ot il the wo* authonzed on tha sito by such peinit is suspended <br />or abandoned lot a petiod oi,180 days atter the lime lhe wo* is <br />cofimenced. <br />01125t2018 <br />Account#d^ <br />$'173.45 <br />$0.00 <br />$173.45 <br />lnspector MID#: 20"16-129309 <br />01 1 16002 51600 <br />01 116002 51603 <br />$21 .25 <br />$152.20 <br />Permit #: 2O165057 <br />Pin #: 30365.-t\ <br />R-3, U <br />VB <br />cEc 20i6 <br />Fee Total; <br />Paid to Date: <br />Balance Oue: