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@ 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7'14\ 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ165224 <br />Pin #: t6835 <br />City of Santa Ana <br />Permat Counter: (7'14) 647-5800 <br />qProjectAddress: 1010 1/2 N Mar-Les Dr <br />Assesso/s Parcel: 198-151-l l Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R'l <br />Owner: <br />Address: <br />Contraclor <br />Addressl <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 '16002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Amount <br />014 <br />93.28 <br />23.87 <br />35.35 <br />51.29 <br />21.25 <br />52.98 <br />Qty <br />692.00 <br />1.00 <br />2.OO <br />1.00 <br />'t.00 <br />1.00 <br />1.00 <br />Fee <br />$96.88 <br />$93.28 <br />t47 .7 4 <br />$35.35 <br />$s1.29 <br />$21 .25 <br />$52.98 <br />Phone <br />Toby E Baltzer <br />1010 N Mar Les Dr <br />Santa Ana, CA 927063160 <br />17't4) 3924320 <br />Oakland Co lnc <br />174 W Lincoln Ave., #506 <br />Anaheim, CA 92805 <br />(7r4) 412-0990 <br />Fee Type <br />New Res <br />Air Conditioner <br />Dedicated Circuit <br />ES <br />Meter <br />General Plan Update <br />lssuance <br />Stale Lic #: 837571 <br />Lic Type; B, C-29, O-34 <br />Bus. Lic #: 339276 <br />Workers' Compensation lnsurance:Canier State Compensatlon lnaurance Fund <br />Policy #: 9105267 <br />Expires: 09l14l20lA <br />f:.r I i : (.rI9'.':, <br />Tr(tnso(t ion <br />0(lI l ond (:o I <br />6errerol Plon <br />Building Use: <br />Job Type: <br />Nature of work <br />Single Family Dwelling <br />New <br />2nd Dwelling Unit <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2016 <br />+ <br />:lr <br />Notes <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Buildins Permit #: 1 01951 39 <br />Every pormit issued shsll become invdlid unless tha wo* on the site <br />aulhoized by such pemit is commenced within 180 days afr6r its <br />issuance. or if the wo* authoized on lhe site by such petmit is suspendod <br />or abandoned lor a pend ol 1 80 days afret the time lhe wg* is <br />cammenc:ad <br />\$nernanaez, xatnv <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />$398.77 <br />$0.00 <br />$398.77 <br />lnspector MID#: 2017-14O512 <br />01 1 16002 51600 <br />01116002 51603 <br />$21.25 <br />$377 52 <br />Fee Total: <br />Paid to Date: <br />Balance Oue <br />l <br />Tenant Name: <br />Phone <br />ozt22t201A <br />Account#