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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 />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2()16,6,o47 <br />Pin #: 94275 <br />Project Address: 2O3SSMainSt I untY. <br />Assessor's Parcel: 015-074-17 Lot: 5,6, , Blo^:1 <br />Bldg: <br />Tract: 517 <br />Address Range: 2034-2038 <br />Historic: No <br />Suite Range: <br />Zoning; CSM <br />q <br />Owner: <br />Address <br />veronica M. Jimenez <br />53 Seton Road <br />lrvine, CA 92612 <br />(949) 981-6290 <br />Fee Type <br />01116002 51603 Re-Set Mtr <br />0'1116002 5'1603 [Iin Fee Adj <br />01116002 51600 General Plan Update <br />011 16002 51603 lssuance <br />Amount <br />19.35 <br />21 .25 <br />52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$51.29 <br />$19.35 <br />$21.25 <br />$52.98 <br />Phone: <br />Tenant Name: <br />Owner-Builder <br />Phone En <br />0t <br />Ar: <br />4 1r-19 <br />State Lic #: <br />Lic Type; <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires:I l6tltl?- 51i r:t I r:t rlt:r- <br />nb^hl l,1^n lt....l-I-, <br />Commercial <br />Miscellaneous <br />Re-set Meter <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 2016 Notes Re-set meter. Owner-Builder form on file <br />Planning Conditions <br />Chavez, Dave7 <br />Date: <br />Dale: <br />Date:06104t2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt; <br />Misc. Receiptl <br />Total <br />/. <br />Every pemit issued sha becofie invalid unless the wo* on the site <br />authorized by such permit is commenced within 180 days afler its <br />issuance, or if lhe wo* authoized on the site by such permit is suspended <br />ot abandoned for a peiod of 180 days afterthe tifie the wotu is <br />cofifienced. <br />$144.87 <br />$0.00 <br />$1M.87 <br />MID#: 2018-143739 <br />01 116002 51600 <br />01116002 51603 <br />$21.25 <br />$123.62 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Contractor; <br />Address: <br />r:i?287619 - <br />,:t ion T6tol <br />ll..Jimpr'e <br />1E.t <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 />Building Permit #: <br />lnspector