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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (iil-19), Santa Ana, C492702 Electrical Permit #: 2o363774 <br />Pin #: 53613lnspection Requests: (7 141 667-2738 lnspector Section: (714) 647-5853 <br />Proiect Address: 616 S Main St Unit: <br />Block: 3 <br />Bldg: Address Range: <br />Tract: SOUTH SIDE ADD Historic: No <br />Suite Range: <br />Zoning: CSM <br />or <br />Assessor'sParcel: 010-144-21 Lot: 7 <br />Owner: <br />Address <br />Jose Aqueveque <br />6 Crest <br />Corona Del Mar, CA 92625 <br />(949) 3074810 <br />Vldeo Land + <br />011't6002 <br />01116002 <br />01 1 16002 <br />011't6002 <br />01 '1 16002 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1.01 <br />Min Fee Adi 42.32 <br />General Plan Update 2'l.25 <br />lssuance 52.98 <br />Qty <br />8.00 <br />16.00 <br />1.00 <br />1.00 <br />1 .00 <br />Feo <br />$ 12.16 <br />$ 16.16 <br />$42.32 <br />$2',t.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 />Commercial <br />Miscellaneous <br />Legalize rixtures <br />Occupancy: <br />Constr Type <br />Code: <br />R-3,M <br />VB <br />cEc 2016 Notes: Legalize fixtures per Occupancy Notice to Correct. <br />Owner-Builder form on file. <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Chavez Dave <br />-(' <br />Date <br />Date <br />Date 07 t27 t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemit issued shall become invalid unless lhe wo* on the sile <br />authoized by such pormit is commenced wilhin 1 80 days after its <br />issuance, ot if the wod< aulhorized on the site by such pennil is suspended <br />or abandoned fot a peiod ol 180 days afret lhe time the wo* is <br />commoncecl. <br />$21 .25 <br />$123.62 <br />$144.87 <br />$0.00 <br />$144.87 <br />lnspector MID#: 2017-137655 <br />01 1 16002 51600 <br />01116002 51603 <br />Fee Tolal: <br />Paid to Dale: <br />Balance Due: <br />Building Use: <br />Job Type: <br />Nature ol Work: