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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 Permit#: 20{681{3 <br />Pin #: 15712 <br />l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Project Address: 13'19 1/2 W Third St Unat: <br />Block: B <br />Bldg: Address Range: <br />Tract: GOLDSMITH'S AD0Historic: No <br />Suite Range: <br />Zoning: R2Assessor'sParcelr 007-183-13 <br />Owner; <br />Address <br />Truong Pham <br />31850 Paseo Tarazona <br />San Juan Capistrano, CA 92575 <br />(714) 397-6490 <br />Amount <br />96.90 <br />22.O8 <br />55.04 <br />Qty <br />100 <br />1.00 <br />100 <br />Fee <br />$96.90 <br />$22.08 <br />$55.04Phone <br />Tenant Name: <br />Botchii49620 - 3/ 1/2{J19 <br />off ice: CTYH Trons+: 88AE,:t+: Ref+: <br />Rcoti:02550421 - 3/ 4 /2fi19 <br />Tccn,'cct ion Totnl <br />I0 | <br />2l <br />12l <br />s9' <br />Phone <br />l68l 1 :! <br />'11 Pn <br />State Lic #: 439166 <br />Lic Type: C-35, B, C-10 <br />Bus. Lic #: 347724 <br />Workers' Compensation lnsurance:Carrier: California lns Co <br />Policy #: 4600941902 <br />Expires: 08/16/2019 <br />6enerol Plnn updute Fee <br />0111600?- i1600000- <br />Electn i, q1 <br />0111600?- 5160300fr- <br />ICL Checlr 0115611 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Miscellaneous <br />HVAC <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2016 <br />Planning Conditions: <br />Date <br />Date <br />Date <br />03/04/2019 Misc. Receipt; <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />.$erouzco, viotet o3to4t2019 <br />Account# <br />Every permit issued shall become invalid unless the wotu on the sile <br />authoized by such permit is commenced wilhin180 days after ils <br />issuance, or if the wo* aulhoized on the site by such pennil is suspended <br />ot abandoned for a peiod of180 days afler lhe time the work is <br />cofimenced. <br />$17 4.O2 <br />$0.00 <br />$174.02 <br />lnspector MID#: 2019-149815 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />{r) <br />Lotr 14 <br />Conlractor: <br />Address: <br />Mr Build Home lmprovemen <br />8391 Beverly Blvd, #340 <br />Los Angeles, CA 90048 <br />(310) 275-{076 <br />Fee Type <br />0'1116002 51603 Air Conditioner <br />01116002 51600 General Plan Update <br />01'116002 51603 lssuance <br />nr Build Horie J ppovenent {:oil! <br />722 .t1E <br />$1sl.?{ <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Orozco, lvan <br />Notes: <br />$22.O8 <br />$151.94