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@ City of Santa Ana 20 civlc center Plaza (M-19), Santa Ana, cA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2lJ164692 <br />Pin #: 27299 <br />Project Address: 1921 E Carnegie Ave <br />Assessor's Parcel: 430-222-12 Lot: NA <br />Unit: G <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: l90t-192'l' <br />Historic: No <br />Suite Range: <br />Zoning: Mi <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />01116002 51603 <br />01 1 16002 51603 <br />01 116002 51603 <br />01116002 5'1603 <br />01116002 51603 <br />01 1 '16002 53601 <br />01 1 16002 51600 <br />01116002 51603 <br />lvy Geng <br />1921 Carngie <br />Santa Ana, CA 92705 <br />(9491 445-2435 <br />UM Media <br />Owner-Builder <br />Fee Type Amount <br />'125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1.01 <br />Air Conditioner 93.28 <br />Serv Meter 51 .29 <br />Ptc - 65% 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />56.00 <br />14.00 <br />61.00 <br />'1.00 <br />2.00 <br />357.80 <br />1.00 <br />1.00 <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires; <br />8nt,:h+.436?g -0ll ice: Cl YH <br />,lcct+; <br />tirp t+ 3 0:?59?91 <br />fron€flct ion To <br />Tt' <br />]vv G€ng <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Commercial Occupancy: <br />Addition Constr TYPe <br />Addn/TURoof Mtd EquipmenCode: <br />Date <br />Date <br />Date <br />6en Erol Flnn Updrrt r <br />t:t1 I 16!"1fl 2- I 1 Jrl{BLI-r- <br />Ele,:tr i,-nl <br />'-1 <br />I I 1 611!_r?- 51 Jn:Ir:[.rt'- <br />l./ i so <br />C(:+: xI*r;Ir*IrrrU,i <br />U isn <br />CC+: r****rrrrtrl:,l <br />Notes <br />Teri <br />12t1412017 <br />051o7t2018 <br />Account# <br />Misc. Receipt: 70303 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />93944 <br />Every pe fiit issued shall become invalid unlass the wo* on the site <br />authoized by such permit is cofimenced within180 days after its <br />issuance, ot il tho wo* aulhoized on the site by such permit is suspended <br />ot abandoned for a period o1180 days aftet the lime lhe work is <br />comfienced. <br />$663.95 <br />$232.57 <br />$431.38 <br />L <br />,lvlar <br />lnspector MID#: 2017-138228 <br />01116002 51600 <br />011y)tuz 51603 <br />$21.25 <br />$410.13 <br />Fee Total: <br />Paid to Dalel <br />Balance Oue <br />\ <br />Fee <br />$78.40 <br />$21 .28 <br />$61.61 <br />$93.28 <br />$102.58 <br />$232.s7 <br />$21.25 <br />$52.98 <br />Phone: <br />j...l,-) ; LliiDs^Ar,E: <br />M.491 <br />ir Ftl <br />*41r-'.1 <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />B, S-1 <br />VB <br />cEc 2016 <br />g';.'i'rf-r <br />A.,r.l i ; r,,7.r11:/j' i4ti, <br />h.!r. | :! ittTnft?r.