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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical <br />Permlt Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit#:2O168583 f <br />Pin #: 73643 <br />Proiect Address: 51 2 S Van Ness Ave <br />Lot 14 <br />Unit: <br />Block: 5 <br />Bldg: Address Range: <br />Tract: POLYTECHNIC VlLlHistoric: No <br />Suite Range: <br />Zoning: SDloAssessodsParcel 010-133-'17 <br />Owner: <br />Address <br />Contractor: <br />Address: <br />Phone <br />Lorraine Lopez <br />512 S Van Ness Ave <br />Santa Ana, CA 927015547 <br />(5621740-2513 <br />American Home Remodling <br />4375 Prado Rd #108 <br />Corona, CA 92880 <br />(951) s20-0654 <br />01116002 <br />01116002 <br />01116002 <br />01'116002 <br />01116002 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Ql) <br />100 <br />100 <br />'1 .00 <br />100 <br />100 <br />Fee <br />$1.4s <br />$1 .58 <br />$1.0s <br />$22.08 <br />$55.04 <br />Phone <br />State Lic #: 807023 <br />Lic Type: C-36, B <br />Bus. Licf: 5340 <br />Workers' Compensation lnsurance: <br />Carrier Falls Lake Fire and Casualty Company <br />Poliry #: FLA00797700 <br />Expires: 01lO1l2O2O <br />Building Use: <br />Job Type. <br />Nature of Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By. <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Fixture change outs <br />R-3 <br />VB <br />cEc 2016 <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Chavez, Dave -<7c. <br />Every pemtt issuod shall become hvahd unless the wot* on lhe sle <br />authonzed by such pefin $ commenced within 3@ days aller ils <br />issuance. ot I the v,/ott< authonzed on the site by such pemit is suspended <br />otabandoned fot a penod of 3@ days after the time lhe wo* is <br />commenccd <br />05/01/2019 <br />Account# <br />lnspector MID#: 2019-151188 <br />01 1 16002 51600 <br />01116002 51603 <br />$22.08 <br />$59.12 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />$81.20 <br />$0.00 <br />t81.20 <br />Tenant Name: <br />Fee Type Amount <br />125 Volt Receptacle 1 45 <br />Light Swilches, Occ. Se '1 .58 <br />Light Fixtures 1.05 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Bat,:hilff i.s: <br />A,:it +: <br />- vr/2fitgrrsns+: 2? <br />Reft:frt.(gq9- <br />c[:( <br />- 1/l/2(tl9 1 <br />Tat ol tl?'t .; <br />Arer icon <br />6ene.aI <br />011r600?- <br />Elect r i c <br />tr 1 L l. l'l'_12 - <br />Rerodl <br />,edqte <br />r.1000- <br />lBn(l <br />tote <br />'lon <br />I n9 <br />Occupancy: <br />Constr Type: <br />Code: <br />Notes Bathroom fixture change outs.