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City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA92702 l,il Electrical Permit #: 2()170315 <br />Pin #: 18480Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853 <br />Project Address: 181 5 W Nineteenth St Unit: <br />Block: NA <br />Address Range: <br />Historic: NoAssessor'sParcel: 001-042-11 Lot: 36 <br />Owner: <br />Address 01 't 16002 5160: <br />01 1 16002 5160C <br />01 1 16002 5160: <br />01116002 5777C <br />F€e Type <br />Air Condilioner <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />100.70 <br />22.95 <br />57 .20 <br />3.91 <br />Qty <br />1 .00 <br />1 .00 <br />100 <br />1 .00 <br />Fee <br />$100.70 <br />s22.95 <br />$57.20 <br />$3.91 <br />Phone <br />Tenant Name: <br />Owner-Builder <br />Phone Botcht:53236 - L2/2/2ttl9 I0: LRo <br />office: CTYH Tronsi: 3(l 1 r <br />lccu+: Refi: 20170.J <br />Rcpti:02827{61 - l2/2/?O19 1116 I' <br />Trdnsdct ioo Totsl t91{. '51 <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Con los Sol e: <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Single Family Dwelling <br />Miscellaneoug <br />A/C <br />R-3 <br />VB <br />cEc 2016 auth on lile Auth i : <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: \(l <br />Subject to Field: <br />Building Permit #: <br />Graham, Jeffery Oate <br />Oate <br />Date <br />12102t2019 Misc. Receiptl <br />Misc. Receiptl <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Every poinl issued shall become tnvalid unless lhe wo* on lhe stte <br />authonzed by such petfitl is confienceal wlthh 360 days aftor ts <br />issuance. or I the wod< authonzed on lhe sile by such pemit ts suspehded <br />or abandonod for a peiod o1360 days aftet the tima the work is <br />cofifiencod. <br />$184.76 <br />$0.00 <br />$184.76 <br />lnspector MID#: 2019-156171 <br />01'l'!6002 51600 <br />01116002 51603 <br />01116002 57770 <br />$22.95 <br />$157.90 <br />$3.91 <br />Fee Total <br />Paid lo Date: <br />Balance Due; <br />Bldg: <br />Tract: 1478 <br />Suile Range: <br />Zoning: Rl <br />Carlos Sales <br />18't5 W 1grh <br />Santa Ana, CA 92706 <br />(714) 352-1736 <br />Conlractor: <br />Address: <br />Occupancy: <br />Constr Type: <br />Code:Notes: <br />'t2to2t2019 <br />Account#