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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 <br />t <br />Permit #: 20{63398 <br />Pin #: 29466\l\lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 2016 S Broadway Unrt <br />Block. P <br />Bldg: <br />Tracl: 289 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 015-055.10 Lot: 4 <br />Owner: <br />Address <br />Natalie Elias lnc <br />2016 S Broadway <br />Santa Ana, CA 92707 <br />Fee Typ6 Amount <br />'125 Volt Receptacle 1.35 <br />Light Switches, Occ. Se 1 .47 <br />Light Finures 0.98 <br />Dedicated Circuit 23.09 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Qty <br />18.00 <br />8.00 <br />'18.00 <br />6.00 <br />1.00 <br />1.00 <br />Feo <br />$24.30 <br />$1 1.76 <br />$17.64 <br />$138.s4 <br />$20.56 <br />$51.26 <br />Phone <br />Tenant Name: <br />Gerardo Oe La Rosa <br />3684 Percy Street <br />Los Angeles, CA 90023 <br />(213) 30s-s535 <br />State Lic #: 855010 <br />Lic Type: B, A <br />Bus. Lic #: 363697 <br />Workers' Compensation lnsurance:Carrier: Truck lnsurance <br />Policy #: A069829968 <br />Expires: O7l28l2O'17 <br />Building Use: <br />Job Typel <br />' Nature of WoIk <br />Single Family Dwelling <br />Alteration <br />Electrical <br />Occupancy: <br />Constr Type <br />Code: <br />R"3, U <br />VB <br />cEc 2016 Notes: Oullels, switches, fixtures, dedicated circuits. <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjeci to Field: <br />Building Permit #: <br />Chavez, Dave <br />*' <br />,,|.0193232 <br />Date <br />Date <br />Date o6t12t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pennit issued sha become invalid unless the wo* on the site <br />authonzed by such permit is commenced within 180 days after ils <br />issuance, ot il the wo* aulhoized on the sile by such parmit ts suspended <br />ot abandoned fot a peiod ol 180 days alter tha time the work is <br />commenced <br />$264.06 <br />$0.00 <br />9264.06 <br />lnspector MID#: 2017-134158 <br />01 1 15002 51600 <br />01 1 16002 51603 <br />$20.s6 <br />$243.50 <br />01116002 51603 <br />0'1116002 51603 <br />01116002 5'1603 <br />01116002 51603 <br />01116002 51600 <br />0'1116002 51603Contraclor <br />Address: <br />Phone <br />Fee Total: <br />Paid to Date: <br />Balance Due: