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Cify of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2O152O',O <br />Pin #: 94797 <br />l nspection Requests: (7 1 4) 667 -27 38 l nspector Section : (7 1 41 647 -5853 <br />Unit: <br />Block: B <br />Btdg: <br />Tract: HEIL <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel. 008-222-22 Lot: POR 1 <br />Lan Nguyen <br />1101 W Pine St <br />Santa Ana, CA 92703 <br />17't4l383-1231 <br />Fee Type <br />01116002 51603 Serv Meter <br />01116002 51600 General Plan Update <br />01'l'16002 5'1603 lssuance <br />Amount <br />44.75 <br />.18.54 <br />46.23 <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />$44.75 <br />$18.54 <br />$46.23Phone <br />Tenant Name: <br />Contractor: <br />Address: <br />Dominic The Electrician <br />17451 Mt Hermann St #H <br />Fountain Valley, CA 92708 <br />(7r4) 969.3164Phone <br />Slate Lic #: 836576 <br />Lic Type: C-10 <br />Bus. Lic #: 317775 <br />Workers' Compensation lnsurance:Carrier: Twin City Fire lnsurance Company <br />Policy #: 72WECOU4424 <br />Expires: 1OlO8l2O13 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3, U <br />VB <br />cEc 2010 <br />Noles: handout given <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />w ernandez, Kathy <br />Date: <br />Date: <br />Date:05t2812013 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every petmit issued shall become invalid unless the wofu <br />on the site authorized by such permit is commenced within <br />180 days after its issuance, or if the wotu authoized on the <br />site by such pemit is suspended or abandoned for a peiod <br />d 1 80 days after the time the wofu is commenced . <br />$ 18.54 <br />$90.98 <br />$109.52 <br />$0.00 <br />$109.52 <br />lnspector MID#: 20'13-108205 <br />Proiect Address: 1101 W Pine St <br />Owner: <br />Address: <br />Fee Total: <br />Paid to Dale: <br />Balance Due; <br />01116002 51600 <br />0'1116002 51603