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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 -S Electrical <br />lnspection Requests: (7 14) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #:20165868 <br />Pin #: 7ll124 <br />Proiect Address: 403 N Susan Sta <br />- <br />Unit: <br />Block: NA <br />Bldg: E <br />Tract: NA <br />Address Range: Buildings <br />A-H <br />Historic: No <br />Suite Range: <br />Zoning: R2Assessor'sParcel: 198-261-23 Lot: NA <br />Owner: <br />Address: <br />John Henry Foundation Care Facility <br />403 N Susan St <br />Santa Ana, CA 927033433 <br />(714) 480-002s <br />John Henry Foundation Care Facility <br />Fee Type Amount <br />01116002 51603 Light Switches, Occ. Se 1.52 <br />0'l 'l '16002 51603 Light Fixtures 'l .01 <br />01 't 16002 51600 General Plan Update 21 .25 <br />0'l 1 16002 51603 lssuance 52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$1.52 <br />$1.01 <br />$21.25 <br />$52.98 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation I nsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />e <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Other <br />Alteration <br />Ext. Fixture <br />Occupancy: <br />Constr Type <br />Code: <br />R-3.1 <br />V B, SPK <br />cEc 2016 Notes: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By:(Nr",n"noez, Kathv <br />Date: <br />Date: <br />Date:05/15/2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />TotalSubject to Field: <br />Buildins Permit #: 10196431 01'116002 51600 <br />01 1 16002 51603 <br />$21.25 <br />$55.51 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$76.76 <br />$0.00 <br />$76.76 <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 180 days after its <br />rssuance, or if the work authorized on the site by such permit ls suspended <br />or abandoned for a period of 1 80 days after the time the work is <br />commenced. <br />lnspector MID#: 2016-126369 <br />l' irei <br />pti:t <br />OnSO':