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@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2lJ17132(J <br />Pin #: 5{8{6 <br />Proiect Address: 922 112 W Camile St Unit: <br />Block: B <br />Bldgl <br />Tract: 253 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zonangi R2Lot: 20 <br />Owner: <br />Address <br />MARIO GOMEZ <br />922 W CAMILE ST <br />Santa Ana, CA 927033902 <br />(7141721-5711 <br />01116002 51603 <br />01116002 51600 <br />01116002 s1603 <br />o1'116002 57770 <br />Fee Type <br />Subpanel <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Amount <br />22.95 <br />57.20 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$55.37 <br />$22.95 <br />$s7.20 <br />$3.91 <br />Phone <br />Tenant Namei <br />Contractor <br />Address: <br />Phone <br />State Lic #: 963886 <br />Lic Type; B, C-10 <br />Bus. Lic #: 338870 <br />Workers' Compensation lnsurance:Carrier: State Comp lns Fund <br />Polacy #: 92U743 <br />Expires: 0711'll2o21 <br />Building Use: <br />Job Type: <br />Nature of Work <br />AccessoryDwelling Unit-D Occupancy: <br />Miscellaneous Constr TYPe <br />Subpanel Code: <br />R-3 <br />VB <br />cEc 20r9 Notes: Subpanel <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field:T sden, Julie <br />Date: <br />Datel <br />Date:o6t2212020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Ir,lisc. Receipt: <br />Total <br />Buildins Permit #: 101 101576 <br />Every pemit issuad shall bocome invalid unless lhe !ror* on lhe sile <br />authorized by such pemil is commenced within360 days after ls <br />$suance, ot if lho wotk aulhonzed on lhe sle by such pemi is suspended <br />or abandoned fot a peiod of 360 days allar the tirne the wotk is <br />$'139 43 <br />$0.00 <br />$139.43 <br />lnspector MID#: 2019-151675 <br />01 1 16002 51600 <br />01 't 16002 5'1603 <br />01116002 57770 <br />$22.95 <br />$'t12.57 <br />$3.91 <br />Fee Tolalr <br />Paid to Date: <br />Balance Due: <br />Assessor'sParcel: O1O-12'|-2O <br />H L S Electric <br />1509 N Ross Street, Apt D <br />Santa Ana, CA 92706 <br />(714) 955.8980