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City of Santa Ana <br />Permat Counter: (714\ 647-5800 <br />20 Civic Center Plaza (M-19). Santa tura. CA 9rO2 Electrical Permit #: 20166114 <br />Pin #: 3{4E8lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 <br />Project Address: 2010 W Eleventh St Unit: <br />Block: NA <br />Btdg: <br />Tract: 1685 <br />Address Range: <br />Historic: No <br />Suate Range: <br />Zoning: Rl <br />q <br />Assessor'sParcel: 004-173-22 Lot.85 <br />Ownerl <br />Address 01116002 <br />01116002 <br />01'116002 <br />01116002 <br />01116002 <br />51603 <br />51603 <br />5't603 <br />51600 <br />51603 <br />Fee Typo <br />125 Volt Receptacle <br />Air Conditioner <br />Serv ireter <br />General Plan Update <br />lssuance <br />Amount <br />1.40 <br />93.28 <br />51.29 <br />21.25 <br />52.98 <br />Qty <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$4.20 <br />$93.28 <br />$51.29 <br />$21 .2s <br />$52.98 <br />Phone <br />Tenant Name: <br />Contractor <br />Address: <br />Temp Air System <br />2648 E Workman Avenue, #i <br />West Covina, CA 91791 <br />(526) 482-3176 Bot ch+:44?r:,5 - 6 <br />0ff ice: (:TYH T <br />State Lic #: 807933 <br />Lic Type; C.20 <br />Bus. Lic #: 335880 <br />Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company <br />Policy #: TEWC893547 <br />Expires: 09/'15/2018 <br />(cpt+:0:?9t:t64 <br />ironEfltL ion I <br />Ait <br />R-3 <br />VB <br />cEc 2016 Notes. Electrical <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field; <br />Building Permit #: <br />Chavez Dave-??' <br />Datei <br />Date: <br />Date:06/08/2018 <br />Account# <br />Evory pefinit issued shall become invalid unless the wo* on the site <br />authorized by such permit is commenced within 180 days after its <br />issuance, ot if lhe wo* authotized on the site by such petmil is suspended <br />ot abandoned fot a period of 180 days aftet lhe time the wo* is <br />comfienced <br />$223.00 <br />$0.00 <br />s223.00 <br />lnspector MID#: 2018-143542 <br />01 116002 51600 <br />01 116002 51603 <br />$21.25 <br />$201.75 <br />Hugo Hernandez <br />2010 w 11th st <br />Santa Ana, CA 92703 <br />(714) 936-9s14 <br />Phone: <br />1 <br />A <br />1 <br />4! <br />General Plcrn tJpdnt q <br />rJl I l6r:_t?- 51,1lnl0rJi- <br />Electr icol <br />0l I I 6r:rE?- 51,9'130r:rr1- <br />ICL t:hecl irir-{ 1L_i <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Single Family Dwelling <br />Miscellaneous <br />Electrical <br />Occupancy: <br />Constr Type: <br />Code: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Fee Total: <br />Paid to Date: <br />Balance Due: