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City nf Santa Ana 20 Civrc Center Plaza (M-19)' Santa Ana, CA92702 Electrical Permit #: 2l)17lJ626 <br />Permit Counter (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Sectron (714) 647-5853 Pin #: 49649 <br />.JJ <br />Proj ect Addressi 1112W Seqerstrom Ave Un( <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range. <br />Historic: No <br />Surte Rangel <br />Zoning: RlAssessor'sParcel 111-111-1'l LoI, NA <br />Owner <br />Address <br />City Of Santa Ana <br />.g{oJAlit€,hir?€ffi:t:tot-- 20 C 'c- cEp't-{L FL- <br />| ^- ^ng6'6., Cn g0g3a36!q aqra e,rlA, Cl 1272, <br />01116002 51603 <br />01 1 16002 51600 <br />01 116002 5'1603 <br />01116002 57770 <br />Fee Type <br />TPP <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Amount <br />107.11 <br />22 95 <br />57 20 <br />3 91 <br />Qtr <br />100 <br />100 <br />100 <br />'1 00 <br />Fee <br />$'1 07.1 1 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />Tenant Name <br />Contractor <br />Address <br />S R Bray LLC dba Power Plt <br />1210 N Red Gum St <br />Anaheim, CA 92805 <br />(714) 507-188'lPhone <br />State Lic # 980589 <br />Lic Type B, C-10, O-31 <br />Bus. Lrc #: 344085 <br />Workers' Compensation lnsuranceCarrier Federal lns Co <br />Policy #r 54309652 <br />Expires: O3l31l2O2O <br />Building Use: <br />Job Type: <br />Nature of Work <br />City <br />Miscellaneous <br />Temporary Power Pole <br />Occupancy: <br />Conslr Type <br />Code: <br />N/A <br />N/A <br />cEc 2019 Notes: lnslallation of a temporary power pole tor a City Sewer <br />Lilt Station. <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By <br />Subject to Field. <br />Building Permit # <br />Chavez Dav .QL. <br />Dale <br />Date <br />Dale 01121t2020 <br />Account# <br />Misc. Receipl: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />$22.95 <br />$16,4.31 <br />$3.91 <br />Evory Wtml tssuod shell become invahcl unless thg wor,( on lhe sile <br />aulhorized by such pemit 6 comnenced wtthin j60 days anet B <br />tssuance. or I the wo* authon2ec! on the site by such pemtt 6 susponded <br />ot abanclonoc! for a pe od ol 3@ days akor the tttno the wotk ts <br />commenced <br />$ 191 .17 <br />$0 00 <br />$191.17 <br />lnspector <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 5"t770 <br />Planning Conditions: <br />MtD#. 2020-157216 <br />Fee Total. <br />Paid to Date: <br />Balance Due: