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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Electrical Permit#:20{69{15 <br />Permit Counter: (714) 647-5800 lnspection Requests (7'l4l667-2738 lnspector Section (714) 647-5853 4 Pin #: 50997 <br />Assessor'sParcel 408.{.12-10 <br />Unit. <br />Block NA <br />Btdg <br />T.act 4606 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning Rl <br />Owner. <br />Address <br />Conlraclor <br />Address: <br />JohnF&DeannaBrierly <br />'1915 W St Gertrude Pl <br />Santa Ana, CA 927041718 <br />(714) 96s-1542 <br />Service Champions <br />3150 E Birch Street <br />Brea, CA 9282'l <br />17141777-7777 <br />Fee Type <br />011 16002 51603 Air Conditioner <br />011 16002 5'1600 General Plan Update <br />011 16002 51603 lssuance <br />Amount <br />100.70 <br />22.95 <br />57 20 <br />Fee <br />$100.70 <br />$22.95 <br />$57.20 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Tenant Name: <br />got(h+:5061? - 7 /2/21L9 <br />0ff r,:e: CTYH fp6nsit 141Aqct+: Ref +: <br />Scpt+itr2679337 - 7 /2/2$t? L <br />Tronsoct ion Totol t <br />I0: nrorr <br />Phone <br />State Lic #: 799170 <br />Lic Type. C-36, B, C-2, C.20 <br />Bus Lic #: '196430 <br />Workers' Compensation lnsurance: <br />Carrier: Pacific Compensation lnsurance Company <br />Policy #: WA00060705 <br />Expires: 0312212020 <br />2r1 <br />:1 <br />3i <br />)er,/ ice (:horp rons <br />Generol Plon Ugdole Fee <br />01u6002- 91600000- <br />Electr icol <br />01116002- 516Cr3000- <br />I(:L Check 01711f <br />Building Use: <br />Job Typel <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2016 <br />Singl€ Family Dwelling <br />Alteration <br />A/C Unit <br />Notes <br />Planning Conditions: A,/C Unit in Rear yard. <br />Planning Approval By <br />ri <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.9s <br />$157 90Every porrnl tssued shall become nvalid unless lhe wo* on lho site <br />aulhonrcd by such pem ts commoncad withih 360 days aftet ils <br />$suance. or il the wo authonzed on lhe stte by such pemit is suspended <br />or abandonad fot e penod ol 360 days after the lfie the wo* is <br />cofifienc:ed <br />lnspector MtD#. 2019-152699 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Fee Totall <br />Paid to Date <br />Balance Due: <br />Project Address: 1915 W St Gertrude Pl <br />Lot 30 <br />Phone <br />Plan Checked By <br />Permit lssued 8y: <br />Subject to Field: <br />Building Permit #: <br />07t02t2019 <br />Account# <br />$180.85 <br />$0.00 <br />$180.85