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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2Ol6615{ <br />Pin #: 75O8Olnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 511 N Harbor Blvd Unit: <br />Block: A <br />Bldg: <br />Tract: 490 <br />Address Range: 501-521 * <br />Historic: No <br />Suite Range: <br />Zoning: SP2 <br />E <br />Assessor'sParcel: 194-162-24 Lot: I THROUGH l1 <br />Owner: <br />Address: <br />F TRIVISONNO <br />20262 LIGHTHOUSE LN <br />Huntington Beach, CA 92546/f415 <br />Feo Type <br />01 116002 51603 FWU <br />0'1 116002 5'1600 General Plan Update <br />01 1'16002 51603 lssuance <br />Qty <br />1.00 <br />'t.00 <br />1.00 <br />Fee <br />$23.87 <br />$21 .25 <br />$52.98Phone: <br />Tenant Name; <br />Contractor <br />Address: <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Other <br />Miscellaneous <br />Fireworks Stand <br />Occupancy: <br />Constr Type <br />Code: <br />N/A <br />N/A <br />cEc 20't 5 <br />Notes: Handout givenrfees pd in full on M-71110 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Link, Patricia 06/'t3/2018 <br />Account# <br />Misc. Receipt: 71110 <br />lvlisc. Receipt: <br />lvlisc. Receipt: <br />Total <br />Every pemit issued shall becoma invalid unless the tvork o, aha slfe <br />authoized by such permit is confienced within 180 days altar its <br />issuance, ot il lhe wotu authorized on tho site by such peftnit is suspended <br />ot abandoned fot d petiod of180 days after the time the wo* is <br />commenced <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$98.10 <br />$98.10 <br />$0.00 <br />lnspector MID#: 2018-143961 <br />N/A - No Balance <br />rrF-"4{" <br />Pho Da Temple <br />Ovvner-Builder <br />Amount <br />23.87 <br />21.25 <br />52.98 <br />Date: <br />Date: <br />Date: