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City of Santa Ana 20 Crvic Cenler Plaza (M'19), Santa Ana cA927o2 <br />Permit Counter (714) 647-5800 lnspectron Requests \714) 667 273E lnspector Sectron (714) 647-5853 <br />Electrical Permit #: 2O169336 <br />Pin #: 25132 <br />Proiect Address: 115'l W Tenth St <br />Assessor'sParcel 405-232-07 L ot '19 <br />UI( <br />tilock NA <br />tsldg. <br />Iracl 1558 <br />Address Range: <br />Historic No <br />Suite Range <br />Zoning: R1 <br />Owner <br />Address <br />Contractor <br />Address: <br />John Patterson <br />1151 W 'toth st <br />Santa Ana, CA 92703 <br />Griswold Electric <br />21111 Greenboro Ln <br />Huntinglon Beach, CA 9254 <br />(714) 969-5058 <br />01 1 16002 5160: <br />01 1 16002 5160C <br />01 1 16002 5160: <br />Amount <br />55 37 <br />22 95 <br />57 20 <br />Fee <br />$55 37 <br />$22 95 <br />$57 20 <br />Fee Type <br />Serv Meler <br />General Plan Update <br />issuance <br />Notes Upgrade. Hand out given <br />Ql) <br />100 <br />100 <br />100 <br />Tenant Name: <br />Slate Lic #: 620685 <br />Lic Type. B, C-10 <br />Bus Lic #: 373517 <br />' Workers' Compensatron lnsurance.Carrier Exempt <br />Polt y f <br />Expires. <br />Building Use <br />Job Type <br />Nature ot Work <br />Plannrng Approval By <br />Plan Checked Byl <br />Permit lssued By <br />Subject to Field: <br />Building Permrt #: <br />Single Family Dwelling <br />Miscellaneous <br />Service Mete <br />Zunrga, Allrss <br />Occupancy <br />Constr Type <br />Code: <br />Date <br />te <br />Date OAlO2l2O19 <br />Mrsc Recerpl <br />Misc. Recerpt <br />Misc Recerpt <br />Total <br />$22 95 <br />$'1 12 57 <br />R.3, U <br />VB <br />cEc 2016 <br />Every perml tssued Shall become nvalrcl unless tf,e rvol( o, the slle <br />aothonzed by such permtl ts comlnonced wtthtn360 days gllet tls <br />,ssuence. ot tt tha wo* aulhonzed on the sle by such per.nfil.s suspencled <br />ot abendofiecl lot a po od of 360 days aftet the LtDe the work ts <br />commencecl <br />Account# <br />01 1 16002 51600 <br />01 116002 51603 <br />$135 52 <br />$0 00 <br />i135.52 <br />lnspector MrD# 2019-153348 <br />Fee Total <br />Paid to Date <br />Balance Due <br />Phone <br />Phone <br />Planning Conditionsi