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City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, C492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 20{ 7O9EG <br />Pin #: 6{ 164nr <br />Project Address: 221 5 S Ross St Unit: <br />Block: NA <br />Suite Range: <br />Zoning: R1 <br />Owner <br />Address <br />Contractor <br />Address: <br />Amount <br />55.37 <br />22.95 <br />57 .20 <br />3.91 <br />Fee <br />$55.37 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />Tenant Name: <br />Jacque Carlisle <br />2215 S ROSS ST <br />Santa Ana, CA 927072718 <br />(702) 612-1953 <br />lon Electric lnc <br />1830 E Miraloma Ave Ste E <br />Placentia, CA 92870 <br />(714) 993-9469 <br />Feo Typs <br />01116002 51603 Serv Meter <br />01116002 51600 Generel Plan Update <br />01116002 51603 lssuance <br />01116002 57770 Microfilm Records <br />Q.y <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: 951482 <br />Lic Type: C-10 <br />Bus. Lic #: 371521 <br />Workers' Compensation lnsurance:Carrier: ACCREDITED SUREW ANO CASUALTY COMPANY <br />Policy : 1ATCAt60002t9 <br />Expires: O9lO1l2O20 <br />rNc <br />EoL(h+ri4764 - 3/11)/21i2\ il): (ii,i.r, <br />tllf rce: CTYH Trorrs+: /:iA,:rti: [ier i: . ri , <br />li. pti:0?91?70tr 3/ l{t /'.!it2(t lii/,1, , <br />Tr(lnsoct jsrr Totol tl.i7. !.. <br />Ion Ile(fr r. Inc <br />6enerol l'l on Updqte lee <br />r-r 1l l6r-rur - l1,50uiuLr" <br />n i,: r'ol i I6 & Dscu enLs <br />t-ll 1 16t-tu2 - 5777t-rui[-r.. <br />[]ecLri.ol <br />{.rt 1 16r:lu2 - Sl6Lril-r0r-r.'/i.-o :({.i:rr*r**xrr*(r{5i? iulh i: r .. . <br />Service meter upgrade. Handout given. <br />Planning Conditions <br />Single Family Owelling <br />Miscellaneous <br />Service Meter <br />Occupancy: <br />Constr Type <br />Code:Notes <br />Date <br />Date <br />DateChavez Dave-jy'o3t'10t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt; <br />Total <br />Ewry pormtl issued sha becone invalid unless lhe wot* on the silo <br />authonzed by such pemil is cgmmencted within 3& days aftet its <br />lssuahce, or if lhe wo* authonzed on the site by such pormit is susponded <br />ot abandoned lor a ponod of 3il days aftet the hfie the work is <br />cornmerrcod <br />$22.95 <br />$112.57 <br />$3 91 <br />lnspector MID#: 2020-158345 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />Fee Total: <br />Paid to Dale: <br />Balance Oue; <br />$139.43 <br />s0.00 <br />$139.43 <br />Assessor'sParcel 015-091-04 Lot: 21 <br />Bldg: <br />T@ct 1297 <br />Address Range: <br />Hisloric: No <br />Building Use. <br />-Job Type: <br />Nature of Work; <br />R-3, U <br />VB <br />cEc 20't9 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />Building Permit #: