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Permit #: 20{68{69 <br />Pin #: 56004 <br />Project Address: 3722 S Ross St <br />Assessor'sParcel: 110-142-23 Lot: 25 <br />Unil: <br />Block: NA <br />Bldg: <br />Tract: 6702 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />Owner: <br />Address: <br />Conlraclor <br />Address: <br />Phone <br />Tenant Name: <br />Vernell Laurence <br />3722 S Ross St <br />Santa Ana, CA 927074812 <br />|'7141662-7771 <br />New Build Gonstruction & R <br />625 West Katella Avenue, #i <br />Orange, CA 92867 <br />(7r4) 9r24836 <br />01 't 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />Amount <br />1 .45 <br />1.58 <br />1.05 <br />22.O8 <br />55.04 <br />51603 <br />5'1603 <br />s1603 <br />51600 <br />51603 <br />Fee Type <br />125 Volt Receptacle <br />Light Switches, Occ. Se <br />Light Fixtures <br />General Plan Update <br />lssuance <br />Qty <br />2.OO <br />2.00 <br />2.00 <br />1 .00 <br />1 .00 <br />Fee <br />$2.90 <br />$3.16 <br />$2.10 <br />$22.08 <br />$55.04 <br />Phone <br />State Lic #: 1010827 <br />Lic Type: B, A, C-10, C.33 <br />Bus. Lic #: 372121 <br />Workers' Compensation lnsurance; <br />Carrier: Everest <br />Policy #: 7600018361181 <br />Expires: 1112212019 <br />Botch+:48729 - 1/lL/21119 I0: LR0SA|offi(e: fTYH Trong+: 84 3 olAcct+: Rafi: 2',1168169 <br />Rcpt+:0?555669 - 3/11l2r-r19 ,:tro Pn <br />Tronsoct ion Totol tg79,33 <br />[nt I llnher <br />lles guild Construction & Rpsto <br />Genercl Plon Updote te€ <br />01116002- 51600000- <br />Electr icol <br />011r6002- 51603000- <br />Uiso <br />CCt: *trr*firrr*r:1661 <br />t?2.0s <br />t63. ?0 <br />a97Q't'a <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditaons <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Single Family Dwelling <br />Alteration <br />New Bathroom/Closet <br />Occupancy: <br />Constr Type <br />Codel <br />R.3, U <br />VB <br />cEc 2016 <br />Auth+ ! l -';rl,{ r_t( <br />Notes: <br />Chavez. Dave <br />=2.c' <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />TotalSubiect to Field: <br />Building Permit #: 10199120 $85.28 <br />$0.00 <br />$85.28 <br />lnspector MID#: 2019-149273 <br />01116002 51600 <br />01 116002 51603 <br />$22.08 <br />$63.20 <br />Fee Totali <br />Paid to Date: <br />Balance Due: <br />City of Santa Ana 20civic Center Plaza (M-19), SantaAna, cA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Every pemit issued shall become invalid unless the wotu on the site <br />authoized by such pennit is commenced within 180 days efrot ils <br />issuance, ot if the v,b* authoized on the site by such petmit is suspended <br />or dbandoned lot a peiod of 1 80 days allet the time lhe wo* is <br />commencad. <br />Date: <br />Date: <br />Datel 03/11/2019 <br />Account#