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\City of Santa Ana 20 civic Center Plaza (M-19), santa Ana, cA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 frf <br />Permit #: 2O165035 <br />Pin #: 42234 <br />Project Address: 808 1/2 S Van Ness Ave <br />Assessor'sParcel: 010-243-10 <br />Unit: <br />Block: l7 <br />Bldg: Address Range: <br />Tract: POLYTECHNIC VlLlHistoric. No <br />Suite Range: <br />Zoning: SDlo <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Jose Carballo <br />808 S. Van Ness Ave. <br />Santa Ana, CA 92701 <br />Owner-Builder <br />01 1 16002 <br />01 I 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />51603 <br />5'1603 <br />51600 <br />51603 <br />Amount <br />o.14 <br />93.28 <br />35.3s <br />21 .25 <br />52.98 <br />Fee <br />$70.00 <br />$93.28 <br />$3s.3s <br />$21.25 <br />$52.98 <br />Fee Type <br />Addn/Res <br />Air Conditioner <br />Low Voltage/Res <br />General Plan Update <br />lssuance <br />Qt.'" <br />500.00 <br />1 .00 <br />1 .00 <br />1 .00 <br />100 <br />Bstchi:42651 - 3/8/201S ID: ilGARCIA <br />olfice: CTYH Tr(lns+: 43 5 ol l1Acct+: Ref+: 201650Ji <br />Rcpt+:(12194163 - 3/9/201S 1?:12 Pn <br />Tronsoct ion Totol tl' ll:r3.11 <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Jose Corbollo <br />6enerdl Plon ljpdote Fee <br />r.1lI1600?- 5160000tr- <br />E lectr icql <br />r11116U02- 516r:r3u00- <br />ICL Check 0669 <br />t21 .25 <br />t251.61 <br />33r1tt3,11 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Occupancy; <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cEc 2016 Noles: auth on tile <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Buildins Permit #; I 0195188 <br />Every pemit issued sha become invalid unless the wo* on tho stte <br />authonzed by such pemit is cammenced wtthin 1 80 days atter its <br />issuance, ot if the wo* aulhotized on the site by such permit is suspended <br />or abendoned fot s period ofl80 days attet the time the work is <br />cofifienccd <br />Dale <br />Dale <br />Date 03/08/2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt; <br />Total <br />$21 25 <br />$251.61 <br />lnspector MID#: 2017-139504 <br />01 1 16002 51600 <br />011 16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Lot: 15 <br />Phone: <br />Single Famlly Owelling <br />New <br />2nd Dwelling Unit <br />\}l( Hernandez. Kathv <br />s272.86 <br />$0 00 <br />1272.86