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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 #: 20{65504 <br />Pin #: 32233lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 <br />Unit: <br />Block: NA <br />Bldg: Address Range: <br />Tract: STAFFORD & TUSTlilistoric: No <br />Suite Range: <br />Zoning: C5Assessor's Parcel: 102-181 -11 Lot: POR E <br />Owner: <br />Address <br />Santa Ana Senior Associated LP <br />430 E. State Street <br />EAGLE, ID 835.16 <br />(208) 461-0022 <br />01 1 16002 5160: <br />01 116002 5160: <br />01116002 5160! <br />01 1 16002 5160: <br />0'1 1 '16002 5160: <br />01116002 5160: <br />01 116002 5160: <br />011 16002 5360' <br />01 116002 5160C <br />0'1 116002 5160! <br />Fee Typg Amount <br />'125 Voll Receplacle 1.45 <br />Light Switches, Occ. Se 1.58 <br />Light Fixtures 1.05 <br />FWU 24.79 <br />Dedicated Circuit 24.79 <br />LowVoltage/Comm 33.88 <br />Add'l Devices/Low Volt 3.20 <br />Plc - 65% 0.65 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Fee <br />$s8.00 <br />$17.38 <br />$105.00 <br />$49.58 <br />$49.58 <br />$338.80 <br />$6.40 <br />$406.08 <br />$22.08 <br />$55.04 <br />Phone: <br />Tenanl Name: <br />Contraclor <br />Address: <br />Owner-Builder <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policl #: <br />Expires: <br />Building Use. <br />Job Type: <br />Nalure of Work <br />Mulli-Family (5 or more unl Occupancy: <br />New Constr Type: <br />Parking Level Pl Code: <br />B, R-2, S-2 <br />III A, V A, SPK <br />cEc 2016 Notes: fees pd on M-7i905 <br />Planning Cond,tions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />CSG Consultants <br />Hernandez, Kalhy <br />Dale: <br />Date: <br />Date: <br />07t21t2018 <br />12105t201A <br />Account# <br />Ewry pennil issued shall become invalid unless the wo* on the sile <br />authoized by such pemit is comfienced within 180 days aftet its <br />issuance, ot tf the wo* authodzed on the sito by such peinit is suspended <br />ot abandoned lot a peiod ol 1 80 days aflet the time the wo* is <br />comnencgd. <br />$1,107.94 <br />$ 1 ,107.94 <br />$0.00 <br />lnspector MID#: 2016-1329'12 <br />N/A - No Balance <br />Project Address: 2222 E First St il <br />Qty <br />40.00 <br />11.00 <br />100.00 <br />2.00 <br />2.00 <br />10.00 <br />2.00 <br />624.74 <br />1.00 <br />1.00 <br />Phone: <br />Misc. Receipt: 7'1905 <br />Misc. Receiptl <br />Misc. Receipt: <br />Total <br />Fee Totat <br />Paid lo Date: <br />Balance Due: