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City of Santa Ana <br />Permit Counter: (7 1 41 647 -5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (7'l 41 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 20167022 <br />Pin #: 6.2280 <br />Project Address: 2729 N Lyon St <br />Assessor'sParcel: 390-183-0'l Lot: 15 <br />Unit: <br />Block: NA <br />Bldgi <br />Tract: 4890 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Contractor <br />Address: <br />Toms & Sons Electric lnc <br />25609 Date St <br />San Bernardino, CA 92404 <br />13231707-5747 <br />Amount <br />53.28 <br />22.O8 <br />55.04 <br />t5)Qty <br />1.00 <br />'1.00 <br />1.00 <br />Fee <br />$53.28 <br />$22.08 <br />$55.04 <br />,\0 <br />o(Phone <br />Tenant Name:\o <br />State Lic #: 1030913 <br />Lic Type: C-10 <br />Bus. Lic #: 370682 <br />Workers' Compensation lnsurance:Carrier: Southern lnsurance Company <br />Policy #: QWCl006603 <br />Expires: 11lO8l2O1A <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />Hernandez, Kathy <br />R-3, U <br />VB <br />cEc 20't6 Notes: handout given <br />l,,4isc. Receipt: <br />l\.4isc. Receipt: <br />Misc. Receipt: <br />Total <br />0912712018 <br />Account# <br />Every pennil issued shall bocome invalid unless the wotu on the site <br />authorized by such peftnit is commenced within 180 days after its <br />issuance. or it the wor* authorized on lhe site by such peinit is suspended <br />ot abandoned for a period o1180 days aftor the time the wotu is <br />cofimenced. <br />lnspector <br />01 1 16002 51600 <br />01 116002 51603 <br />$22.08 <br />$108.32 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Lucille Ciambriello <br />2729 N Lyon St <br />Santa Ana, CA 927056849 <br />(310) 625-73rt4 <br />Fee Type <br />01116002 51603 Serv Meter <br />0'11 16002 5'160C General Plan Update <br />01'116002 51603 lssuance <br />gstchir4613rill i :n: <br />r--lt <br />il <br />I /27,/ jt.tl3 ILr: LR0SALEIr'nnsi: 9- 2 al ?f.el'+: 't l bit:t?'.:!* ? .-),,,?ir1.t !; r -,rr-r Pfilql t . .'r. 4r:r <br />Phone: <br />6exerql Plen UpdaLE <br />':'1 1!6n02* :t6lU0r:r0- <br />$2?. r:r8 <br />j 1 6tr: r,I:rr-1 - <br />rJ[ 1r:rd <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />$130.40 <br />$0.00 <br />$'t 30.40 <br />MID#: 2018-146458