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Proiect Addresa <br />Unit: <br />Block: N <br />Bldg: <br />Tract: HEIL <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2Assessor's Parcel: 008-21 1-04 Lot: 10 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />eertpfcoulteft$ 647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: 2O{7OO93 <br />Pin #: 89{9\-\ <br />Owner. <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone: <br />State Lic #: 1020158 <br />Lic Type: B, C-16 <br />Bus. Lic #: 374251 <br />Workers' Compensation I nsurance:Carrier: Exempt <br />Policy #: <br />Expires: <br />Jim Colombo <br />1030 W. Walnut <br />Santa Ana, CA 927033949 <br />(7141 914-7094 <br />Ventmart Hoods Master <br />1800 E. Garry Ave. Suite #1C <br />Santa Ana, CA 92705 <br />(7141 866-7210 <br />01 1 16002 s1603 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />Fee Type <br />125 Volt Receptacle <br />General Plan Update <br />I ssuance <br />Microfilm Records <br />Amount <br />1 .51 <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />2.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$3.02 <br />$22.95 <br />$57.20 <br />$3.e1 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Single Family Dwelling <br />Alteration <br />Vehicle Damage Repair <br />Chavez, DaveVc' <br />Occupancy: <br />Constr Type <br />Code: <br />Date: <br />Date: <br />Date: <br />R-3, U <br />VB <br />cEc 2016 Notes: <br />Botch*:52836 Il/+/2019 ID: (:(:Ur-.l <br />tlff icel (:TYH Trnns*: 4[l 3 ulAcct*: Rel*: 2tll7tlt-t?3 <br />Rcp t,* : L'2$tttt3g5 lI / 4 /?itLV l tt : 54 Al'1 <br />Trnnsoct ion To[01 $613, ?tt <br />Ilnr io Bor'undo <br />Ventmarb Hoods lloEter <br />Electrical repair at bedroom due to vehicle damage. <br />$87 08 <br />$0.00 <br />$87.08 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By. <br />Subject to Field: <br />Buirdins Permit # 101 102116 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on the site by such permit rs suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 201 9-155619 <br />11104t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />01 1 16002 51600 <br />01 1 16002 s1603 <br />01 1 16002 57770 <br />$22.95 <br />$60.22 <br />$3 e1 <br />Fee Total: <br />Paid to Date: <br />Balance Due: