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Assesso/sParcel: 108-{34-04 Lot: 70 <br />Unit: <br />Block: NA <br />Bldg: <br />l'acl: 3775 <br />Address Range: <br />Historic: No <br />Suate Range: <br />Zoning: Rl <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit#:2Ol <br />Pin #: <br />a{8 <br />94275 <br />Owner: <br />Address <br />Contractor: <br />Address: <br />Tenant Name <br />David Skelton <br />5418 W Melric Dr <br />Santa Ana, CA 927041059 <br />(714) 8s6-3s25 <br />Triangle lnstallers <br />6122 Oundee Orive <br />Huntington Beach, CA 9264 <br />(7141120-2701 <br />011 16002 <br />011 16002 <br />011 16002 <br />01'116002 <br />01 1 16002 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Amount <br />1 .45 <br />1.58 <br />1 .05 <br />22.08 <br />55.04 <br />Fe6 <br />$4.35 <br />$9.48 <br />$5.2s <br />$22.08 <br />$55.04 <br />Fee Type <br />125 Volt Receptacle <br />Light Switches, Occ. Se <br />Lighl Fixtures <br />General Plan Update <br />lssuance <br />State Lic #: 821885 <br />Lic Type: B <br />Bus. Lic #: 372114 <br />Workers' Compensalion lnsurance:Carrier: State Fund <br />Polic,y #: 9106503 <br />Expires: 0711512019 <br />Batch+:/t8738 - 3/12/2ltr9 ID: t{Gr'IRCL0tfice: CTYH Trons+: 141 2 ol <br />Acctl: Ref+l 2t-u6u 1B5 <br />Rcpti:02556869 - 3/12/2fiL9 1t31 Fn <br />Tnonscct ion Totol tl,l2ti.4r-r <br />Tr'iqnele Instql lers <br />6enerol Plon Updote Fee <br />01116002-. 5160110r:10- <br />E I ectr icol <br />01116002- 516031100- <br />lloEter CordBuilding Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Single Famlly Dwelling <br />Addltion <br />Addition <br />R-3 <br />VB <br />cEc 2016 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Expand thE existinb (21 iestrooms by approxlmately 50 <br />SF, the expansion will include a remodel of the <br />restroom and new windows to the front elevation(to <br />match). <br />$96.20 <br />$0.00 <br />$96.20 <br />Buildins Permil #: 1 0198948 <br />Ewry pomil issued shall becorne invalid unless tha wo.k on the s/te <br />authonzed by such petmit is commenced within 1 80 deys after its <br />issuance, or if lhe wod< authorizod oo the site by such pemit is suspended <br />ot abandoned lor e period of 1 80 days afler the time the wo* is <br />commenced <br />lnspector MID#: 2019-148875 <br />011 16002 51600 <br />01'116002 51603 <br />$22 08 <br />$7 4.12 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Project Address: 5418 W Melric Dr <br />Phone: <br />Phone <br />Qty <br />3.00 <br />6.00 <br />5.00 <br />1.00 <br />1.00 <br />i22.t-tg <br />itl -12 <br />Occupancy: <br />Constr Type: <br />Code:Notes: <br />, <br />Planning Approval By: Date: <br />Plan Checked By: Date: <br />Permit lssued By: ( .\-*msoen, Julie Date: o3l12l2o1g' \/'I <br />subjecr to Fierd: \ ) Account#