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City of Santa Ana <br />Permit Counter: (7 1 41 647 -5800 <br />20 Civic Center Plaza (M-19), Slrnta A,.ra, CA92702 <br />l nspection Req uests: (7'l 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853 <br />Electrical Permit #: 20{65880 <br />Pin #: 44793 <br />Bldg: <br />Tractr 788 <br />Address Rangel <br />Historic: Yes <br />Suite Range: <br />Zoning: Rl <br />EProjectAddress: 2103 N Ross St <br />AssessoisParce| 002-111-31 Lot: 30 <br />Unit: <br />Block: NA <br />Contractor: <br />Address: <br />Susan Edwards <br />2103 N. Ross St <br />Santa Ana, CA 927062507 <br />Verengo lnc <br />20285 S western Avenue, #i <br />Torrance, CA 90501 <br />(7141744-6511 <br />Fee Type <br />01116002 5'1603 Serv Meter <br />01116002 5160C General Plan Update <br />01 116002 5'1603 lssuance <br />Fee <br />$51 .29 <br />$21.25 <br />$52.98 <br />Qty <br />1 .00 <br />1 .00 <br />1.00 <br />Tenant Name: <br />Botih+:43772 - t/I5/2U1S I0: NGAIi( <br />Office: CIYH Trttns+: 6(l .l rri <br />Accti: Ref+t 2rl165gil{. <br />ftcpt*:0226473? - 5/15/201S 3r?9 rn <br />Trsnsoct ion Totnl i'-ill ,i2 <br />Phone <br />Slate Lic #: 935263 <br />Lic Type: B, C-10 <br />Bus. Lic #: 328493 <br />Workers' Compensalion lnsurance: <br />Carrier: New York Marine and General lns. Co. <br />Policy #: WC201700014125 <br />Expires: O'l2al2018 <br />Generol Flsn updote tee <br />(r1 I t6tr02- i16r1rj(80- <br />EIectr icol <br />ul116tr02- 5160100(r- <br />lloster Cord <br />CC+: ***r****r***1670 Auth+:r- <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By; <br />Subject lo Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />Zuniga, Allissa <br />10196452 <br />Date <br />R.3, U <br />VB <br />cEc 20't6 Notes: Upgrade. Hand out given. <br />W,:05/15/2018 <br />Account# <br />l\4isc. Receipt: <br />lvlisc. Receipt: <br />l\4isc. Receipt: <br />Total <br />$125.52 <br />$0 00 <br />9125.52 <br />Every permil issuad sha become invalid unless lhe work on the site <br />autho.ized by such pemil is commenced within 180 days aftet its <br />issuance, ot if the wotu authorized on the site by such pemit is suspended <br />or abancloned fot a period of 180 days aftet the time the wotk is <br />commenced <br />lnspector MID#: 2018-143381 <br />01 1 16002 51600 <br />0'1 116002 51603 <br />$21 .25 <br />$104.27 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Owner: <br />Address: <br />P hone: <br />Amount <br />21 .25 <br />52.98 <br />1,/erengo Inc <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type: <br />Code: