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20 Civic Center Plaza (M-19), Santa Ana, CA927o2 <br />l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853 <br />Electrical Permit #: 20{65791 <br />Pin #: 72375 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />AddressRange: 2600-2830 <br />Historic: No <br />Suite Range: <br />Zoning: R4 <br />ryProject Address: 2620 W Segerstrom Ave <br />Assessor'sParcel 933-071-59 Lol:2,611,2,4,5 <br />Unit: A <br />Block: NA <br />Bldg: <br />Tract: 8235/8868 <br />Owner: <br />Address: <br />Tenant Name: <br />Lori Truman <br />2620 w. Segerctrom Ave, #A <br />Santa Ana, CA 92704 <br />(714) 913-2663 <br />Slater General lnc <br />8502 East Chapman Ave# 31 <br />Orange, CA 92869 <br />(714) 6s3-s030 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 '1 16002 <br />011 16002 <br />51603 <br />51603 <br />5160: <br />5160C <br />5160: <br />Amount <br />1.40 <br />1.01 <br />21.25 <br />52.98 <br />Fee <br />$1.40 <br />$1 .52 <br />$1.01 <br />$21 .25 <br />$52.98 <br />Fee Type <br />'125 Volt Receptacle <br />Light Switches, Occ. Se <br />Light Fixtures <br />General Plan Update <br />lssuance <br />Qty <br />1 .00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />gotch+:,f36?8 - 5!7 ! 2t"t18 It,:0ff ice: CTYH Trsrrsir :;:Acrti:. f.rf +1 :!t-lRcpli:02?5816( - 5./7 /?r:rl g 1r-rr <br />Fnsnsact ion Fctnl $ ig <br />LEOS4o <br />I t579 <br />-.- 4 Atl <br />g, 0r:l <br />ALEt4 <br />1 <br />Phone <br />State Lic #: 946654 <br />Lic Type: B <br />Bus. Lic #: 353370 <br />Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company <br />Policy #: CST5011908 <br />Expires: OllO'112019 <br />5l oten 6enerol In,- <br />6enerol Plon Updqte Fee <br />0l I16t102- l l6rlr:100[- <br />Electr irRl <br />01I 16002- 5l6rl3tl0r:r- <br />Jll- Cherk <br />':!0-r <br />499 $ ! ll: .1.',1 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Multi-Family (5 or more uni Occupancy: <br />Miscellaneous Constr Type: <br />Remodet Code: <br />R-2 <br />VB <br />cEc 20't6 <br />Notes: Bathroom and kitchen remodel includes drywall <br />Zuniga, Allissa <br />ate: <br />ate: <br />ate: 0510712018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />D <br />D <br />Buildins Permit #: 1 0195345 <br />Every pomit issued shall become invalid unless the wotu on the sile <br />authorized by such permit is commenced within 180 days aflet its <br />issuance, ot if lhe work authorized on the site by such pemit is suspended <br />or abandoned fot a period of 180 days after the tirne the wotu is <br />cofifienced. <br />01 1 16002 51600 $78.16 <br />$0.00 <br />$78.16 <br />lnspector MID#: 2018-143185 <br />01 116002 51603 <br />$21.25 <br />$s6.91 <br />Phone: <br />Contractor: <br />Address: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Fee Total <br />Paid to Date: <br />Balance Due: