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EProject Address: 1202 S Douolas St Unit: <br />Block: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RiAssessor'sParcel. 109-386-11 Lot 84 <br />@ 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />ElectricalCity of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Owner: <br />Address <br />Phone: <br />Tenant Name <br />Contractor <br />Address: <br />Minh Chau Kieu <br />5551 Ocean Terrace Drive <br />Huntington Beach, CA 92648 <br />(714) 418-6604 <br />Owner-Builder <br />01116002 <br />01'1 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />011 16002 <br />51603 <br />51603 <br />51603 <br />51603 <br />5r 603 <br />51600 <br />51603 <br />Qty <br />49.00 <br />4.00 <br />3.00 <br />5.00 <br />1.00 <br />100 <br />1.00 <br />Fee <br />$6.86 <br />$5.60 <br />$4 56 <br />$s.05 <br />$23.87 <br />$21 .25 <br />$52.98 <br />F6o Typo Amount <br />Addn/Res 0.14 <br />'125 Voll Receptacle '1.40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1.01 <br />FWU 23,87 <br />General Plan Updale 21.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: <br />Lic Type; <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Eotchi:,t2926 - J./2C l0: qlsaa la1 ol 4 <br />2ti161162 <br />I :r-rg Pt1 <br />i171. r19 <br />0fi ice: CTYH Tr <br />Acct a r <br />Rca ti: r-r??159? 6 - <br />Ironsoct ion Totol <br />3Lt+:-lttl <br />ll inh Chou Kieu <br />Building Use: Single Family Dwelling Occupancy: <br />Job Type: Addition Conslr TYPe <br />NatureofWork: Addn/PatioEnclosure/Covercode: <br />Planning Conditions: All materials to match exisling <br />R-3 <br />VB <br />cEc 2016 <br />6enerol Plon Upd0t e f::01It6002- r l 6 r-1r-ltr (rr--r - <br />E I ectr irol <br />01116002- 516031100- <br />V iso <br />( (:+ i r**r rrrrrI jI.-' ir' <br />2i <br />Notes ,9S .92 <br />1173. (rg <br />116 <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />, Teri <br />194962 <br />Every peinit issued shall become invalid unless the work on the site <br />authonzed by such peml ts conmenced wtthin 180 days aftet its <br />issuancs ot I the wo* aulhorized on the sile by such penntt is suspended <br />ot abandoned for a period o1180 days afler lhe time the work is <br />cofifienced <br />lnspector MID#: 2017-140004 <br />03/26/2018 <br />Account# <br />01 1 16002 51600 <br />01 1 't6002 51603 <br />$21 .25 <br />$98.92 <br />Fee Total. <br />Paid to Datel <br />Balance Oue: <br />$120 17 <br />$0.00 <br />$120.17 <br />Permit #: 2(J1G54li.2 <br />Pin #: {3994 <br />Bldg: <br />I.acl: 2248 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: