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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 Sectionr (714) 647-5853 <br />Electrical Permit #: 20l640l5 <br />Pin #: 13697 <br />\!'.l <br />Project Address: 1304 S Douqlas St <br />Assessor'sParcel: 109-371-08 Lot: 73 <br />U nit: <br />Block: NA <br />Bldg: <br />f ract 2248 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Ofelia Baranas <br />1304 S Douglas St <br />Santa Ana, CA 527043707 <br />(714) 504-9920 <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />01116002 51600 <br />01't16002 51603 <br />Fes Type Amount Qty Feo <br />Addn/Res 0.14 140.00 $19.60 <br />FWU 29.87 1.00 $23.87 <br />serv Meter 51 .29 1.00 $51 .29 <br />cenerar Pfrrug{?tfn ot _2\73t t zott 1 ff, oro. f ?14ft <br />lssuance baiiae: CTYH s4pans+: li 1.00 1 0651.98 <br />Acct+: Refi: 2(1164015 <br />Rcpti:01993810 - 8/31/2017 1:59 Pll <br />Tronsoct ion Totql f182.33 <br />of€l io EoronosPhone <br />State Lic #: <br />Lic Type; <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Generol Plon updote Fee <br />0r116002- 51600000- <br />EIectr icol <br />0l116002- 51603000- <br />Cosh <br />Chonee <br />t21.21 <br />4147.71 <br />t5tr0, c0(lt7,67' <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions <br />Planning Approval By <br />Single Family Dwelling <br />Addition <br />Addition/Serv Meter <br />Occupanry: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2016 Noles: Upgrade serv meter/handout given. <br />Plan Checked By <br />Permat lssued By <br />Subject to Field: <br />Building Permit # <br />F eri <br />0193467 <br />Every pe,rnit issued shall become invalid uhless tho wo* on lhe site <br />authotized by such pemit is cofimonced within 1 80 days aftet its <br />issuancc, or if UE wo* authotized on the sito by such peinil is suspended <br />gt abandoned fo. a peiod of 180 days aftet the time the wo is <br />comfiEnced. <br />Date: <br />Date: <br />Date: OBl31l2O17 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt; <br />Misc. Receipt: <br />Total <br />01'1 16002 5'1600 s168 99 <br />$0.00 <br />$168.99 <br />lnspector MID#: 2017-137296 <br />011 16002 51603 <br />$21.25 <br />$147.74 <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />I <br />rL \