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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{ 64518 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Pin #: 95369 <br />\rJ <br />Project Address: 210 S Birch St Unit: <br />Block: 5 <br />Bldg: Address Range: <br />Tract: HENINGER'S RESUElistoric: Yes <br />Suile Range: <br />Zoning: SDrloAssessor'sParcel: 398-281-06 Lot: 3 <br />Owner: <br />Address. <br />Anthony Lee <br />305 W. Sixth Street <br />Tusrin, CA 92780 <br />(714) 856-8171 <br />FeE Type Amount <br />125 Voll Receplacle 1.40 <br />Light Switches, Occ. Se 1.52 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />'t5.00 <br />11.00 <br />1.00 <br />1.00 <br />Fee <br />$21.00 <br />$16.72 <br />$2',t .25 <br />$52.98 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Owner-Builder qtch+ : 4tllf i.:e: (: <br />ID: <br />Phone <br />frons+: <br />R€- 1L/11 U1llcpti:(2tt61723 - <br />fronsect ion Toto I <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Arrthons Le€ <br />Generol Plon LJpdote f <br />rlt I 16002- 516000r:r(- <br />E Iectr icol <br />rll I l61102- 51603r-r:lrl- <br />$9(r. 7r:l <br />rrrrr***r**9642 Auth+:16143 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Slngle Family Owelling <br />Miscellaneous <br />Kitchen remodel <br />Occupancy: <br />Constr Type <br />Codei <br />R.3, U <br />VB <br />cEc 2016 Notes: Kitchen remodel(like for like replacements). Replace <br />tixtures in two existing bathrooms, Owner-Builder <br />form on file. <br />Planning Conditaons: All moditications will be like for like replacements an no alterations fro <br />partitions will be relocated. <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />Building Permit #: <br />Escamilla, Manny Date <br />Date <br />Date <br />11t0112017 Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Chavez, Dave<v 11101t2017 <br />Account# <br />Evory permil issued sha becorne invalid unless the work on tha sito <br />authotized by such permit is conmehced within 180 days after its <br />issuance, ot il the wotk aulhoized on the site by such parmit is suspended <br />ot abandgned tor a peiod ol 180 days alter the tine lhe wo is <br />comm6nced <br />$1 1 1.95 <br />$0.00 <br />$1 11.95 <br />lnspector MtD#'. 2017-137486 <br />01 '1 16002 51600 <br />01 '1 '16002 51603 <br />s21.25 <br />$90.70 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />01116002 51603 <br />01116002 51603 <br />01 1 '16002 51600 <br />01116002 51603 <br />{