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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2ltr16,4B12 <br />Pin #: 79999lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 622 S Shelton St Unit: <br />Block NA <br />Bldg: <br />Tract: 1470 <br />Address Range: <br />Hastoric: No <br />Suite Range: <br />Zoning: RlLot.71 <br />Owner: <br />Address: <br />Rick Flores <br />522 S. Shelton St <br />Santa Ana, CA 92703 <br />(951) 835-9025 <br />Fee Typo <br />01116002 51603 Serv Meter <br />01116002 51600 General Plan Update <br />Amount <br />51.29 <br />21.25 <br />Qty <br />1.00 <br />1.00 <br />Fee <br />$51.29 <br />$21.25 <br />Phone: <br />Tenant Name: <br />01116002 51603 '""'"n"" ,or.nr,a tt+z -u\19 ,;i zot z 1fft ccurff3f,8 <br />Contractor <br />Address: <br />Owner-Builder <br />Officer CIYH Tron5i: 48 1 of I <br />A<cti: Ref+3 201618 t2 <br />Rctttr02l06{21 - 12/ 13/2017 11:22 An <br />Tronroct ion Ttttgl t125.52 <br />R icl Flor€e <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Gcnerol Plon ltsdote Fee <br />0ll16002- 5160m0- <br />EIectr i col0ur6qn- s l603m0- <br />V l6! <br />CCi I rrrr* fir1r0555 <br />_ izl .25 <br />- llo4.2l <br />t125.52 <br />Authi:009560 <br />Building Use: <br />Job Type: <br />Nature ol Work <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cEc 20r6 Notes: Upgarde. Hand out given. Auth on file. <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Zuniga, Alli .""'N <br />Date <br />Date <br />Oate 12J1312017 <br />Account# <br />Every pemit issued shall becone invglid unlessthe wo* on lhe site <br />authonzed by such peftnil is commenced withih 180 days aftet its <br />issuance, ot if the wo* authonzed on the sile by such pemit is suspended <br />or abandoned lor a peiod o1180 days aftet lho tirne the wod< is <br />commencecl <br />$125.52 <br />$0.00 <br />i125.52 <br />lnspector MID#: 2017-140435 <br />01116002 51600 <br />01116002 51603 <br />$21.25 <br />$104 27 <br />Assessor'sParcel: 010-284-11 <br />q <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total