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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 9?702 Electrical Permit #: 20169876 <br />Pin #: 69983Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 6J <br />Project Address: 2808 W Fifth St unir 12 <br />Block NA <br />Bldg <br />Tract. NA <br />Address Range: <br />Hisloric. No <br />Suate Range: <br />Zoning: MlAssessor'sParcel: 405-222-05 Lot. NA <br />Owner: <br />Address:01116002 51603 <br />011 16002 51603 <br />01 1 16002 51600 <br />01116002 51603 <br />Fee Type <br />Re-Set Mtr <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Amount <br />20 89 <br />57 20 <br />Qr, <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$55 37 <br />$20.89 <br />$22.95 <br />$57.20 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Owner-Builder <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />workers' Compensation lnsurance <br />Cafiie( <br />Policy #: <br />Expires; <br />lndustrial <br />Miscellaneous <br />Re-Set Meter <br />Occupancy: <br />Constr Type <br />Code: <br />Notes <br />Planning condilions <br />Planning Approval By Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc Receipt: <br />Misc. Receipl: <br />Total <br />Plan Checked By <br />Pefmit lssued By <br />Subject to Field: <br />Building Permit # <br />sk 10/09/2019 <br />Account# <br />Every pehil issued shall become nvalid unless the wotk on tho silo <br />authotized by such parmil is conmenced within360 days aftet ils <br />issuanca, or il lhe wo* aulhorized on lhe site by such pemil is suspended <br />ot abanConed fot a porid o1360 days aftet the lifie lhe woi< is <br />commenced. <br />MID#: 2019-154998 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Fee Total: <br />Paid to Dale. <br />Balance Due: <br />Tr Swiatek <br />P.O. Box 357 <br />Santa Ana, CA 92702 <br />(949) 432-9353 <br />Phone: <br />Botch+:524{1 - <br />0f r ice: CTYH <br />l.i.Pt+: U2 77,( 161 <br />li/1/zuti <br />Incns+ 3 ld <br />Ref +- Ll/ 9 /?{l <br />lU i dh(rr, <br />ill <br />19 t:t; <br />lronsocL r on lcLol <br />lr Srratel <br />Building Usei <br />Job Type: <br />Nature of Work: <br />oenerql, P1.on Updote <br />0l 1 l6r:r0J- tl6rl(1000- <br />El F,:tr ito.t <br />01116r:102- 516[t;(r00- <br />I(:L Checii 117 6 t' <br />F-2 <br />VB <br />cEc 20't6 <br />$22.95 <br />$133.46 <br />$1s6.41 <br />$0.00 <br />s156.41 <br />lnspector