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City of Santa Ana <br />Permit Counter: (7'14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2(J2G.2199 <br />Pin #: 12052lnspectlon Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 805 S Ross St Unit: <br />Block: K <br />Bldg: Address Range: <br />Tract: HENINGER'S FOURnistoric: No <br />Suite Range: <br />Zoning: SD40Assessor'sParcel: 010-22142 <br />Owner: <br />Address: <br />Juan R Villanueva <br />17214 Horst Avenue <br />Cerritos, CA 90703 <br />(562) 239-8011 <br />Fee Type Amount <br />125 Volt Receptacle 1.35 <br />Light Swilches, Occ. Se 1.47 <br />Light Fixlures 0.98 <br />Dedicated Circuit 23.09 <br />General Plan Update 20.56 <br />lssuance 5'l.26 <br />Qty <br />20.00 <br />20.00 <br />20.00 <br />100 <br />100 <br />'1 .00 <br />Fee <br />$27.00 <br />$29.40 <br />$19.60 <br />$23.09 <br />$20.s6 <br />$51.26 <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Owner-Builder <br />Phone <br />8o <br />0f <br />[ic <br />TrState Lic #: <br />Lic Type: <br />Bus. Lic *: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Euilding Use: <br />Job Type: <br />Nature o, Work <br />Single Family Dwelling <br />Alteration <br />NV-alter <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2013 Notesr Rewire in kitchen/living room <br />Masc. Receipt: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />12J1412016 <br />Account# <br />Every pennit issued shall become invalid unless the wotu on the site <br />authotized by such pemit is commenced within 1 80 ddys efter its <br />issuance, or if tho wo* authodzed on the site by such peinit is suspended <br />ot ebandoned lgt a peiod of 180 days afrot the time lha wo* is <br />cofifietced <br />lnspector MID#: 2016-133025 <br />01 1 '16002 51600 <br />01 1 16002 51603 <br />$20.56 <br />$150.35 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Lot: 3 <br />0'1 1 16002 5'1603 <br />01 1 16002 51603 <br />01 116002 51603 <br />01116002 51603 <br />01116002 51600 <br />01116002 51603 <br />lutlr, <br />6enerc <br />01115i <br />Electr <br />01116( <br />Uiso <br />C(:+ i r <br />I Plo0:-: <br />i co1 <br />02- 5 <br />n u9d(rle <br />1600000- <br />1603tr00- <br />rrrr**31: <br />e <br />.! ,:, i <br />Planning Conditions: <br />Date: <br />Date: <br />Date: <br />Planning Approval ,t, <br />^.aPlan Checked By: / / <br />Permit lssued By ( / Amsden, Julie <br />Subject to Field: <br />Buildins Permit #: 1029161 8 $170.91 <br />$0.00 <br />$170.91