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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 #: 2O168430 <br />Pin #: 3956{lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 { <br />Project Address: 409 N Laurel St Unil: <br />Block: NA <br />Bldg: <br />Tract: 540 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2Assessor'sParcelr 198-251-57 Lot: 84 <br />Owner: <br />Address <br />Ramiro Vera <br />409 N Laurel Street <br />Santa Ana, CA 92703 <br />(760) 534-3876 <br />01 1 16002 <br />01 '1 16002 <br />01'116002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />5160: <br />5160: <br />5160: <br />5160: <br />5160C <br />5160: <br />Fee Type Amount <br />125 Volt Receptacle 1.45 <br />Light Swilches, Occ. Se 1.58 <br />Light Fixlures 1.05 <br />Serv Meler 53.28 <br />General Plan Update 22.08 <br />lssuance 55.M <br />Qty <br />20.00 <br />9.00 <br />13.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$29.00 <br />$14.22 <br />$13.65 <br />$53.28 <br />$22.08 <br />$55.04 <br />Phone <br />Tenant Name: <br />Conlractor: <br />Address: <br />Excelsior Restoration lnc <br />2430 N Glassell Street, #E <br />Orange, CA 92865 <br />17141758-1153 <br />State Lic f: 969992 <br />Lic Type: B <br />Bus. Lic #: 34718 <br />Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund <br />Policl #: 1423306 <br />Expires: O4lO1l2O2O <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Alleration <br />Fire Damage Repair <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2016 <br />Notes: handout given <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued 8y: <br />Subject to Field: <br />\[ x",n"n0"., xrtnv <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Building Permit #: 1 0198700 <br />E,Ery pemit issued shall become invalid unless the worr( on lhe sllo <br />authoized by such permit is commenced within 180 days after its <br />issuence, ot il the , otk authorizod on the site by such permil is suspended <br />or abandoned lot a peiod of 1 80 days aftet the tine the wod< is <br />conmencod. <br />$22.08 <br />$165.19 <br />$187.27 <br />$0.00 <br />$'t87 .27 <br />MID#: 2018-148324 <br />011 16002 51600 <br />011 16002 51603 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Phone:Eotchi:4930t' - {,/1t0fl ice: ITYH Jr.er,r <br />Acct+: <br />Rcpti:02589193 - 4, <br />Ttqnsoct ion Toto I <br />r.'19 IUr I <br />,169 4 Jl <br />Excels ior PEstornt ion In{ <br />Generol Pl. on Uodot,4 lqs <br />01116002- i16000(10- <br />Electr ico I <br />01116002- 5160300(r- <br />ICL Check 1!.11{J <br />o4t1'1t2019 <br />Account# <br />lnspector