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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{ 68634 <br />Pin #: 87550ft( <br />Project Address: 954 W Brook St Btdg; <br />Tracl: 1734 <br />Address Range: <br />Historic. NoAssessor'sParcel 010-262-09 Lot 29 <br />Owner: <br />Address <br />Roberto Rios <br />954 W Brook St <br />Santa Ana, CA 92703 <br />(714) 658-9139 <br />01116002 <br />011 16002 <br />011 16002 <br />0'11 16002 <br />011 16002 <br />01116002 <br />51603 <br />51603 <br />5'1603 <br />51603 <br />51600 <br />51603 <br />Fes Typo <br />Addn/Res <br />Res Rewire <br />FWU <br />Low Vollage/Res <br />General Plan Update <br />lssuance <br />Amount <br />0.'r4 <br />o.'t4 <br />24.79 <br />36.72 <br />22.08 <br />55.04 <br />Qty <br />492.00 <br />120.00 <br />3.00 <br />1.00 <br />1.00 <br />L00 <br />Fee <br />$68.88 <br />$16.80 <br />$74.37 <br />$36.72 <br />$22.08 <br />$55.04 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address <br />Owner-Builder <br />Phone <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires; <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Single Family Dwelling <br />Addition <br />Addn/Remodel <br />Occupancy: <br />Constr Type <br />Code: <br />Noles <br />Planning conditions: All materials to match existing <br />Planning Approval By:Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />eri 05/08/2019 <br />Account# <br />8382 $273.89 <br />$0 00 <br />$273.89 <br />Every perrnit issuod shall become invalid unloss lhe wonk o,, the silo <br />autlonzed by such peml is commencad withih360 days atlet its <br />tssuance, gt if lhe wod< aulhonzed on the site by such pennit is susponded <br />or abandonod fot a penod of360 days aftet tho tihe the wo* is <br />commenced <br />lnspector MID#: 2018-147709 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$22.08 <br />$251.81 <br />Fee Tolal: <br />Paid to Date: <br />Balance Due: <br />Permit Counter: (714) 647-5800 lnspection Requests: (714].667-2738 lnspector Section: (714) 647-5853 <br />Unit: <br />Block: NA <br />Suite Range: <br />Zoning: Rl <br />Bqtch+:49733 - <br />0f I ice: CTYH <br />Acct+ : <br />Iicp ti : (r?62tt249 <br />i/g/2 <br />ioberto [t ir <br />Generol Plon Updot e <br />01 I 1,50112- 516t1u0rlrll- <br />Electr icol <br />t11116002- 516D3rlrl0- <br />Cosh <br />llosLer Cord <br />(:(:+ : r*rrllrrrr*rgtl(l il,lr Ii <br />Date: <br />Date: <br />Date: <br />R-3, U <br />VB <br />cEc 2016