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City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2 Electrical Permit #: 20170275 <br />Pin #: 54287Permit Counter: (714) 647-5800 lnspection Requests 1714) 667-2738 lnspector Section (714) 647-5853 <br />Project Address: 4501 W Hollyline Ave <br />Assessor'sParcel. 100413-16 t.ot 32 <br />Bldg: <br />Tract 219'l <br />Address Range: <br />Historic: No <br />Sulte Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Conlraclor <br />Address: <br />Phone <br />Tenant Name: <br />Carolyn Jenkins <br />4501 Hollyline Ave <br />Santa Ana, CA 927031523 <br />(714) 454-68s5 <br />Phone <br />State Lic #: 765074 <br />Lic Type: C-36, C-10, C-20 <br />Bus. Lic #: 351300 <br />Workers' Compensation lnsurance:Carrier Liberty lnsurance <br />Policy #. WA753D508631018 <br />Expires: 1010112020 <br />Fee Typo <br />Generai Plan Update <br />lssuance <br />lvlicrolilm Records <br />Notes: c/o <br />Botrhi:5.3189 - I t/2(lfl ire: (:TYH Ir on <br />Ac.:t9: <br />RcDt330?814:J91 I <br />Irqnsoct ioo Totol <br />01 1 't6002 5160: <br />011 16002 5160C <br />011 16002 5160: <br />01116002 5777t <br />Amount <br />25.76 <br />22 95 <br />57 .20 <br />3.91 <br />Fee <br />$25.76 <br />$22.95 <br />$57.20 <br />$3.91 <br />eht ire Hore Serv rrr <br />Occupancy. <br />Constr Type: <br />Code: <br />R.3, U <br />VB <br />cEc 2015 <br />Generol Plon UedoLe Fee <br />01116002. 516trtrutr(r- <br />ll icrof i ir 6 oocurents <br />r'r1116(102- 577700(r(- <br />E lectr icol <br />01l16url2- 5160300rt- <br />ICL Check 812000770 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />Subject lo Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />FWU <br />Guevara, Jerry <br />Hernandez, Kathy\0r <br />Date <br />Date <br />Date <br />'t1t2612019 Misc. Receipt: <br />Misc. Receipt: <br />lvlisc. Receipt: <br />Total <br />11t26t2019 <br />Account# <br />$109.82 <br />$0.00 <br />s109.82 <br />Every ponnit tssued shall become invaltd unless lhe wo* on the s/-le <br />authonzed by such peml $ commenced wtthh 360 days eftet its <br />tssuance. or if the wod< authotizdcJ on the sile by such pemit ts suspended <br />ot abandoned fot a period of 360 days aftet the time lhe wo* ts <br />commonced. <br />lnspector MtD# 2019-1 56167 <br />01116002 51600 <br />01 116002 51603 <br />01 1 16002 57770 <br />$82.96 <br />$3 91 <br />Fee Tolal <br />Paid to Date: <br />Balance Due: <br />Unit: <br />Block: NA <br />Rightime Home Services <br />3030 Myers Street <br />Riverside, CA 92503 <br />(714) 998{300 <br />Qtr" <br />1.00 <br />1.00 <br />1.00 <br />1.00