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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20167414 <br />Pin #: 15936lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 4902 W Bruce Ave Unit: <br />Block: NA <br />Bldgl <br />Tract: 2465 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />q <br />Assessor'sParcel: 100456-03 Lotr 4 <br />Owner: <br />Address <br />Ken Duc Nguyen <br />4902 Bruce Ave <br />Santa Ana, CA 92703 <br />(714) 933-6895 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 'r 16002 <br />5160: <br />51603 <br />51603 <br />5160C <br />5160: <br />Fee Type <br />125 Volt Receptacle <br />Light Fixtures <br />Serv Meler <br />General Plan Update <br />lssuance <br />Amount <br />1.45 <br />1.05 <br />22.O8 <br />55.04 <br />Qry <br />10.00 <br />3.00 <br />1.00 <br />1 .00 <br />1 .00 <br />Fee <br />$14.50 <br />$3.15 <br />$53 28 <br />$22.08 <br />$55.04 <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />nrrE+t 7.i <br />xei i <br />lU i Nl.r <br />Phone <br />2Ul6/ <br />'i r 5'i <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policl #: <br />Expires: <br />lr <br />I <br />r:r <br />Single Family Dwelling <br />Addition <br />Addition <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cEc 2016 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By; <br />Date: <br />W(-/"bate <br />zuniga, Alliss{ \ oate:01t17 t2019 <br />Account#Subject to Field: <br />Buirding Permit #: 10197571 <br />{ <br />Every pemil issued shall becone invalid unless tho wo* on the site <br />authonzed by such pemit ts (Dmmenced within180 days aflet ils <br />ls,suance, ot if lhe wo* authon2ed on lhe sito by such pamit ts suspended <br />or abendoned lor a penod of 1 80 days dftet the time tho wo* is <br />$148.05 <br />$0.00 <br />8148.05 <br />lnspector MID#: 2018-144629 <br />01 I 16002 51600 <br />01 1 16002 51603 <br />$22.08 <br />$12s.97 <br />Fee Total <br />Paid to Date; <br />Balance Due <br />r:''.i-i <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Noles: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total