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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permiq #: 1O17O44O <br />Pin #: 82880 <br />Proiect Address: 1242 112 W Pine Sta <br />Assessor's Parcel: 777 -777 -77 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 1363 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />I <br />Lot. <br />Owner: <br />Address: <br />Phone <br />Llfe Cycle Management, LLC <br />25 Brookline <br />Aliso Viejo, CA 92656 <br />(e4e) 412-821e <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />Fee Type Amount <br />125 Volt Receptacle 1 .51 <br />Light Switches, Occ. Se 1.64 <br />Light Fixtures 1 .09 <br />Serv Meter 55.37 <br />General Plan Update 22.95 <br />lssuance 57 .20 <br />Microfilm Records 3.91 <br />Qty <br />21 .00 <br />800 <br />11 00 <br />1 .00 <br />1 .00 <br />100 <br />1 .00 <br />Fee <br />$31.71 <br />$1 3.1 2 <br />$1 1.99 <br />$55.37 <br />$22.95 <br />$57 20 <br />$3 91 <br />Tenant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Bcrbch*:55129 +/ I6/2tr2t-r ID: <br />tlf f i ce : CTYH Tr crri s* : 15AccL*: Ref*: zul <br />Rcpt*:112937919 4/16/2tt?tt .i;? <br />Tronsorrtion Tobol t6rJ <br />LIfe t.scIe llnnoserilentr LL.{: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: Chavez, Dave <br />Subject to Field: <br />Buildins Permit #: 10110261 6 <br />Single Family Dwelling OccuPancy: <br />New Constr Type <br />New 2nd story attached 4PlCode: <br />Date: <br />Date: <br />Date: <br />R-3, U <br />VB <br />cEc 2016 Electrical for a new second-story ADU attached to new <br />SFD (on separate permit). <br />$1 96 25 <br />$0 00 <br />$196 .25 <br />04t09t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$22 95 <br />$169.39 <br />$3.e1 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on fhe sife by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 201 9-156679