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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (714).6/.7-5853 <br />Permit #: 2lJ173194 <br />Pin #: 85905 <br />Project Address: 612 N Eastwood Ave Unit: <br />Block: C <br />Bldg: <br />Tract: 344 <br />Address Range: 510-612 <br />Hisloric: No <br />Suite Range: <br />Zoning: SD84 <br />-4@ <br />Assesso/sParcel. 398-374.15 Lot 5 <br />Owner: <br />Address:01 1 16002 <br />01 1 16002 <br />01 't 16002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Amount <br />57 .40 <br />57 .40 <br />23.79 <br />59.30 <br />4.05 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$57.40 <br />$57.40 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address <br />Ourner-Builder <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Canier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />ouplex occupancy: <br />Miscellaneous Constr TyPe <br />service Meter and subpanglCode: <br />R-3 <br />VB <br />cEc 2019 Notes: Service meter upgrade and subpanel. Owner-Builder <br />authorization form on file. Handout given. <br />Plannang Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Fieldl <br />Building Permit #: <br />Chavez. Dave <br />= <br />Date <br />Date <br />Date o1127 t2021 <br />Account# <br />Misc. Receipl: <br />Misc. Receipl; <br />Misc. Receipl: <br />Total? <br />Every pennil issued shall becofie invalid unless lhe wo* on the site <br />aulhoized by such pennit is cofimenced withh 3& days aftet ils <br />issuance. or it lhe wotu authorized on the site by such pemit is suspended <br />ot abandoned for e peiod of 3@ days aftet the time tho wod< is <br />cofifierrced. <br />$201.94 <br />$0 00 <br />$201.94 <br />MtD#. 2021-165751 <br />01 1 '16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />$23 79 <br />$174.10 <br />$4.05 <br />Fee Total: <br />Paid lo Dale: <br />Balance Due: <br />Gloria Hernandez <br />610 N. Eastwood Ave. <br />Santa Ana, CA 92701 <br />(7141glo-',t170 <br />Fos Type <br />Serv Meter <br />Subpanel <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Phone. <br />p,ot,chi:58?64 - <br />0f I ice: (:IYH <br />t(rp t.i 3 (r32684i3 <br />Trdng(r.:t lon lc <br />: ELIZABElof3 <br />i ;llrl <br />ilor io Hernon dE <br />i I r r*x*i+* r, ** l4 <br />(rEh.:rq I ['Inn llpdctF F <br />t:t1 1 16t-[-tZ_ i I6t!t.I:I:tit- <br />Itr," rof i ln f, 0ocuBentq <br />r:r1 I I 6ir-r?- i777tlr.rtrr:r- <br />El ectr icql <br />Lr 1 I 1 6t'tu?- 5 I 6t:lil,rtl[r- <br />lnspeclor