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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 20173726 <br />Pin #: 22219 <br />Project Address: 555 3/4 E Memory Ln u",t MET02 <br />Block NA <br />Bldg <br />Tract NA <br />Suite Range: <br />Zoning: R4Assessor'sParcel 041-213-04 Lol NA <br />TOWN & COUNTRY MANOR OF <br />555 E MEMORY LN <br />Santa Ana, CA 927051705 <br />01 1 <br />011 <br />011 <br />011 <br />011 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />5160: <br />5160: <br />5160( <br />5160: <br />5777C <br />Fee Typo <br />Serv Meter <br />Mrn Fee AdJ <br />General Plan Update <br />lssuance <br />Microlilm Records <br />Amount <br />57 40 <br />17 61 <br />23 79 <br />59.30 <br />405 <br />Qry <br />100 <br />100 <br />1.00 <br />1 .00 <br />1 .00 <br />Fss <br />$57.40 <br />$17.61 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone <br />Tenant Name: <br />Conlractor <br />Address <br />CW Driver LLC <br />458 N. Rosemead Blvd <br />Pasadena, CA 91 107 <br />(526) 351-8800Phone <br />State Lic # 1009002 <br />Lic Type: B <br />Bus Lrc #: 373580 <br />Workers' Compensalion lnsurancel <br />Carrier Federal lnsurance Co <br />Policy f: 5,1310335 <br />Expires 1Ol31l2O21 <br />Building Use <br />Job Type <br />Nalure of Work <br />Olher <br />Alteration <br />Service Meter <br />Occupancy <br />Constr Type <br />Code <br />N/A <br />N/A <br />cEc 2019 Noles Service Meter for street light pedestal <br />Planning Approval By. <br />PIan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />web rssue 01to7 t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pem issued shall becofie hvahc! unless the wo* on the sile <br />authonzed by such peam B commenced wtlhn 360 days aftot tts <br />/ssuanco ot tf lhe wot* aulhonzed on th6 sle by such perfii ts suspended <br />ot abandoned lot a penod o1360 days atte/ lhe tifie the work ts <br />commenced <br />$162.15 <br />$162.15 <br />$0.00 <br />lnspector MtD#. 2021-167292 <br />N/A ' No Balance <br />N/A No Balance <br />Fee Total <br />Paid to Date <br />Balance Oue: <br />Address Range. 501-555 <br />Historic: No <br />-W' <br />Owner <br />Address. <br />Planning Conditions: <br />Dale <br />Date. <br />Date: