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}rP/ | ca.,*-( <br />City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, bA92702 Electrical Permit #: 2O173865 <br />Pin #: 35822PermitCounter: (714) 647-5800 lnspection Requesls (714) 667-2738 lnspector Section: (714)647-5853 <br />Unit: <br />Block: Nl <br />Btdg: <br />Tract 2523 <br />Address Rangel <br />Historic: No <br />Surte Range <br />Zonang: Rl <br />Owner <br />Address <br />Contractor <br />Address: <br />Stacey Malone <br />2101 N Greenbrier St <br />Santa Ana, CA 92706 <br />(714) 317{987 <br />Tesla Energy Operations <br />2102 Alton Parkway <br />lrvine, CA 92506 <br />(71/r) /196-0688 <br />Fee Typo <br />01'116002 5360' P/C - Revision <br />01116002 5'160C General Plan Update <br />01'1 16002 5777C Microfilm Records <br />Amount <br />239.34 <br />23 79 <br />405 <br />Fee <br />$239.34. <br />$0.00 <br />$0.00 <br />Qty <br />100 <br />0.00 <br />0.00Phone <br />Tenant Name: <br />State Lic f: 8881(X <br />Lic Type: B, A, C.10, C.20, C46 <br />Bus. Lic # 32lt801 <br />Workers' Compensation lnsurance:Carrier: Zurich American <br />Policy t WC107458303 <br />Expires: 1013112021 <br />Single Family Dwelling Occupancy <br />Revision Constr Type <br />Revision - Back-Up Banery aCode <br />R.3, U <br />VB <br />cEc 2019 <br />Smith, Mark <br />Amsden, Julie <br />Oate <br />Date <br />Date <br />07 t3012021 <br />oalo2l2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemil Bsuod shal becofie invahd unless the wolr( on lho s/le <br />authonzed by such pe ni $ commencdc! wthn 360 days altet tls <br />tssuanco. ot tf the wotl< authonzod oh tho s o by such pe ntt ts suspended <br />o, abahdonec! fot a penod ot 360 days aftel lhe ltme lhe wotl< ts <br />cofimenced <br />lnspector MtD#. 2021-164268 <br />01116002 53601 $239 34 Fee Tolat <br />Paid to Date: <br />Balance Due: <br />$239 34 <br />$0 00 <br />6239.34 <br />Project Address: 2101 N Greenbrier St <br />Assessor'sParcel 001-112.06 Lot. 17 <br />,@- <br />Phone <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval Byl <br />Plan Checked By <br />Permit lssued By: <br />Subject to Fieldl <br />Building Permit #: <br />Notes Revision to 20'172783 - equipment location changed; <br />wire size changed.