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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 #: 2lJ172774 <br />Pin #: 96()72 <br />Project Address: 824 S Quiqley Ln Unit: <br />Block: NA <br />Bldg: <br />Tract NA <br />Address Range: <br />Historic: No <br />Suite Range; <br />Zoning: Rl <br />uvldl <br />Assessor'sParcel: 188-082-27 Lot: NA <br />Owner: <br />Address <br />Phuong Cao <br />824 S Quigley Ln <br />Santa Ana, CA 9270/ <br />(714) 206.4s64 <br />01 1 16002 5r 603 <br />01 116002 5160C <br />01 116002 51603 <br />01116002 5777(. <br />Amount <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 />Fee <br />$s7.40 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone <br />Tenant Name: <br />Contractor <br />Address: <br />Atea 12 <br />15931 Maybrook <br />Westminster, CA 92583 <br />(949) 231-8094Phone <br />State Lic #: 1006/146 <br />Lic Type: C-10 <br />Bus. Lic #: 377271 <br />Workers' Compensation lnsurance:Carrier: State Farm General lnsurnace <br />Policy #: 92GVJ0505 <br />Expires: 0210612021 <br />Occupancy: <br />Constr Type <br />Code:Notes handout given <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />\X Hernandez, Kathy <br />Date: <br />Date: <br />Dale: <br />Every permit issued shall becofie tnvalicl unless the wo* on the site <br />authoized by such pemil is commenced withn 360 days after its <br />issuance, ot if the wo* authoized on the sile by such permit is suspended <br />ot abandoned fot a period of360 days aftet lhe lime the wo* is <br />commenced <br />$144.54 <br />$0.00 <br />$144.54 <br />lnspector MtD# 2021-164252 <br />01 1 16002 51600 <br />011 16002 51603 <br />01116002 57770 <br />$23.79 <br />$116.70 <br />$4.05 <br />Fee Type <br />Serv Meter <br />General Plan Updale <br />lssuance <br />lvlicrofllm Records <br />gotch+r58117 - u11/ it- <br />tJr'f ice: CTYH Tr(lns+: <br />Rcpt+1U3195471:l - 2./ 1l <br />Trflngtt,:t ion -f or-o 1 <br />6€nerql F'l or' [Jr]d(tt€ <br />trl I 16tr0?- 516r:fl-ru(rU- <br />Ll ertr i .ol(tl I l6rl|]?- 5l6u3t:["[:r- <br />11 icr'of i lil A Docuren <br />r11116r:r:12- r-,777rllr u - <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />R-3, U <br />VB <br />cEc 2019 <br />ozt12t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Fee Total <br />Paid to Date: <br />Balance Due: