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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical <br />Permit Counter (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2lJ172914 <br />Pin #: 22413 <br />Project Address: 2005 W Eleventh St Unit. <br />Block: NA <br />Btdg. <br />Tract: 1685 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 00/,-'172-23 Lot.62 <br />Owner: <br />Address: <br />Jason Ma <br />2005 w 't lTh sr <br />Santa Ana, CA 927031922 <br />(7141414-7578Phone <br />Tenant Name:lssuance <br />Microfilm Records <br />Phone <br />Building Use: <br />Job Type: <br />Nalure ol Work <br />Single Family Dwelling <br />Alteration <br />Fire Damage Repair <br />R.3, U <br />VB <br />cEc 20r9 Notes: Electrical for fire damage repaira. Owner-Builder form <br />on file. <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: Chauez, Davry?, <br />Subject to Field: R. Cisneros <br />Oate <br />Date <br />Date o3tlo12021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Buildins Permit #: 101106088 <br />Every pemil issued shall become invalid unless lhe wo on the sile <br />authonzod by such peml is commenc:cd wilhin 360 days aker ils <br />$suance. or il lhe wo* authonzod on the sile by such penntl is suspended <br />ot abandoned fot a peiod of 360 days after the time the wo* is <br />commenced <br />$91 .54 <br />$0.00 <br />$91.54 <br />lnspector MtD# 2021-163701 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />$23.79 <br />$63.70 <br />$4.05 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />-fr?' <br />011 16002 51603 <br />01116002 51603 <br />01 I 16002 51603 <br />01 116002 5't600 <br />01 1 16002 51603 <br />011 16002 57770 <br />Fee Type <br />125 Volt Receplacle <br />Light Switches, Occ. Se <br />Light Fixlures <br />General Plan Update <br />Amount <br />1 .57 <br />1 .70 <br />1.13 <br />23.79 <br />59.30 <br />4.05. <br />Qty <br />1 .00 <br />1 .00 <br />100 <br />1 .00 <br />1 .00 <br />1 .00 <br />Foe <br />$1.57 <br />$1 .70 <br />$1 13 <br />$23.79 <br />$59.30 <br />$4.05Contractor: <br />Address: <br />Owner-Builder <br />State Lic f: <br />Lic Type: <br />8us. Lic #: <br />Workers' Compensalion lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />2n2l <br />Rel <br />lit/1 <br />2u1i <br />1tll I <br />a697. <br />A(cli: <br />kcpt i:0321 <br />Tronsoct ior <br />loson f1( <br />toL <br />Genenol Pltrn Updnte Fee <br />01116002- 5l60rl(fl10- <br />llicrof ilr h Do(urents <br />01116002- 577701100- <br />Electri(ol <br />(r11151102- 516niu0rl- <br />I(:L Check 1l-l9tl <br />Occupancy: <br />Constr Type: <br />Code: