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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714) 647-5853 <br />Permit #:20174391 <br />Pin #: 43148 <br />ProjectAddress:unitPUE01Bldo:AddressRange:3601-3685 <br />Assessor's Parcel: 412431-OG Lot: 1, 2, 3 Block: NA Tracl:10212 Historic: No <br />Suite Range: <br />Zoning: R4 <br />Owner: <br />Address: <br />Phone <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone <br />City of Santa Ana <br />20 Civic Center <br />Santa Ana, CA 92704 <br />(7141 647-5626 <br />Crosstown Electrical & Data <br />5463 Diaz Street <br />Baldwin Park, CA 91706 <br />(7141 779-6e99 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 5160C <br />01 1 16002 51603 <br />01 1 16002 5777C <br />Fee Type <br />Serv Meter <br />Fee Exempt <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />57.40 <br />-144.54 <br />23.79 <br />59 30 <br />4.05 <br />Qty <br />1 .00 <br />1 .00 <br />100 <br />100 <br />100 <br />Fee <br />$57 40 <br />$-144.54 <br />$23 7e <br />$s9.30 <br />$4.05 <br />State Lic #: 756309 <br />Lic Type: C-10 <br />Bus. Lic #: 193742 <br />Workers' Compensation lnsurance:Carrier. lnsurance Company of the West <br />Policy #: WLV50303405 <br />Expires: 0610312022 <br />PAID <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Hernan dez, Kathy 09t30t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />City <br />Miscellaneous <br />Service Meter <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date. <br />Date: <br />N/A <br />N/A <br />cEc 2019 <br />sEP 30 2021 <br />City of Santa Ana <br />Notes: for traffic signal/city project-fee exempt <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />N/A <br />N/A <br />No Balance <br />No Balance <br />$0 00 <br />$0.00 <br />$0.00 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on fhe sife by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 2021-169158