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I City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #= 201677{6 <br />Pin #: 95625 <br />Project Address: 3901 W Crystal Ln <br />Assessor's Parcel: 108-722-01 Lot: 1 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 8924 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />Owner: <br />Address: <br />Phone <br />Shane Keheian <br />3901 W.Crystal Lane <br />Santa Ana, CA 92704 <br />(7141 514-ss50 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 5160C <br />01 1 16002 51603 <br />Fee Type Amount <br />Light Switches, Occ. Se 1.58 <br />Light Fixtures 1 .05 <br />FWU 24.79 <br />Dedicated Circuit 24.79 <br />Serv Meter 53.28 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />11.00 <br />20.00 <br />100 <br />2.00 <br />1 .00 <br />1.00 <br />1.00 <br />Fee <br />$17.38 <br />$21.00 <br />$24.79 <br />$49.58 <br />$s3.28 <br />$22.08 <br />$55.04 <br />Tenant Name: <br />Contractor: <br />Address. <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <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 />Single Family Dwelling <br />Miscellaneous <br />Electrical <br />Occupancy: <br />Constr Type. <br />Code: <br />Date: <br />Date: <br />Date. <br />R-3 <br />VB <br />cEC 2013 <br />12t30t2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: Electrical <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$243 1 s <br />$243.1 5 <br />$0.00 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 180 days after its <br />issuance, or if the work authorized on the site by such permit ts suspended <br />or abandoned for a period of 180 days after the time the work is <br />commenced. <br />lnspector tUlD#:201 8-148474 <br />N/A - No Balance <br />/'n