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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 lnspectorSection: (714)-647-5853 <br />Permit #:2o^174373 <br />Pin #: 85303 <br />Proiect Address: 1611 S Van Ness Ave-a- <br />Assessor's Parcel: 013-193-10 Lot: 38, 39 <br />Unit: <br />Block: E <br />Bldg: <br />Tract 531 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone. <br />Carlos Marquez <br />1611 S Van Ness <br />Santa Ana, CA 92707 <br />(eoe) 52s-6047 <br />Pacific Southern Developme <br />5482 WILSHIRE BLVD #243 <br />Los Angeles, CA 90036 <br />(323) 35e-1ees <br />01 1 16002 51603 <br />01 1 16002 5160C <br />01 1 16002 51603 <br />01 1 16002 5777C <br />Fee Type <br />Subpanel <br />General Plan Update <br />I ssuance <br />Microfilm Records <br />Amount <br />57 40 <br />23.79 <br />59 30 <br />4.05 <br />Qty <br />1.00 <br />100 <br />1.00 <br />1.00 <br />Fee <br />$57 40 <br />$23.79 <br />$5e 30 <br />$4 05 <br />State Lic #: 884094 <br />Lic Type: B, C-10 <br />Bus. Lic #: 370311 <br />Workers' Compensation I nsurance:Carrier: State Fund <br />Policy #. 9219010 <br />Expires: 0710412022 <br />Bqtch*:6r:t8?? ?/1g/lrJ2l ID: ELIZABETII0ff ice: (:TYH Trnns*: 1l 1 ol IAcctf: Rel*: ?Lrl;+S7., <br />Rcpt*: tr3417S94 tt /?g/?rr?1, 1t:r: r:r1 AHTrnnsorrtion Totol $14+.i+ <br />Pnc if ic Sout,hern Developrrrent I <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 />Subpanel <br />Genernl PInn Updste F ee <br />Ltl I I 6ttlt?- I1 6uttr-rr-rrr- <br />11 i cr of i lm & Oocumen t E <br />r-r1 1 160LrZ- j7lllrfi[r[r- <br />Electr i cnl <br />U1 1 1 601t2- :,1 6lt3[r[r[r- <br />V iso <br />(:(:+ : ******** **r*572 1 <br />$23."19 <br />$4 . t15 <br />$116"?[r <br />$ 144 " ri4 <br />Auth*:tt+721ti <br />W"rnandez, Kathy <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />R-3 <br />VB <br />cEc 2019 <br />09t28t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Every permit issued 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 the site by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 2021-167434 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23 7e <br />$1 16 70 <br />$4 05 <br />$144.54 <br />$0.00 <br />$144.54 <br />I <br />I <br />t