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City of Santa Ana 20 Civic Center Plaza (M-19), Santa ena, CA92702 Electrical <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #:20173778 <br />Pin #: 20495 <br />Project Address: 1611 S Van Ness Ave <br />Assessor's Parce!: 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 />G 57' <br />U <br />uflL <br />'t!-'b <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone: <br />State Lic #: 884094 <br />Lic Type: B, C-10 <br />Bus. Lic #: 370311 <br />Workers' Compensation lnsurance:Carrier: State Fund <br />Policy #. 9219016 <br />Expires: 0710412022 <br />Carlos Marquez <br />1611 S Van Ness <br />Santa Ana, CA 92707 <br />(909) 529-6047 <br />Pacific Southern Developme <br />5482 WILSHIRE BLVD #243 <br />Los Angeles, CA 90036 <br />(323) 35e-1ess <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 />01 1 16002 5777C <br />Fee Type <br />Res Rewire <br />Garage Rewire <br />Serv Meter <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />016 <br />0 16 <br />57.40 <br />23 79 <br />59.30 <br />4.05 <br />Qty <br />1,650.00 <br />250 00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$264 00 <br />$40 00 <br />$s7 40 <br />$23.7s <br />$59 30 <br />$4 05 <br />Building Use. <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approva! By: <br />Plan Checked By: <br />. Permit lssued By: <br />Subject to Field: <br />I Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />lrt Hernan dez,Kathv <br />Occupancy: <br />Constr Type: <br />Code. <br />Date: <br />Date: <br />Date. <br />R-3 <br />VB <br />cEc 2019 <br />07 t14t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes:handout given <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 />01 1 16002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23.79 <br />$420 70 <br />$4 05 <br />$448.54 <br />$0 00 <br />$448.54 <br />lnspector MID#: 2021-167434 <br />I. <br />J