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City of Santa Ana <br />Permit Counter: (7'14) 647-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, C492702 Electrical Permit #: 20164810 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 q\' Pin #: sss55 <br />ProjectAddress: 1117 S Shelley St Unit: <br />Block: NA <br />Bldg: <br />Tract: 3353 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 109443-12 Lot: 44 <br />Owner: <br />Address: <br />James & Manuela Berlier <br />1117 S Shelley St <br />Sanla Ana, CA 927043237 <br />(714) 979-3886 <br />Fee Typs <br />01116002 51603 Serv l\,leler <br />01116002 51600 General Plan Update <br />01 116002 51603 lssuance <br />Amount <br />51 .29 <br />21 .25 <br />52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$51.29 <br />521.25 <br />$52.98Phone <br />Tenant Name:Botchi:41342 - L2/13/2017 I0: CCUELLAR <br />office: CIYH Tronsi! 35 l ot 2Acctl: Ref+r 2t_]164810 <br />Rcpti:02106390 - L2/13/2n11 1(r:F9 Al! <br />Tronsact ion Totol ,22(J,12 <br />Contractor <br />Address: <br />Joseph Hoang Le <br />2285 Montecarlo Drive <br />Chino Hills, CA 91709 <br />(909) 539-5407Phone ,loseph Honng Le <br />State Lic #: 414902 <br />Lic Type: C-36, B, C-10, C-20 <br />Bus. Lic #: 367861 <br />Workers' Compensation lnsurance: <br />Carrier: Exempt <br />Policy #: <br />Expires: <br />Generol PInn updote Fee <br />011r6002- 51600000- <br />Ele.tr icol <br />01116002- 51603000- <br />ViE(t <br />CCt: r*rlrrrrrr*r0239 <br />t21.?5 <br />tLo4 -2? <br />t220.52 <br />Authi: ll0F092 <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Single Family Dwelling <br />Miscellaneous <br />Service meter <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2016 Notes; Service meter. Handout given <br />Planning Conditions: <br />Planning Approval By Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipl: <br />lvlisc. Receipt: <br />Total <br />Plan Checked By: <br />Permit lssued 8y: / <br />Subject to Field: I <br />Building Permit #: <br />Amsden , Julie 12t13t2017 <br />Account# <br />1019s001 $125.52 <br />$0.00 <br />$125.52 <br />Every pemit issued shall become invalid unless lhe wo* oh the sile <br />authonzed by such pemit is commeocod within180 days aft6r its <br />issuance. ot if the wo* authonzed on the site by such pemil is suspended <br />ot abandoned for a petod of180 days aftet the lime lhe wo* is <br />cofimenced <br />lnspector MID#: 2017-140308 <br />01 I 16002 51600 <br />01 1 16002 51603 <br />$21.25 <br />$ 104.27 <br />Fee Total: <br />Paid to Oale: <br />Balance Du6: