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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Electrical Permit #: 2Ol <br />Pin #:9419 <br />FP <br />Project Address:1809 N ancv Ln <br />Assessor'sParcel l0l-13'l-22 Lot: l0 <br />Unit: <br />Block: NA <br />Address Range: <br />Histonc: No <br />Suite Range: <br />Zoning: R'l <br />Owner <br />Address <br />Phoner <br />Tenant Name <br />Contractor <br />Addressl <br />Dana Baumer <br />23861 Killion St. <br />woodland Hills, CA 91367 <br />(310) s70-0077 <br />Owner-Builder <br />01116002 51603 <br />01116002 51603 <br />01116002 5'1600 <br />01116002 5'1603 <br />Amount <br />140 <br />23 87 <br />21 .25 <br />52.98 <br />Foe Typo <br />125 Voll Receptacle <br />Dedicaled Circuit <br />General Plan Update <br />lssuance <br />Qty <br />12.00 <br />1.00 <br />1.00 <br />1.00 <br />Fes <br />$16 80 <br />$23 87 <br />$21.25 <br />$52.98 <br />ni. +ltth <br />cei (:lYH <br />i : (r2?u 1l <br />s0rt ion <br />P.ou er <br />?,9 <br />T.Phone <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Plan Checked By <br />Permil lssued By <br />Subject to Field: <br />Bullding Permrt # <br />Occupancy: <br />Constr Type <br />Code: <br />Date <br />Date <br />R-3 <br />VB <br />cEc 2016 <br />Planning Conditions: Relocate washer/dryer to living room <br />Planning Approval By Date <br />d 03/19/2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />sk <br />2029 <br />Every pemit issued shell becofie invalid unless lhe wolr( o, lhe sile <br />aulhonzed by such peml B commenced withn 180 days atter its <br />6suance. or il lhe worl< aulhonzod on the stte by such pemil is susponded <br />or ebandoned lot a penod of160 days atler the ttme the wod< ls <br />cgfifienced <br />01 1 16002 51600 <br />lnspector MID#: 2017-134'100 <br />01116002 51603 <br />$21 .25 <br />$93 65 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$114.90 <br />$0.00 <br />$114.90 <br />Bldg: <br />Tracl: 1736 <br />Bualding Use: Single Family Dwelling <br />Job Type: Alteration <br />Nature of Work: OutleE/Ded Circuit <br />Notes Auth. filed.