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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA9?702 Electrical Permit #: 2O1622E4 <br />Pin #: 57127fnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 4605 W Roosevelt Ave Unit: <br />Block; NA <br />Bldg: <br />Tract: 3669 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl \LAssessor'sParcel: 100-581-36 Lot 55 <br />Owner: <br />Address <br />Alma Lopez <br />4605 W Roosevelt Ave <br />Santa Ana, CA 927032550 <br />(714) 299-6259 <br />Fee Type <br />01 1 16002 51603 Addn/Res <br />01116002 51603 Low Voltage/Res <br />01116002 51600 General Plan Updale <br />01116002 51603 lssuance <br />Amount <br />0.13 <br />34.20 <br />20.56 <br />51 .26 <br />Qty <br />208.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$27 04 <br />$34.20 <br />$20 56 <br />$51.26 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Burlding Use: <br />Job Typer <br />Nature of Work <br />Single Famlly Dwelling <br />Addition <br />Addn-2nd Floor <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 20r3 Notes <br />Planning Conditions: All materials to match existing <br />Planning Approval By Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Fieldl <br />Building Permit #: <br />12J2712016 <br />Account# <br />0191517 $20.56 <br />$1 12.50 <br />$'133.06 <br />$0 00 <br />$133.06 <br />Every pemit issued shall becone invalid unless the wolk on tho sile <br />1uthorized by such pefinit is conmenced wilhin 180 days after its <br />issuance. ot it tha wo* aulhorized on lhe site by such porfiit is suspended <br />ot abandonad fot a peiod of 1 80 days aftet lha timo the wo* is <br />commenced. <br />lnspector MID#: 2016-133253 <br />01116002 51600 <br />01 '1 16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />rn