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Ciff of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702 Electrical Permit #: 2lJ163141 <br />Pin #: 99659lnspection Requests: (714) 667-2738 lnspeclor Section: (714) 647-5853 <br />Unit: <br />Block: NA <br />Bldg: <br />Tfacl:5282 <br />Suite Range: <br />Zoning: Ri <br />4q" <br />Lol 22 <br />Owner: <br />Address <br />Ruben Birle <br />1014 E. Twenty-first Street <br />Santa Ana, CA 927063027 <br />(7',t41423-0776 <br />Amount <br />23.09 <br />20.56 <br />51 .26 <br />Qty <br />1.00 <br />1 .00 <br />1.00 <br />Fee <br />$23.09 <br />$20.56 <br />$51.26Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Owner-Builder <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic i: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Miscellaneoug <br />Compressor <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cEc 2016 <br />Notes: Direct Change Out, Owner-Builder form onfile <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Chavez,Oave /, <br />Oate <br />Date <br />Oate 05to812017 <br />Account# <br />Misc. Receipl: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Every pennit issued shall becono invalid unloss the wo* on lhe site <br />authorized by such pgmil is commonced wilhin 180 days aftet its <br />issuance, ot if the wod( authonzed on the site by such pormit is suspended <br />ot abandoned fot a pedod of 180 days sftet lhe time the wo* is <br />cgmmencod <br />$20.56 <br />$74 35 <br />$94.91 <br />$0.00 <br />s94.91 <br />lnspector MID#: 2017-135937 <br />01 1 16002 s1600 <br />01 1 16002 51603 <br />Fee Total: <br />Paid to Oate: <br />Balance Due: <br />Project Address: 1014 E Twentv-First St Address Range: <br />Hisloric: NoAssessor'sParcel: 396-082.19 <br />Fee Type <br />01116002 51603 FWU <br />01 116002 51600 General Plan Update <br />01 116002 51603 lssuance