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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{635E1 <br />Pin #: 14291lnspectron Requests: (714) 667-2738 lnspector Sectron: (714) 647-5853 <br />Project Address: 1809 N Nancy Ln Unit; <br />Block: NA <br />Bldg: <br />Tract: 1736 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />q <br />Assessor'sParcel:'101-131-22 Lotr 10 <br />Owner: <br />Address <br />Dana Baumer <br />23851 Killlon St. <br />Woodland Hills, CA 91367 <br />(310) 570-0077 <br />01116002 <br />011'16002 <br />01116002 <br />01115002 <br />01 1 16002 <br />011 16002 <br />51603 <br />5'1603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fso Type Amount <br />125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se 1 .52 <br />Light Fixtures 1.0'l <br />Dedicated Circuit 23.87 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />22.OO <br />10.00 <br />18.00 <br />6.00 <br />1.00 <br />1 .00 <br />Fee <br />$30.80 <br />$15.20 <br />$ 1 8.18 <br />$'143.22 <br />$21.25 <br />$52.98 <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address <br />Owner-Builder <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Slngle Family Dwelling <br />Alteration <br />Electrical <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 20r6 Notes: auth on file <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By; <br />Permit lssued By: <br />Subjec'l lo Field: <br />Building Permit #: <br />r,r}Hernandez, Kathy <br />Date: <br />Date: <br />Date:07 to6t2017 <br />Account# <br />l\,lisc. Receipt: <br />Misc. Receipt: <br />Misc. Receiptl <br />Total <br />Every pemil issued shall become involid unless the wod< on the site <br />aulhotized by such petfiit is commenced within180 days after its <br />issuance, ot if the wod< aulhorized on the site by such petnit is suspended <br />ot abandoned lot a pedod ot 1 80 days aftet the lime the wo* is <br />commenced. <br />$281.63 <br />$0.00 <br />$281.63 <br />lnspeclor MID#: 2017-134100 <br />01 1 '16002 51600 <br />01116002 51603 <br />521.25 <br />$260.38 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Phone