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City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CAg27o2 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2lJ17062fi <br />Pin #: 4e6fj <br />Assessor'sParcel: 111-1'l.1-1'l Lot. NA <br />Unit: <br />Block: NA <br />Bldg <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suile Range; <br />Zoning: Ri <br />Owner: <br />Address <br />Phone <br />Tenant Name <br />City Of Santa Ana <br />.5lec.y,/aloh+r?€ffiqr6te-- 20 cN l'- eElrt={L lir- <br />r oc ^ngAfcrt Cn 90g3€36ao . *pra .pl, CA 1?zal 01116002 5'1603 <br />01 1 16002 5'1600 <br />01116002 51603 <br />01116002 57770 <br />Amount <br />107.11 <br />22.95 <br />57 .20 <br />3.91 <br />Fee <br />$'l 07.1 1 <br />$22.95 <br />$s7.20 <br />$3.91 <br />S R Bray LLC dba Power Plr <br />'1210 N Red Gum St <br />Anaheim, CA 92806 <br />(714) 507-1881Phone <br />State Lic #r 980589 <br />Lic Type: B, C-10, D-31 <br />Bus. Lic #: 344085 <br />Workers' Compensation lnsurancelCarrier: Federal lns Co <br />Policy #: 54309652 <br />Expires: 0313112020 <br />Building Use: <br />Job Typel <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permlt lssued By: <br />Subject to Field: <br />Building Permit #: <br />City <br />Miscellaneous <br />Temporary Power Pole <br />N/A <br />N/A <br />cEc 2019 Notesr lnstallation of a temporary power pole for a City Sewer <br />Lift Station. <br />$191.17 <br />$0.00 <br />$191.17 <br />Chavez.Dave )L _01t2112020 <br />Account# <br />Every pomit tssued shallbecome invalid unlesslhe wo* on lhe site <br />authoized by such pemit is commenced wlhin 360 days aftet ils <br />issuance or if lhe work authorized on the site by such pemtt is suspended <br />orabandoned for a penod ot 360 days afte( the ume the work is <br />commenced <br />lnspector MID#: 2020-157216 <br />01 1 16002 51600 <br />01116002 5'1603 <br />01116002 57770 <br />$ 164.3'1 <br />$3.91 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Project Address: 1112 W Segerstrom Ave <br />Fee Type <br />TPP <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Qty <br />1 .00 <br />'1 00 <br />100 <br />100 <br />Contractor: <br />Address:P.ntch+:51996 -triii.Pt t:TYll <br />ticp t+ | 0?969.i;i4 <br />Tronqo,:t ion Tc <br />l/1.t)1.1 9111 <br />*1?1. <br />!r F( Er.(le l-L(-: dbcl FoHer' Plu <br />Occupancy: <br />Constr Type: <br />Code. <br />Date: <br />Date: <br />Dale. <br />Misc. Receipt: <br />Misc. Receipt: <br />l\4isc. Receipt: <br />Total