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lnspection Requests: (714') 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 1144 W Tenth St <br />Assesso/sParcel: 405-233-03 Lot 22 <br />Unit: <br />Blocki NA <br />Bldg: <br />Tract: 1558 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 211164052 <br />Pin #: 29843 <br />Owner: <br />Address <br />Contraclor: <br />Address: <br />01 1 't 6002 <br />01116002 <br />01 1 16002 <br />01116002 <br />01116002 <br />01116002 <br />51603 <br />5't603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Feo <br />$28.00 <br />$15.20 <br />$ 10.1 0 <br />$119.35 <br />$21.25 <br />s62.98 <br />Tenant Name <br />Fredy Hernandez <br />'l l,l4 W Tenth <br />Santa Ana, CA 92703 <br />Asat Bloch <br />19528 Ventura Blvd Stuite I <br />Tarzana, CA 91356 <br />(8r8) 454-5747 <br />Fee Type Amount Qty <br />125 Volt Receptacle 1.40 20.00 <br />Light Switches, Occ. Se 1.52 10.00 <br />Lighl Fixtures 1.01 '10.00 <br />Dedicated Circuit 23.87 5.00 <br />General Plan Update 21.25 1.00 <br />lssuanco t4l,-h+:40058 52: /2|lt 1.Q0r l. <br />rl i rce; ,:TYH ]r(lns+3 :i5 <br />rr, , li: Rel+r 2u16 <br />1, oi.i:(r20i7239 9/6/1.1_tl7 12t27 <br />i r rrnsor:[ ion ToLql t]93. <br />State Lic #: 1009373 <br />Lic Type: C-10 <br />Bus. Lic #: 366876 <br />workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 9161283 <br />Expires: 0612212018 <br />ietrenol Plon thdote Fee,rl116002- 5160000fJ-:lectricol,rllt6002- 51603000- <br />c(:+: *r*rr rr**rII4 404 <br />8lo,:'h <br />AuLhi: r.l <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Rewire <br />R.3, U <br />cEc 2016 Notesr Revvire throughout and dedicaled circiuts <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Zuniga, Allissa <br />Every pennit issuod shell become inveld unless ahe wolk o, lhe site <br />authonzed by such pennit is cgfifienced within 1 80 days after ils <br />issuance, ot if the wo* aulhoizod on the site by such pemit is suspended <br />or abadonod tgr a pedod ol 1 80 days aftet the line the work is <br />commenced. <br />lnspector MID#: 2017-138444 <br />011 't6002 51600 <br />011 16002 51603 <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />$21.25 <br />$225.63 <br />$246.88 <br />s0.00 <br />$246.88 <br />hA <br />Phone: <br />Phone: <br />i??5.63 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type: <br />Code: <br />Oate: <br />Dale: <br />Date:09/06/2017 <br />Account#