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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: 1714) 667-2738 lnspector Section: (71q A47-5853 lR <br />Permit #: 20171651 <br />Pin #: 116,75 <br />Project Address:N Westwo <br />Assessor'sParcel 001-165-10 Lot. '16 <br />Unit: <br />Block: NA <br />Bldg: <br />T.act2977 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Contractor <br />Addressi <br />Phone <br />Ten3nt Name <br />Peter Tuczynski <br />2109 N Westwood Ave <br />santa Ana, cA 927051923 <br />(323) 459-1914 <br />A-Home Services lnc dba A <br />8536 Hamilton Ave <br />Huntington Beach, CA 9264 <br />(949) 469-4443 <br />011 r6002 51603 <br />011 16002 5't600 <br />01116002 51603 <br />011'16002 57770 <br />Fee <br />$2s.09 <br />$23.79 <br />$59.30 <br />$4.05 <br />Fee Type Amount <br />Over 1-10 HP, KW or K\ 25.09 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microlilm Records 4.05 <br />Notes EV charger located inside garage <br />Qtr <br />1.00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Phone <br />State Lic #: 1023038 <br />Lic Type: C-10 <br />Bus. Lic #: 371559 <br />Workers' Compensalion lnsurance: <br />Carrier: Norguard lns Co <br />Policy #: '108304 <br />Expires: 0310712021 <br />Building Use: <br />Job Type; <br />Nature of Work <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 />Alteration <br />EV charger <br />Occupancy: <br />Conslr Type <br />Codel <br />R.3, U <br />VB <br />cEc 2019 <br />Date <br />Dale <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />lvlisc. Receipt: <br />Total <br />sden, Julie <br />Every permt issued shall becone invalid unless the work on the sile <br />authorized by such pemil is commenced within360 days after ils <br />issuance. or I the wofu aulhorized on lhe site by such pefinil ts suspenale<! <br />ot abandoned lot a peiod o1360 days aftat tho ttmo lhe wo* ts <br />cammanced <br />08t1212020 <br />Account# <br />$112.23 <br />$0.00 <br />sl 12.23 <br />lnspector l\/lD#: 2020-'160739 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23.79 <br />$84.39 <br />94.0s <br />Fee Tolal <br />Pard lo Dale <br />Balance Due