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N <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana' cAg27o2 Electrical <br />Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714)647-5853 <br />Permit #: 2016478,4 <br />Pin #: 80448 <br />Assessor'sParcel: 396-121-10 Lot.9 <br />Unit: <br />Block: NA <br />Btdg: <br />Tract: 6635 <br />Address Range <br />Historicr No <br />Suite Range: <br />Zoning: Rl <br />Owner <br />Address: <br />Phone: <br />Tenant Name: <br />Jeffrey Rock <br />1209 E Park Ln <br />Santa Ana, CA 927056752 <br />(7141222-6015 <br />Owner-Builder <br />01 116002 51603 <br />01116002 5160C <br />01116002 51603 <br />Fee Type <br />Serv Meter <br />General Plan Update <br />lssuance <br />Amount <br />53.28 <br />22.O8 <br />55 04 <br />Fee <br />$53.28 <br />$22.O8 <br />$5s.04 <br />Qty <br />100 <br />100 <br />100 <br />Phone <br />Botch+:S(f102 - 5/3,!,t?,J\9 Ic: |-R091!ES <br />oflice: CTYH Tronsis 10 1 ol 1A,:ct+: Reli! 2Cr168784 <br />Rcpti:02644{30 - 1/3O/2O19 10:34 An <br />Ironsoct ion Totol l1stJ.{0 <br />l.Ifree Roclr <br />6enerol Plon [Jpdote Fee <br />01116U02- 5160000U- <br />Electr icol <br />011160tr2- 51603000- <br />V iss <br />CC+: rr*rr*I*:r*r7,{ 4 g <br />i?!. r:rg <br />A.!l Lr.nql or,) <br />Building Use: <br />Job Type. <br />Nature o, Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By; <br />Subject to Field. <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter <br />Occupancy: <br />Constr Type: <br />Codel Notes handout given <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />\s Hernandez, Kathy <br />Every permit issued shall bocome hvalid unless lhe wolk or, lhe srte <br />authonzed by such petul $ cofinenced wtthn360days alter ils <br />issuanco. or I lhe woi< authonzed on the slo by such pom E suspendec! <br />ot abandoned lor a penod 01360 days aftet lhe me lho wot* ts <br />commohced <br />05/30/2019 <br />Account# <br />$130.40 <br />$0.00 <br />$'130.40 <br />lnspector <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$22.08 <br />$108.32 <br />Proiect Address: 1209 E Park Ln <br />Conlractol <br />Address: <br />Slale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy *: <br />Expires: <br />R.3, U <br />VB <br />cEc 2016 <br />Fee Tolat <br />Paid to Date <br />Balance Due: <br />MID#: 2019-151820