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r Plaza (M-19), Santa Ana, <br />n Requests (714\ 667-2738 <br />Unit: <br />Block: NA T <br />01 1 16002 53601 <br />s <br />05t10t2021 <br />R.3, U <br />VB <br />cEc 2019 <br />Misc. Rece <br />Misc. Rece <br />Misc Rece5111t2021 <br />Account# <br />CitY of Santa Ana 20 civic c <br />Permit Counter: (714) 647-5800 lns <br />92702 <br />lnspector Section (714) 647-5853 <br />Permit #: 2lJ173240 <br />Pin #: 42322 <br />Electrical <br />Project Address: <br />Assessor'sParcel 001-055-06 Lot 65 <br />Viet Nguyen <br />1418 W Marion Way <br />Santa Ana, CA 927061846 <br />(714) 653-8638 <br />Tesla Energy Operationg <br />2102 Alton Parkway <br />lrvine, CA 92606 <br />(714) 496-0588 <br />Owner. <br />Address: <br />Conlractor <br />Address: <br />01 116002 5360' <br />01 1 16002 5160( <br />01 1 16002 5777C <br />Amount <br />239.34 <br />405 <br />Feo <br />$478.68 <br />$0.00 <br />$0.00 <br />Bldg: <br />ct: 1608 <br />7 5482 <br />otal <br />Address Range: <br />Historicr No <br />Suite Range: <br />Zoning: Rl <br />Fee Type <br />Revision <br />General Plan Update <br />Macrofilm Records <br />Qty <br />2.00 <br />0.00 <br />0.00Phone <br />Tenanl Name: <br />Phone <br />Stale Lic *: 88810/r <br />Lic Type: B, A, C-10, C-20, C46 <br />Bus. Lic #: 324801 <br />Workers' Compensalion lnsurance <br />Carrier: Zurich American <br />Policy #: WC107458303 <br />Expires 1013112021 <br />Botchi:59133 - 1/ll/ztt?t I0: ELIZA8ETtoffice: CIYH Trnnsit 4 Z of 2Accti: Refi: 2017321U <br />Rcpt+:03286168 - 3/11/2(121 9:i7 AnIronsoct ion Totol t363.n6 <br />Te.-Is Enersy op€tot ions <br />Occu <br />P/(: Electr ic <br />01116002- 53601u|:r0-lloster (:ond <br />CCa s rr**rrrlrrrr2l9l <br />_ t239.34 <br />i363. 116 <br />Auth+:048365Building Use: <br />Job Type. <br />Nalure of Work <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Fieldl <br />Building Permit #l <br />Single Family Owelling <br />Revision <br />Revision <br />Smith, Mark <br />Zunrga, Allissa <br />10110s634 <br />Constr <br />Codel <br />Date <br />Date <br />Date <br />Notes Revision to 20172559-change intener type <br />Every po nt issuec! shall become nvahd unless lhe wgfu on lhe site <br />aulhonzed by such pennit B commenced wtthn 360 days atler ls <br />$478 68 <br />$239.34 <br />$239.34 <br />lnspector MID#: 2021-163686 <br />a.l <br />6suance. ot il the wot* authoized on tho stte by srch pefinil is <br />ot abandoned lgt a penod ot 360 days aftet lho lnp tlld wo* ts <br />cofifiencid <br />Fee Totat <br />Paid lo Date: <br />Balance Due: