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City of Santa Ana <br />Permit Counter; (714) 647-5800 <br />20 Civic Center Plaza (ir-19), Santa Ana, C492702 Electrical Permit #: 20164626 <br />Pin #: 1o47!llnspection Requests: (714) 667 -2738 lnspector Section: (714) 647-5853 <br />Project Address: 1038 W Hiohland St Unit: D <br />Block: 2 <br />Bldg: Address Range: <br />Tract: HILLYARD ADO Historac: NoAssessor'sParcelr 010.192-07 <br />OAVID K MILLER <br />2870 CHTOS RD <br />Costa Mesa, CA 926263524 <br />17141557-1235 <br />01116002 <br />01116002 <br />011'16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 'r 6002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures '1.01 <br />Min Fee Adj 14.06 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />18.00 <br />14 00 <br />10.00 <br />1 .00 <br />100 <br />1.00 <br />Fee <br />$25.20 <br />$21.28 <br />$ 1 0.10 <br />$14.06 <br />$21.25 <br />$52.98 <br />Phone: <br />Tenant Name <br />Conlraclor <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #; <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Multi-Family (5 or more uni Occupancy: <br />Alteration Constr TYPe <br />Rewire Code: <br />U, R-2 <br />VB <br />cEc 2016 <br />Planning Conditions <br />Planning Approval By Date <br />Date <br />Date <br />l\risc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Plan Checked By <br />Permit lssued By <br />Subjecl to Field <br />\ <br />(\1111s12017 <br />Account# <br />Buildins Permit #: '--{O194816 <br />Every pennit issued shall becofie invalid unless the wo* on the sito <br />authoizod by such pemil is commenced within 180 days aflet its <br />issuance, ot if the wod< euthorized on the site by such pemit is suspendod <br />ot abandoned lor a petiod ol180 days aftot the lime the wo is <br />cofiiteroed <br />$144.87 <br />$0.00 <br />1144.87 <br />lnspector MID#: 2017-139966 <br />01116002 51600 <br />01 116002 5'1603 <br />$21 .25 <br />$123.62 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Lot POR 16 <br />Suite Range. <br />Zoning: R3 <br />Owner: <br />Address: <br />Notes <br />^va'