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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Cavic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Ptl Electrical Permit #: 20{ 67965 <br />Pin #: 21915 <br />Project Address: 624 S Birch St Unil: <br />Block: I <br />Bldg: Address Range: <br />Tract: HENINGER'S SECOHistoric: Yes <br />Suite Range: <br />Zoning: SBtoLot POR 12 <br />Owner; <br />Address <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Ryan Powell <br />624 S. Blrch Street <br />Santa Ana, CA 927015610 <br />(909) 957-8731 <br />01 't '16002 51603 <br />01 't 16002 51600 <br />01 1 16002 51603 <br />Fee Type <br />FWU <br />General Plan Update <br />lssuance <br />Fee <br />$24.79 <br />$22.08 <br />$55.04 <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />IO; LROSALI2of 4 <br />'/ ttl(t796' <br />3: 1' Pll <br />t7 )6.37 <br />Building Use: <br />Job Type; <br />ilalure of Work <br />Single Family Dwelling <br />Alteration <br />Create Bathroom <br />10199046 <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cEc 2016 Notes <br />Planning Conditions: lnterior work only. No exterior alterations or modifications. <br />Re-activate explred permit #10120357 to convert <br />master closet lo bathroom. Re-configure this <br />bathroom, fixtures, & frame-in (1) bathroom door <br />leading to laundry room. <br />Dale <br />Dale <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />lnspector MID#: 2019-'149150 <br />01 1 16002 51600 <br />011 't6002 51503 <br />$22.08 <br />$79.83 <br />Fee Total: <br />Paid lo Date: <br />Balance Due <br />Assesso/sParcel: 010.t5l-15 <br />Amount <br />24.79 <br />22.O8 <br />55.04 <br />Owner-Builder <br />Phone: <br />gotch+:49?37 - 2/7 /2til9off icer (.TYH Trcns+: ,17Ar:,:ti; Ref + <br />R(pt::n?5?3514 - 2/7 /'t(i1 <br />Troosq,:t ioo Tot(1 <br />iron Poye1l <br />6cr;e.:tl Pl(ln Updnte Fee <br />0r116002- 516000011- <br />El ectr ic0l <br />0l l 1600?- 5160:1110rl- <br />Uisn <br />C( a ! rrI{r{*r}rrr {369 <br />$22.08 <br />r79.93 <br />t796.37 <br />Auth:3r:1717t0 <br />02to1 t2019 <br />Account# <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued 8y: <br />Subject to Field: <br />Building Permit #: <br />Chavez, Dave9a' <br />Every pomit issued shall become invalid unless the wotu on the site <br />authoized by such pemit is commenced within 180 days eftot ils <br />issuance. o. il the wod< authoized on the site by such pennit is suspended <br />ot abandongd fot a penod of 1 80 days aftet the time the wo* is <br />commenced. <br />$101 .91 <br />$0.00 <br />3101.91