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City of Santa Ana <br />Permlt Counter: C/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (7 14). 667-2738 lnspector Section: (714) 647-5853 <br />Mechan ical Permit #: 40{33079 <br />Pin #: {4965 <br />E?Project Address: 4902 W Bruce Ave Unil: <br />Block: NAAssesso/sParcel: 10045643 Lol: 4 <br />Bldg: <br />Tract 2t165 <br />Address Range: <br />Historic: No <br />Owner: <br />Address: <br />Phone: <br />Tenant Namar <br />Contractor: <br />Address: <br />Ken Ouc Nguyen <br />4902 Bruce Ave <br />Santa Ana, CA 92703 <br />(714) 933-6895 <br />Owner-Builder <br />Fee Type <br />01116002 516& Bathroom Fan <br />0l'l16002 5160C General Plan Update <br />01'l 16002 5'l6(N lssuance <br />Amount <br />30.52 <br />22.08 <br />55.04 <br />Feo <br />$30.52 <br />$22.08 <br />$55.04 <br />Qtr' <br />100 <br />1 .00 <br />100 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />t ttl tutronsri /tiefi:- ii ii i2tit <br />lur rirA(Llrlioii <br />iulsJU /t <br />SrJi Prii'i5.:2 <br />Xen out <br />Genero: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Slngle Family Dwelllng <br />Addition <br />Addltion <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3 <br />VB <br />cMc 2016 <br />I <br />outurA,irri{Noles: <br />Planning Conditlons: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: Zuniga, Allissa <br />Subjecl to Field: <br />BuirdinsPermit#: 10197571 <br />Evary pemit issued shall becrme invalid unless lh€ work o, tio srle <br />auhonzed by such pemit is cgmmencad within 1 80 days afret ils <br />issuance, ot if the wo* euthotizod on tho site by such pemit is suspendod <br />ot abondoned for a pe )d of180days aflet tho lime ttl€ wotk is <br />camrcr@d. <br />01t1712019 <br />Account# <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$ 107.64 <br />$0.00 <br />$107.64 <br />lnspector MID#: 2018-144629 <br />01 1 16002 51600 <br />01 116002 51604 <br />Fee Total <br />Paid to Date: <br />Balance Oue: <br />Suite Range: <br />Zoning: Rl <br />$22.08 <br />$8s.56