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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanica I <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 1108 W West Oranoe Rd Unit: <br />Block: NA <br />Bldg: Address Range: <br />Tract: POTTS, BOROEN &tflistoric: No <br />Suile Range c <br />AssessoisParcel: 002-301-06 Lot: 13 Zoning: Al <br />Yolanda Gonzalez <br />1108 W West Orange Rd <br />Santa Ana, CA 927061143 <br />(714) 366-1353 <br />01116002 <br />01 1'16002 <br />011'16002 <br />ot t toooz <br />01'!16002 <br />0't 1 16002 <br />516M <br />51604 <br />5't604 <br />5'1604 <br />51600 <br />51604 <br />Fee Type <br />Furnace <br />Oecorative F/P - Gas <br />Bathroom Fan <br />Gas Piping lncidental <br />General Plan Update <br />lssuance <br />Foo <br />$61.07 <br />$ 108.28 <br />$56.84 <br />$20.84 <br />$20.56 <br />$5'1.26 <br />Phone: <br />Tenant Name: <br />Conlraclor <br />Address: <br />Owner-Builder <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic f: <br />Workers' Compensation lnsurance: <br />Carrier; <br />Policy #: <br />Expires: <br />t20.56 <br />t298.29 <br />13 r 161 ,17 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Famlly Dwelllng <br />Additlon <br />Addn <br />Occupancy: <br />Conslr Type <br />Code: <br />Planning Conditions: <br />\x Hernandez, Kathy <br />0ate: <br />Date: <br />Date:t0/18/2016 <br />Account# <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />Buirdins Permit #: 10190725 <br />Every pomit issued shall bocgfio invalid unloss tha wod( on t te slte <br />dutl'rotized by such pemil is commencad within 1 80 days aftot its <br />issuance, ot il lhe wo* authorized on ho sito by such pemit is susponded <br />or abandonod for a peid ol 1 80 days aftot the time lhe wo* is <br />cgfimot@d <br />s318.85 <br />$0.00 <br />3318.85 <br />01't16002 5'1600 <br />01116002 51604 <br />$20.56 <br />$298.29 <br />Fee Total: <br />Paid to Date: <br />Balancs Due: <br />Permit #: 40{30515 <br />Pin #: 72A97 <br />Owner: <br />Address: <br />Amount <br />61.07 <br />54.'14 <br />28.42 <br />20.84 <br />20.56 <br />5'1.26 <br />Qty <br />1.00 <br />2.00 <br />2.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone: <br />Li:0165135u - <br />nsoct ron Totol <br />ndo ooozo lez <br />rql PIon Ued( <br />6U02- 516000t <br />TO: PLOPEZs5of 5 <br />1Cr 1305 t 5 <br />5 l:30 Pn <br />!3r 161 .17 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl lo Field: <br />Notes: <br />R-3, U <br />VB <br />cMc 2013 <br />lnspector MID#: 2016-131617