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(M-19), Santa Ana, CA 92 <br />uests: (714) 667-2738 lnsp <br />Unit: <br />Block: NA <br />Bldg <br />Tract <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Totalunt# <br />01 <br />01 <br />01 <br />01 <br />01 <br />01 <br />01 <br />R-3 <br />VB <br />cEc 20't9 <br />$23.79 <br />$234.s3 <br />$4.05 <br />16002 51600 <br />16002 s1603 <br />16002 57770 <br />CitY of Santa Ana 2o civic center <br />Permit Counler: (714) 647-5800 lnspection <br />Project Address: 114 N Laurel St <br />Assessor'sParcel. 198-252-27 Lot: 128, POR 127 <br />2 Electrical <br />Fee Type <br />125 Volt Receptacle <br />Lighl Switches, Occ. Se <br />Lighl Fixtures <br />Serv Meter <br />General Plan Update <br />lssuance <br />l\,licrofilm Records <br />t <br />Permit #: 2(J172562 <br />Pin #: 74390r Sectionr (714) 647-5853 <br />Suile Range; <br />Zoning: R2 <br />Owner <br />Address: <br />Contractor <br />Address: <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />5'160: <br />5160: <br />51603 <br />5160: <br />5160C <br />5160: <br />5777C <br />Amount <br />1 .57 <br />'t .70 <br />1 .13 <br />57 .40 <br />23.79 <br />59.30 <br />4.05 <br />Qty <br />39.00 <br />20.00 <br />20.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$61.23 <br />$34.00 <br />$22.60 <br />$57.40 <br />$23.79 <br />$s9.30 <br />$4.05 <br />Tenant Name: <br />Ruben Ortiz <br />114 N Laurel St <br />Santa Ana, CA 927033467 <br />(7r4) 554-3830 <br />A&RReconstructlonlnc <br />8041 Felix Ave <br />Bell, CA 9020'l <br />(323) 493.1s35 <br />Single Family Dwelling <br />Alteration <br />Fire Damage/Windows <br />\l Hernandez, Kathy <br />Danny Nguyen <br />6002 <br />16002 <br />State Lic #: 1015009 <br />Lic Type: B <br />Bus. Lic #; 376900 <br />Workers' Compensation lnsuranceCafiiet: Exempt <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked Byi <br />Permit lssued By: <br />Subject to Field: <br />Occupancy: <br />Constr Type: <br />Code:Notes Repair dry\ rall and insulation through out due to fire <br />damage, remove and replace windows, reroof w/t.o. <br />$262 37 <br />$0.00 <br />i262.37 <br />Dale <br />Date <br />Dale 01t <br />Buildins Permil *r 101 105638 <br />Ewry peinit $sued shall become invalid unless the wod< on lhe sile <br />autlpnzed by such pemil is commonced within 360 days afte( ts <br />issuancc, ot if ll'€ wotk authonzed on the site by such permit is suspended <br />ot obandoned fo. a pend o1360 days after the tifie the wotu is <br />com.',on{8d. <br />lnspector MID#: 2021-163689 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Address Range; <br />Historic: No <br />Phone: <br />1 <br />1 <br />1 <br />1 <br />1 <br />Phone:n <br />I <br />01 <br />01 <br />01