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City of Santa Ana <br />Permit Counter: C/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: C/14) 647-5853 <br />Mechanical Permit #: 40133194 <br />Pin #: {6835 <br />Proiect Address: 3622W Hazard Ave Unit: <br />Block: NAAssessor'sParcel: 198-16148 Lot; 28 <br />Btdg: <br />Tract 554 <br />flAddressRange: 3622-3634 <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contraclor: <br />Address: <br />Caboraca lnvestment, lnc. <br />190 W. 3rd Street <br />Santa Ana, cA 92701 <br />(714) 393-8001 <br />Owner-Builder <br />01 I 16002 51604 <br />0 1 '1 1 6002 5'1 604 <br />01116002 51604 <br />01 1 16002 51604 <br />01 1 16002 5160C <br />01116002 51604 <br />Fee Type Amount <br />Wall Heater/Floor Furna 65.57 <br />Clothes Dryer - Residen 40.34 <br />Bathroom Fan 30.52 <br />Range Fan 32.30 <br />General Plan Updale 22.08 <br />lssuance 55.04 <br />Qty <br />3.00 <br />1.00 <br />4.00 <br />'t.00 <br />1.00 <br />1.00 <br />Fee <br />$196.71 <br />$40.34 <br />$122.08 <br />$32.30 <br />$22.08 <br />$5s.04 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #; <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />rtch+:48403 - 2/19/?QLq ID: LRoSALES <br />o <br />4I <br />I <br />il <br />A <br />ffice: CTYH TPanEt: 83 13cct+: Reftr 401331? <br />RcDt+:02530570 - 2/19/21!9 1?223 P <br />Tnonsoct ion Totq1 l29 r 164. <br />t19 <br />nborocs Invsstrent r In.- <br />Generol Plon Uedote Fee <br />01116002- 51600000- <br />llechan i col <br />0tu6002- 5160{000- <br />ICL Check 9151 <br />_ lzt.o8 <br />_ 1116.17 <br />l28r 164.58Building Use: <br />Job Type: <br />Nalure of Work <br />Single Family Dwelling <br />New <br />New SFD <br />Occupancf: <br />Constr Type: <br />Code: <br />R-3, U <br />V B, SPK <br />cMc 2016 <br />Notes: <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By; <br />Permit lssued By: Zuniga, Allissa <br />Subject lo Field: <br />Buildins Permit #: 101 95881 <br />Ewry pemit issued shall become invalid unless the work on the site <br />aulhoized by such pemit is conmenced within 180 days afret ils <br />issuance, ot il the wod< authoized on the site by such pemit is suspendod <br />ot abandoned fgt a pedod ot 1 80 days aftor the tirne lhe wod< is <br />commenctd. <br />o211912019 <br />Account# <br />Date: <br />Date: <br />Oale: <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />$22.08 <br />$446.47 <br />$468.55 <br />$0.00 <br />$468.s5 <br />lnspector MID#: 2017-140492 <br />0'1116002 51600 <br />01 1 16002 51604 <br />Fee Total <br />Paid to Date: <br />Balance Oue: