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Cify of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ica I Permit #: 40{32608 <br />Pin #: 37315 <br />..1lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 J <br />t ProjectAddress:21121l2 N Ross St Unit: <br />Block: NA <br />Bldg: <br />Tract 788 <br />Address Range: <br />Historic: Ye3 <br />Suite Range: <br />Zoning: R1Assessor'sParcel: 002-112-14 Lot: 36 & POR 33 <br />Owner: <br />Address <br />Gary & Julie Humphreys <br />2112 N Ross St <br />Santa Ana, cA 927062508 <br />(7141$41-3452 <br />01116002 <br />011 16002 <br />011 16002 <br />01116002 <br />01'1 16002 <br />011 16002 <br />51604 <br />5'1604 <br />51604 <br />51604 <br />5160C <br />5't604 <br />Fee Type Amount <br />Furnace 65.59 <br />Clothes Dryer - Residen 40.34 <br />Bathroom Fan 30.52 <br />Laundry Fan Envir. Air 34.84 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1.00 <br />1.00 <br />'t.00 <br />1.00 <br />1.00 <br />1.00 <br />Fe6 <br />$65.59 <br />$40.34 <br />$30.52 <br />$34.84 <br />$22.08 <br />$55.04 <br />Phone: <br />Tgnant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />r: (TYH <br />9/l?/2trlg I0r LR0SAL| <br />Trgns+r 33 4 of , <br />Ref+: 1r_r132609- 9.'1?/?r119 lrrig Pfl <br />Phone <br />State Lac #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Iolol <br />,ul ie Hurnphr€ <br />516040t:r0 <br />{080 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling Occupancy: <br />Addition Constr Type: <br />Addition to 2nd Dwelling UnCode: <br />R-3, U <br />VB <br />cMc 2016 Notes <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />09/19/20't8 <br />Account# <br />Buirdins Permil #: 10197129 <br />Every permit issued shall become invalid unless the wo* on the site <br />authorizod by such pemit is commenced withinlS0days aftet its <br />issuance, ot if the wo* authorized on the site by such penit is suspended <br />ot abandoned lor a peiod of180 days aftet the time the work is <br />commenc:ed. <br />$22.08 <br />$226.33 <br />$248.4'1 <br />$0.00 <br />$248.41 <br />lnspector MID#: 20'18-143158 <br />01116002 51600 <br />011 16002 51604 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />(fH"rn"na"., xartv <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total