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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, Cn gZt OZ Electrical Permit #: 2O168{ 68 <br />) ein*: 86{ze <br />L <br />lnspection Requests: (714) 667-2738 lnspeclor Section: (714) 647-5853 <br />Project Address: 2128 S Hickory St Unil: <br />Block: 13 <br />Btdg. <br />Tract: 560 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1Assessor'sParcel: 016-113-19 <br />Owner: <br />Address <br />Nancy Lazaro-Loeza <br />2128 S Hickory St <br />Santa Ana, CA 927072912 <br />l7't41275-2778 <br />Fee Typo <br />01'l 16002 5'1603 Addn/Res <br />01116002 5'1603 FWU <br />01116002 51600 General Plan Update <br />0'1116002 51603 lssuance <br />Amount <br />o.14 <br />24.79 <br />22.O8 <br />55.04 <br />Qty <br />1.00 <br />1.00 <br />'t.00 <br />1.00 <br />Fee <br />$0 14 <br />$24.79 <br />$22.08 <br />$55.04 <br />Contractor <br />Address: <br />Owner-Builder <br />Phone <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Single Family Dwelling <br />Addition <br />Addition <br />Occupancy: <br />Conslr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2016 <br />Planning Conditions <br />Planning Approval By: Date: <br />Plan Checked By: \) Date: <br />Permit lssued By: Verduzm, VioleN Date: O3lll/2019 <br />Subject to Field: Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />01 1 16002 5't600 $102.05 <br />$0.00 <br />$102.05 <br />lnspector MID#: 2019-148731 <br />01'1 16002 51603 <br />$22.O8 <br />$79.97 <br />Fee Total: <br />Paid lo Datel <br />Balance Oue <br />Lot. '15 <br />Phone: <br />Tenant Name: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance; <br />Canier: <br />Policy #: <br />Expires: <br />/ tr / 2lt9'one+: 4[l <br />R€l+:i/ tl J:tr|tl <br />lll <br />j <br />t11: <br />llrt r <br />prlflte F€e <br />Buildins Permit #: 10199095 <br />Every pemil issu'd sha becofie invalid unless lhe work oD lhe silg <br />authoized by such peftnit is commenced withih 180 deys aftet its <br />issuance, or if lhe wo* authorized on the sile by such pemit is suspended <br />or abandoned fot a penod o1180 days aftet the tiire lhe work is <br />cofimenced. <br />Noles: