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Project Address: 3604 W Hazard Ave <br />Assesso/sParcel: 19A-17249 Lot: 79 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: stl <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />E <br />city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714|-667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30239172 <br />Pin #: 32604 <br />Owner: <br />Address: <br />Phonel <br />Tenant Name: <br />Conlraclor <br />Address: <br />Caboraca lnvestmonl lnc, <br />190 W. Third Stroet <br />Santa Ana, CA 92701 <br />(714) 393{001 <br />Owner-Builde. <br />01116002 <br />01'116002 <br />01116002 <br />01116002 <br />01 1'16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />0't116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />5'1602 <br />Notes <br />FeeType Amount <br />Waler Closel 13.69 <br />Shower/Bathtub 21.42 <br />Sink 12.23 <br />Clothes Washer 13.45 <br />Dishwasher 11 .52 <br />Garbage Disp 10.26 <br />Gas Line repair/replace 42.85 <br />Wtr Htr (Res up to 50 gi 21.42 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />3.00 <br />2.OO <br />4.00 <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Foe <br />$41.07 <br />$42.84 <br />$48.92 <br />$13.45 <br />$1 1.52 <br />$10.26 <br />$42.85 <br />$21.42 <br />$21 .25 <br />$52.98 <br />Phone <br />State Lic *: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />NOTICT <br />80tcht:{2758 - 3/11/2018 ID: CCUELLAR0fficr: CTYH TroniS: 56 I of 3lcctS: Ref+: 30239172 <br />RcDt3r02l9t039 - 3/t+/?0t8 12:31 p <br />frooroct ioa Totol tl r 003.64 <br />Csbonoca Investrent Inc. <br />Geoerol Plon tlpdote Fee <br />01116002- 51600000-Building Use: <br />Job Type: <br />Nature o, Work <br />Plannlng Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By: <br />Subiect to Field: <br />Building Permit f: <br />Single Family Dwslling <br />Alteration <br />N/V <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cPc 2016 of auth on file. <br />azt.2i <br />t285.31 <br />ll r(tr3.6( <br />e* N{d{{[dglqsg,lrffitr <br />ICL Check 7?92 <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />, Julie <br />Ewry poinil issuod shall become invalid unless tha wolri on tho site <br />authonzed by such pemit is comnenced withh 1 80 days aftet ils <br />$suance. ot I the wot* authonzed on the site by such psnnit is suspended <br />or abandonad br a peiod ol 1 80 days eftet the time the work is <br />cgrnrnen@d <br />lnspector MID#: 2018-141036 <br />03t1412018 <br />Accountf <br />011 16002 51600 <br />011 16002 51502 <br />Fee Total: <br />Paid to Datel <br />Balance Due: <br />$21.25 <br />s285.31 <br />$306.56 <br />$0.00 <br />t305.56 <br />Q.ensoen