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ProjectAddress: 3504 W Hazard Ave <br />Assessor'sParcel: 198-17249 Lot.79 <br />Unil: <br />Block: NA <br />Bldg: <br />Tracl: 554 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />q <br />City of Santa Ana <br />Permil Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: i,714\ 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 402319t9 <br />Pin #: 19603 <br />Phone <br />Tenant Name: <br />Caboraca lnvestment lnc. <br />190 W. Third Street <br />Santa Ana, CA 92701 <br />(714) 393-8001 <br />Owner-Builder <br />011 16002 51604 <br />01116002 51604 <br />0't 1 16002 5'1604 <br />01116002 51604 <br />01116002 51604 <br />01116002 s1600 <br />01116002 51604 <br />Owner: <br />Address: <br />Foe Typo Amount Qty Fee <br />Wall Healer/Floor Fuma 63.12 1.00 $63.12 <br />Clothes Dryer - Residen 38.83 1.00 $38.83 <br />Bathroom Fan 29.38 3.00 $88.14 <br />Range Fan 31.'10 1.00 $31.10 <br />Envir. Air other 33.89 1.00 $33.89 <br />General Plan Update 21.25 1.00 $21.25lssuance 52.98 1.00 $52.98 <br />Eotcha:{2759 - 3/11/2ttl8 I0: (:(.ut.l l.Alr0ffice: CTYH Tnqns+: 56 3 (i{ .iAccti: Ref+: {(r23l9 tv <br />Rcptir02198041 - 3/11/2(118 l2:j1 tfl <br />Tronsoct ion Totol 11' 0l-r1.,)1 <br />Coboroco Investient Inc. <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lac #: <br />Workers' Compensalion lnsurancel <br />Carrier: <br />Polic-y #: <br />Expires: <br />NOTICE C <br />Go.Fol Plon Ucdqte Fao <br />0ll16002- 51600@0- <br />Itechon i co I0lll6m2- 5160{000- <br />ICL Chec* 7W2 <br />t2L .21 <br />t308.06 <br />ll 1003.61 <br />Buildang Use: <br />Job Type: <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cMc 2016 <br />Single Family Dwelling <br />Altcratlon <br />N/V <br />Amsden, Julie <br />Notes Per Notice to Correct - letter of auth on file. <br />Planning Conditlons: <br />Planning Approval By: <br />Plan Checked By: / <br />Permit lssued By: \ <br />Subiecl to Field: <br />Building Permit #: <br />Every pemit issued shall became invalid unless tl,e wort on t e site <br />authonzod by such pemit is comnenc,ed within 1 80 days eftot its <br />issuanca, ot il the wgft authotized on the sile by such pemit is suspended <br />ot abandonad lot e period ol,180 days afret the timg the wod< is <br />co,7rnl€ocad <br />lnspector MID#: 2018-141036 <br />03114t2018 <br />Account# <br />011 16002 51600 <br />01116002 51604 <br />$21.25 <br />$308.06 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Date: <br />Date: <br />Oate: <br />$329.31 <br />$0.00 <br />3329.31 <br />Contractor <br />Address: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total