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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 9270? <br />lnspection Requests: (7 14], 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2016,4012 <br />Pin #: 5EO\,l <br />Project Address: 1917 S Ross St <br />Assessor'sParcel: 0'15-061-05 Lot: l1 <br />Unit: <br />Block: D <br />Btdg: <br />Tracl: 289 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address; <br />Phone: <br />Tenant Nam€: <br />Contraclor <br />Address: <br />Leticia Vazquez <br />1917 S Ross St <br />Santa Ana, CA 927072228 <br />(714) 640-1968 <br />Owner-Builder <br />Fee Type <br />011 16002 51603 Addn/Res <br />01116002 51600 General Plan Update <br />011 16002 51603 lssuance <br />Amount <br />0.14 <br />21 .25 <br />52.98 <br />Qty <br />,14.00 <br />1.00 <br />1.00 <br />Fee <br />$6.16 <br />$21.25 <br />$52.98 <br />h+:,10000 <br />ce: ( IYH <br />5CI LPhone <br />State Lic #: <br />Lic Type: <br />8us. Lic #: <br />Workers' Compensalion lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />,0 0t <br />l_ ll'l <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued 8y: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dvvelling <br />Addition <br />Bathroom addition <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2016 Notes <br />!a <br />Date: <br />Date: <br />Date:Hernandez, Kalhy <br />10193712 <br />oat31l2017 <br />Accou nt# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every porrnil issoed shall becone invalid unless lho wotu on the site <br />authodzed by such perfiit is commenced within 180 days after its <br />issuanco, or it the woi< authodzed on the site by such permil is suspended <br />ot ebandoned fot a peiod of180 days altet the time the wo* is <br />commencgd <br />$80.39 <br />$0.00 <br />s80.39 <br />lnspector MID#: 2017-137812 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$21 2s <br />$59 14 <br />Fee Total: <br />Paid to Dale: <br />Balance Du6: