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City of Santa Ana <br />Permit Counter: O14) &7-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714), 667-2738 lnspector Section: (714) 647-5853 <br />Mec hanica I Permit #: 4Ol3{666 <br />Pin #: 797(J1 <br />\,' <br />Project Address: 3114 S Douglas St <br />Assessor'sParcel: 412-232-08 Lot: 57 <br />Unit: <br />Block: NA <br />Btdg: <br />Tracl: 8280 <br />Address Range: <br />Historic: No <br />Suile Range: <br />Zoning: Rl <br />Owner: <br />Address: <br />Phone: <br />Tenanl Name: <br />Contraclor <br />Address: <br />Phone <br />State Lic #: 799170 <br />Lic Type: C-36, B, C-2, C.20 <br />Bus. Lic #: 196430 <br />Workers' Compensation lnsurance: <br />Carrier: Pacilic Compensation lnsurance Company <br />Policy #: WA00060703 <br />Expires: 0312212018 <br />Foe Type <br />01'l '16002 51604 Furnace <br />01116002 51600 General Plan Update <br />01'116002 51604 lssuance <br />Service Choap i on5 <br />Botchi:{l29{ - l2/ll/2917 ID: CCUELLAR0ffice: CTYH TronFS: 112 2 ol 2Accti: Ref+l 10131666 <br />RcPti:0210{9r0 - L2/fi/20t7 lzz12 Pn <br />Tronsoct ion fotol t366.86 <br />BALLOU, RONALD R <br />3,I14 S DOUGLAS ST <br />Santa Ana, CA 92704 <br />(714) 478-5s93 <br />Not Specifiod <br />Service Champions <br />3150 E Birch Street <br />Brea, CA 92821 <br />(7141777-7777 <br />Amount <br />63.'t 4 <br />21.25 <br />52.98 <br />Foe <br />$63.14 <br />$21.2s <br />$s2.98 <br />Qty <br />'t.00 <br />1.00 <br />1.00 <br />6enecol Plon updote Fee <br />01116002- 51600000- <br />llechon icol <br />01u6002- 5160{000- <br />ICL Check 0{5790 <br />r2l, <br />16, <br />i366. <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 Notes: ln garage. <br />Single Family Dwelling <br />Miscollaneous <br />Furnaco <br />Planning Conditions: <br />Plan Checked By <br />Permil lssued By <br />Subject to Field: <br />Building Permit # <br />Ewry pemit issuod shall becor,e invalid unhss the wolk oa lhe site <br />authoized by such Nmil is commencod witbin 180 days afrer its <br />issuancx, ot if the woi< aulhorized on the site by such pemil is suspendad <br />or abadoned lot a Niod ol 1 80 days aftet tp lnE the wo* is <br />cgnner@d. <br />Oale <br />Oate <br />Date 12111t20',17 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Recoipt: <br />Total <br />$137.37 <br />$0.00 <br />$137.37 <br />lnspector MID#: 20'17-140374 <br />01 116002 51600 <br />0'l 1 16002 51604 <br />$21.25 <br />$1'r6.12 <br />Fee Total: <br />Paid to Dale: <br />Balanco Due: <br />Planning Approval By <br />t--