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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Mechan ical Permit #: 4O131699 <br />Pin #: 1145ll <br />Project Ad dress: 1111N Baker St <br />Assessor'sParcel: 405"294.16 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Eddie Gallardo <br />'1111 N. Baker St. <br />Santa Ana, CA 92703 <br />(714l.478-9791 <br />Owner-Builder <br />Fee Typs <br />01116002 51604 Furnace <br />01'116002 51604 Range Fan <br />01116002 51600 General Plan Update <br />office: CIYH Trcnsi: 71 2 ol ?Accti3 &ef+: 4i131699Rcpti:02115i84 - 12/27 /2tr7 2116 pn <br />frqnsoct ion fotsl *264.L2 <br />Edd ie 60l lsrdo <br />Qty <br />1.00 <br />1 .00 <br />1.00 <br />01116002s1604 tssuance Bqtch..4t+n 5499T t l,:.,t i 1ffi, UepnP?B98 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />_ $?1.25 <br />_ $t47.2? <br />$264.12 <br />Auth+ ! 05964C <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />SFD datt Garage <br />Chavez,Dave <br />Date: <br />Date: <br />Date:0 12t27t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />R-3 <br />VB <br />cMc 2016 Notes: Fixture change outs. Owner-Builder form on file- <br />Every pemil issued shall become invalid unless the work on the sile <br />authorized by such permil is commenced within 180 days after its <br />issuance, or if the wgtu authoized on the site by such permit is suspended <br />or abandoned lot a pedod of 180 days aftet the time the work is <br />commencid. <br />$21 .25 <br />$'147 .22 <br />$168.47 <br />$0.00 <br />$168.47 <br />lnspector MID#: 2017-139779 <br />01'116002 51600 <br />01116002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Lot: NA <br />Address Range: <br />Historic: No <br />Amount <br />63.14 <br />31.'10 <br />2't.25 <br />Generol Plon Updote Fee <br />011160!12- 51600000- <br />llechnn ical <br />01116002- 51604t100- <br />V iso <br />CC+: *****k******?909 <br />Fee <br />$63.14 <br />$31.10 <br />$21.25 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type: <br />Code: