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City of Santa Ana <br />Permit Counter: (714) 647-5800 il::,:::;::'H',J::;.:"il:::"9*,,u,=.'""*", <br />Permit #: 2fJ167312 <br />Pin #: 21614 <br />Project Address: 1409 W Riviera Dr Unit: <br />Block: NA <br />Bldg: <br />Tract: 1508 <br />Address Range: <br />Historic NoAssesso/sParcel: 00'1.051-08 Lot: 15 <br />Owner: <br />Address <br />Magaly & Angel Santiago <br />1409 W Riviera Dr <br />Santa Ana, CA 92706 <br />Foo Typo Amount <br />125 Volt Receptacle '1.45 <br />Light Swilches, Occ. Se 'l 58 <br />Light Fixtures 1.05 <br />Fountain 121.09 <br />Time Clock 12.10 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />2.OO <br />200 <br />400 <br />1 .00 <br />1 .00 <br />L00 <br />100 <br />Foe <br />$2.90 <br />$3.16 <br />$4.20 <br />$121.09 <br />$ 1 2.10 <br />522.08 <br />$55.04 <br />Phone: <br />Tenant Name: <br />Conlractor <br />Address: <br />Owner-Builder <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Single Famlly Dwelling <br />Miscellaneous <br />Fountain <br />Occupancy: <br />Constr Type <br />Codel Notes <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />ltlr Hernandez, Kathy <br />Date <br />Date <br />Date 10t3112014 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Ewry pennit 6sued shell become invalid unloss the wo* on the site <br />authgnzed by such pemit is comfienced wilhn 180 days after its <br />issuance, or il the work aulhorized on the site by such pemlit is suspended <br />ot abandoned fot a peiod of 1 80 days aftet the time the wo* is <br />commenced <br />$220.57 <br />$0 00 <br />$220.57 <br />lnspector MID#: 2018-'147355 <br />011 16002 51600 <br />011 16002 51603 <br />$22.08 <br />s198.49 <br />Fee Total <br />Paid to Date <br />Balance Due <br />Suite Range; <br />Zoning: Ri <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />01116002 5160: <br />01 1 16002 5160: <br />0'1116002 5'160: <br />01 1 16002 5'160: <br />01 1 16002 5160: <br />01 1 16002 5160C <br />01 116002 51604 <br />ti <br />tll <br />A. <br />lir <br />lr <br />(r <br />TI <br />E <br />t.t <br />0,/31/2rl l8 I0r Cr(lns+! 3fl ,Reli: 201,5' <br />I ttl31/?tir18 lltll t34? .: <br />,r| rt I <br />ll- <br />t <br />! 4l.t Artrhi: I i <br />.n <br />Planning Condltions: May not be more than 3' in height <br />N/A <br />N/A <br />cEc 2016