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Project Address: 3604 W Hazard Ave <br />Assessor'sParcel: 198-172.49 Lol: 79 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: 55.1 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: R2 <br />q <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3O139372 <br />Pin #: 26777 <br />Owner. <br />Address: <br />Phone: <br />Tenant Namo: <br />Contraclor <br />Address: <br />Caboraca lnvestment lnc <br />190 W. Third Street <br />Santa Ana, CA 92701 <br />(714) 393-8001 <br />011 <br />0'l l <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />01'l <br />011 <br />'t6002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />5't602 <br />51602 <br />51602 <br />51602 <br />5'1602 <br />51602 <br />5'1602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Fee Type Amount Qty <br />Water Closet 13.69 3.00 <br />Shower/Bathtub 21 42 2.00 <br />Sink 12.23 4.00 <br />Clothes Washer 13.45 1.00 <br />Dishwasher 11.52 1.00 <br />Garbage Disp 10.26 1.00 <br />Sewer Alter/Repair 42.85 1 .00 <br />Gas Line alter/extend/a( 63.12 1.00 <br />Tankless Waler Heater 63 12 '1.00 <br />Water Piping (Each '100 42.85 1.00 <br />Lawn Spkr, per valve 9.78 1.00 <br />Eackflow < 2" 21.42 1 .00 <br />General Plan Update 21.25 1.00 <br />lssuance 8ot,:h +:13:rl9 6AgQ7.r:,,19 1.p0r <br />{1f f ice! {TYH .1rr..:f : :.A,-,:li: Pet lt :,li,.ptiI:r2251375 - 1 1r'i' r1 ii <br />Tnonso.t ion Totol t: <br />Fee <br />941.07 <br />$42 84 <br />$48.92 <br />$13.45 <br />$1 1.52 <br />$10.26 <br />$42.85 <br />$63.12 <br />$63.12 <br />$42.85 <br />$9.78 <br />$21 .42 <br />$21 .25 <br />i . , $54.98 <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Femily Dwelllng <br />Addition <br />Addltlon <br />Amsden, Julie <br />10195886 <br />o112712018 <br />Account# <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cPc 2016 Noles. <br />r {,t,orn(o Invpstie.i I <br />Add etlf dltq ofHh$Ff,&F+qe_w tamlly room , , <br />Removto0rqoDrttgc .I.&,Covsr. Remodellrelocate <br />kltche d h&throom & a l/2 bath, add laundry.. , , <br />Tankleiltl.urfteallldtrE in garage to service <br />$485.43 <br />$0.00 <br />t485.43 <br />Date: <br />Date: <br />Date: <br />01 1 '16002 51600 <br />01 'l 16002 51602 <br />$21.2s <br />s464.'18 <br />Fee Total: <br />Paid to Date <br />Balance Oue: <br />Every pemit i$uod shall bocome invalid unlgss the woak on the sila <br />authorized by such Nmit is cgmmencod wtthin 1 80 days sfier its <br />issuanca, or if the woft euthotized on the sito by such pemit is suspended <br />or abendoned tot a penod o1180 days afret the timo the wod< is <br />cgnanen@d. <br />lnspector MID#: 2018-141973