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,q <br />5:,r City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Electrical <br />Permit Counter (7'14) 647-5800 lnspection Requests: (714).667-2738 lnspector Section: (714),647-5853 <br />Permit #: 2O173833 <br />Pin #: 79926 <br />Project Address: 1 126 E Buffalo Ave <br />Assessor'sParcel: 396-181-16 Lot 35 <br />Unit: <br />Block: NA <br />Bldg. <br />Tract: 4528 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />-44/y <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Rosalle Escandon <br />1126 E. Buffalo Ave. <br />Santa Ana, CA 92705 <br />171417',tt-5723 <br />Fee Typo Amount <br />011 '16002 51603 Demolition (includes rer 52.21 <br />011 '16002 51600 General Plan Update 23.79 <br />0'11'16002 51603 lssuance 59.30 <br />0111600257770 Microfilm Records 4.05 <br />Fee <br />$52.21 <br />$23.79 <br />$59.30 <br />$4.05 <br />BoUchi:60022 - 7/21/2tt2l I0: nnoroleslS <br />office: CTYII lrsns+. 22 ? of 3Accti3 Refi: 2017 3833 <br />Rcpti:03354626 - 7 / 7t/2tJ2t 103U5 All <br />IronsocL ron Totol t191 .71 <br />Qty <br />1.00 <br />100 <br />1.00 <br />1.00 <br />Phone <br />hosql ie Escsndon <br />Generol PIon [JPdote Fee <br />ulI160U2- Sl6uuuirrr- <br />nicnof ilr I0ocurent,s <br />r-r1115!02- 5777(ruLrrr- <br />t lectr ico.t <br />u1 1 160(t2- 5l6tl3ilutt- <br />noster (ord <br />C(:+: rr*rrrrlrrr16l I 5 <br />123.79 <br />t4. (ri <br />t111.51 <br />1191 .7'r <br />Auth+:5664t18 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued Byl <br />Sublect to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Swimming Pool/Spa <br />Demo Pool <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2019 Notes <br />Planning conditions: <br />Martin, Eric Date <br />Date <br />DateChavez. Dave-9 c. <br />101107325 <br />Ewry pennit issuod shall become invalid unless the wo* on the site <br />aulhonzed by such pefinit 6 comfienc:cd wtlhin 3@ days aftet ils <br />issuance. or if the wo* authonzed on the sle by such po ntt ls suspencled <br />ot ebandoned fot a period ol 3@ deys after lhe tine lhe wo* is <br />commenced <br />07121t2021 <br />Account# <br />Demolish existing swimming pool and infill according <br />to handout requirements. Owner-Builder form on file. <br />$139.3s <br />$0.00 <br />$139.35 <br />07t21t2021 Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$23.79 <br />$111 .51 <br />$4.05 <br />lnspector MtD#. 2021-167577 <br />o1 '1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />Fee Total; <br />Paid to Oate: <br />Balance Due: <br />Owner-Builder <br />State Lic #: <br />Lic Type: <br />8us. Lic #: <br />Woriers' Compensation lnsurance: <br />Canier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work: