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Project Address: 3614 W Camille St <br />Assessois Parcel: 144-303-l l Lot: l2 <br />Unit; <br />Block: B <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />-{vl <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 4(J13285(J <br />Pin #: 65570 <br />Owner: <br />Address <br />Conlraclor <br />Address: <br />Phone <br />Tenanl Name: <br />Tam Nguyen <br />'196'16 Sheryl Avenue <br />Cerrltos, CA 90703 <br />(562) 468-0412 <br />Yes Building and De3ign LL <br />17608 Oak Streel <br />Fountain Valley, CA 92708 <br />(257) 47r-2968 <br />01116002 <br />01't 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />51604 <br />51604 <br />51604 <br />51604 <br />51604 <br />51600 <br />5'1604 <br />Fee Type Amount <br />Fumace/CompCombo 126.90 <br />Clolhes Dryer - Residen 40.34 <br />Bathroom Fan 30.52 <br />Laundry Fan Envir. Air 34.U <br />Range Fan 32.30 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1 .00 <br />L00 <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$'r 26.90 <br />$40.34 <br />$91.56 <br />$34.84 <br />$32.30 <br />$22.08 <br />$55.04 <br />State Lic * 1031470 <br />Lic Type: B <br />Bus. Lic f: 371090 <br />Workers' Compensation lnsuranceCarrier: State Fund <br />Policy #: 92/10073 <br />Expires; '1011812019 11, <br />6-t <br />14t <br />nl QlBuilding Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By:r <br />Subjecl lo Field: <br />Building Permit #: <br />Single Family Dwelling <br />Addition <br />Addition <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cMc 20't6 Notes <br />Amsden. Julie <br />10196683 <br />Ewry pemit issued shall become invalid unless the work on the site <br />authorized by such pomit is cgnmenced within 180 days aftet its <br />issuarrc€, ot il lhe wot* aulhonzed on the site by such permil is suso€nded <br />ot abandoned for a podod ol 1 80 days alet the lme the wo* is <br />comnpn@d. <br />lnspector <br />11t0912018 <br />Account# <br />01116002 51600 <br />01116002 51604 <br />$22.08 <br />$380.98 <br />Fee Total; <br />Paid to Date: <br />Balance Due: <br />$403.06 <br />$0.00 <br />0403.06 <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Bldg: <br />Tracl: 1082 <br />Phone:I lO l'rt1la I <br />UPdote Fee <br />600000- <br />Complete remodel of afd - relocating all rooms except <br />bath #1, Addition of 2 bedrooms & 3 bathrooms for a <br />total of 4 bodrooms & 4 bathrooms. Convert45sf <br />porch to a pantry. New porch (74st), new patio (24Gt) <br />GGUSD # 4989. <br />MID#: 2017-139323