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City of Santa Ana <br />Permit Counter: C/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 9270?Mecha n ical Permit #: 4lJ1328,49 <br />Pin #: 67512lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 3614 1/2 W Camille St Unil: <br />Block: B <br />Bldg: <br />Tracl: 1082 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />-l'tury <br />AssessoisParcel: 1/f4-303-11 Lot: 12 <br />Owner: <br />Address <br />Tam Dan Nguyen <br />19616 Sheryl Avenue <br />Cerritos, CA 90703 <br />(562) 468-0412 <br />01116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01116002 51604 <br />011'16002 51600 <br />01116002 51604 <br />Fee Type Amount <br />Furnace/CompCombo 126.90 <br />Clothes Oryer - Residen 40.34 <br />Bathroom Fan 30.52 <br />Laundry Fan Envir. Air 34.84 <br />Range Fan 32.30 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1.00 <br />1.00 <br />2.O0 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$126.90 <br />$40.34 <br />$61 .04 <br />$34.84 <br />$32.30 <br />$22.08 <br />$5s.04 <br />Tenant Name <br />Conlraclor <br />Address: <br />Phone <br />State Lic #: '!031'170 <br />Lic Type: B <br />Bus. Lic #: 371090 <br />Workers' Compensation lnsurance:Carrier: Stat6 Fund <br />Policy #: 9240073 <br />Expires: 10/'18/2019 <br />li <br />ir <br />Single Family Owelling <br />New <br />ADU datt garage <br />Occupancy: <br />Conslr Type <br />Code: <br />R.3, U <br />VB <br />cMc 2016 Notes New dotatchod ADU with (3) bedrooms, (2) bathroom E <br />an attached 2-c., g.rage Attached pauo covcr ('l64st) <br />& porch (50s0. GGUSD 4989 <br />Planning Conditiong <br />Planning Approval By Oale: <br />Oale: <br />Dale: <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />Plan Checked By <br />Permit lssued By: <br />Subject to Field; <br />Building Permit #: <br />Amsden, Julie 11t09t2018 <br />Account# <br />10196686 <br />Every perfiit issued shall become invalid unless tho wor* on the sita <br />authotized by such pemit is commenced within 180 days afret its <br />issuance. or il the wo* authorizod on the site by such peffnit is suspended <br />ot abdndoned lor a period ot 1 80 deys efret the lime lhe wo* is <br />comnenc:ed. <br />lnspector MID#: 2018-143878 <br />01 1 16002 51600 <br />0'1 1 16002 51604 <br />$22.08 <br />$350.46 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />) <br />Phone: <br />Yes Building and Design LL <br />17608 Oak Street <br />Fountain Velley, CA 92708 <br />1267l. 471.2968 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />$372.54 <br />$0.00 <br />9372.54