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Project Address: 2021 W Twelfth St <br />Assessor'sParcel: 00,4-171-15 Lot: 15 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 1685 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R'l <br />city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: f/14) 647-5853 <br />Permit #: 4fJ135821 <br />Pin #: 50395 <br />Owner: <br />Address <br />Phone: <br />Tenent Name: <br />Contraclor: <br />Address: <br />HENRY DO <br />2021 w 't2TH ST <br />sanra Ana, cA 927031926 <br />(7141657-2280 <br />Owner-Builder <br />01 1 16002 51604 <br />01116002 5160C <br />01116002 51604 <br />01't16002 5777C <br />Amount <br />97.17 <br />23.79 <br />59.30 <br />4.05 <br />Foo Typo <br />Compressor <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Foe <br />$97.17 <br />s23.79 <br />$s9.30 <br />$4.05 <br />Phone <br />State Lic *: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy *: <br />Expires: <br />Eotchi:5UJt6 - <br />off ice: CTYH <br />Accta: <br />Fceli:0337722t| <br />Ironsoct ion Tot <br />I0: ovrcLonr( <br />n5i. JReft: 1t11358i <br />8/ t2/2q2t 8.$ An <br />t433.25 <br />J23.79 <br />3r56-a7 <br />t4.0g <br />t433.25 <br />Autha:06431! <br />HTHhY OO <br />Genenol PIon uldoie <br />01116002- 51600U0(r- <br />nech6n icol <br />01116002- 516u4000- <br />nicrof ilr A Docurenl <br />0t 1161102- 57770000- <br />U isoBuilding Use: <br />Job Type: <br />Nalure of Work <br />Single Family Owelling <br />Alteratlon <br />AC Compressol <br />Occupancy: <br />Constr Type: <br />Code: <br />R.3, U <br />VB <br />c tc 2019 Notes lnstall an compressor ln rear yard. <br />Planninq Condations: <br />Planning Approval By: Marlin, Eric <br />Plan Checked By <br />Permit lssued Amsden, Julie <br />Subjecl to Field: <br />Building Permit #: <br />Ewry pemit issuod shall bocgmo invaliT unless the wgd< on lha si?a <br />euitprizad by such Nmil is ctnnoncad wihin 360 deys alter its <br />issuanc€, ot il tho wod< aullptized on the site by such permil is suspended <br />ot ebatf,onad fot e pctid of36o days aftet A1e lme the wod< is <br />@mnenLed. <br />lnspector MID#: 2021-167993 <br />04t12t2021 <br />Account# <br />01116002 51600 <br />011,l 6002 51604 <br />01116002 57770 <br />Fee Total <br />Paid to Date: <br />Balance Oue: <br />Date: <br />Date: <br />Date: <br />oana2021 Mlsc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$23.79 <br />$ 156.47 <br />$4.05 <br />$184.31 <br />$0.00 <br />$r84.31 <br />'tfr