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Project Address: 1304 S Douglas St <br />Assesso/sParcel: 109-371-08 Lot: 73 <br />Unit: <br />Block: NA <br />Bldg: <br />ftac1': 2218 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />City of Santa Ana <br />Permil Counter: (714], 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (7 14], 667 -2738 lnspector Section: (7'14) 647-5853 <br />Mecha n ica I Permit #: 4Ol3{ 354 <br />Pin #: f 2052 {\\ <br />Owner: <br />Address: <br />Phone: <br />Tgnant Name: <br />Contractor: <br />Address: <br />Ofelia Baranas <br />1304 S Oouglas St <br />Santa Ana, CA 927013707 <br />(714) 504-9920 <br />Owner-Builder <br />01'116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01116002 51600 <br />01116002 51604 <br />Foo Type Amount <br />Clothes Oryer - Residen 38.83 <br />Laundry Fan Envir. Air 33.54 <br />Gas Piping lncidental 21.54 <br />General Plan Update 21 .25 <br />lssuance 52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$38.83 <br />$33.54 <br />$21.54 <br />$21.25 <br />$52.98 <br />P hone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic f: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />80tchi:40011 - 8/3L/2017 ID! o,roroIeElSofficer CTYB Tpons+: 15 3 of 4A(ctl: Refi: {0131354 <br />RcDti:019?3812 - 8/31./2017 1359 pn <br />TPonsoct ion Totol t{S2.33 <br />ofel io Boronos <br />Gen€rol Plon updote Fee <br />01116002- 51600000- <br />llechon i col0ru6002- 5160{000- <br />(:osh <br />Chcnse <br />t21.25 <br />t1{6.8? <br />1500.00 <br />t4t7.,67, <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Planning Condltions: <br />Slngle Famlly Owelllng <br />Addition <br />Addltion <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 20't6 Noles; Laundry room addn. <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Ewry pemit issued shall bocome invalid unless ths wo.r( on the silg <br />autlrotized by such permit is commenced within 180 days attot its <br />issuancc. ot il tha wo* autlpri|od on the sito by slch petmit is suspeded <br />ot abandonod fgr a petid ol 1 E0 deys afrer lhe timo the wotu is <br />camnenced. <br />lnspector MID#: 2017-137296 <br />ri <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />08t31t2017 <br />Account# <br />3467 $21.25 <br />$146.89 <br />Fee Total: <br />Paid to Date; <br />Balanco Duo: <br />$ 168.14 <br />$0.00 <br />0168.14 <br />01116002 51600 <br />01116002 51604