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Project Address: 1114 S Broadway <br />Assesso/sParcel; 013-142-16 Lot: 4 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 458 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />q <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7 14], 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ16,2141 <br />Pin #: 18183 <br />Owner: <br />Address <br />Conlractor <br />Address: <br />01 1 16002 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />01 1 16002 <br />51603 <br />51603 <br />5'1603 <br />51603 <br />5'1600 <br />51603 <br />Qty <br />40.00 <br />15.00 <br />15.00 <br />1.00 <br />1 .00 <br />1.00 <br />Feo <br />$54.00 <br />$22.05 <br />$14.70 <br />$49.63 <br />$20.56 <br />$51.26 <br />Phone <br />Tenant Name: <br />Gilberto H Amaral <br />1114 S Broadway <br />Santa Ana, CA 927071206 <br />17141547-',t',t42 <br />LNH Construction Company <br />15425 Avenue 352 <br />Visalia, CA 93292 <br />(559) 804-9696 <br />Fee Typo Amount <br />125 Vott Receptacle '1.35 <br />Light Switches, Occ. Se 1.47 <br />Light Fixtures 0.98 <br />Serv Meter 49.63 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Phone <br />State Lic #: 0908731 <br />Lic Type: B <br />Bus. Lic #: 354054 <br />Workers' Compensation lnsurance:Carrier: Mldwest EmployeB Casualty Co <br />Policy f: BNUWCo13/1389 <br />Expires: O1lO1l2O17 <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Planning Conditions: <br />Planning Approval By <br />Single Famlly Dwelling <br />Alteratlon <br />Fire damage repairs <br />Occupancy: <br />Conslr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2013 Notes <br />Plan Checked By: <br />Permit lssued B Amsden, Julie <br />Subject to Field: <br />Building Permit #:10191302 <br />Every patmil issued shall become invalid unless the wo* on the site <br />authodzed by such pefinit is cofimencad within 180 days after its <br />issuance, ot if the wo* authodzed on the site by such permit is suspended <br />or abandoned lgt a period ol 1 80 days after the lime the work is <br />commen@d. <br />lnspector MID#: 2016-132690 <br />Dale: <br />Oale: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Repalr all damages due to tlre. Scope of work includes <br />removing and replacing subfloor framing, replace fire <br />damaged posts and foolings, add foundation anchors <br />at fire damaged areas, remove and replace <br />fire/smoke/water damaged drywall. Basement to be <br />restored to original use and conditiorl <br />$212.20 <br />$0.00 <br />$212.20 <br />'12t07 t2016 <br />Account# <br />011 't6002 51600 <br />0't116002 51603 <br />$20.56 <br />$191.64 <br />Fee Total: <br />Paid to Date: <br />Balance Due: