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Project Address: 1202 S Douglas St <br />Assesso/sParcel: 109-386-11 Lot: 84 <br />Unit: <br />Block: NA <br />Bldg: <br />T.acl:2248 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />q@City of Santa Ana <br />Permit Counter: f/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 047-5853 <br />Mecha n ical Permit #: 40{3{945 <br />Pin #: 56004 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Minh Chau Kleu <br />5651 Ocean Terrace Drive <br />Huntington Beach, CA 92648 <br />(714) 418-6604 <br />Owner-Builder <br />Fee Type <br />01'116002 51604 Add'l Vent Sys <br />01'116002 51604 Bathroom Fan <br />01116002 51600 General Plan Update <br />011'16002 51604 lssuance <br />Amount <br />41.99 <br />29.38 <br />21 .25 <br />52.98 <br />Fse <br />$41.99 <br />$29.38 <br />$21.25 <br />$s2.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />'t.00 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Eotchi:42926 - 3/26/2018 l0r ororoleslSoflicc! CTYH Tronsi: 82 3 of {Acctir Eafi: 1t-u319{5 <br />RcptS:02215826 - 3.'26./ztrl9 l:08 Pll <br />Tran3oct lon Totol t173. t-ls <br />il inh Chou l( ieu <br />Building Use: Singlo Famlly Dwelling Occupancy: <br />Job Type: Addltlon Conslr TYPe <br />NatureofWork: Addn/PatloEnclosure/covercode: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Ewry pe.mit issuad shall became invalid unless the work o, the site <br />authonzed by such permit is comnenced within 180 dsys aller its <br />issuence. ot if the wodt authotized on tlre site by such pennit is suspended <br />or abandoned lor a peiod of 1 80 days aher the lime the wo* is <br />comm€n@d. <br />lnspector MID#: 2017-140004 <br />01 1 16002 51600 <br />01 1 16002 51604 <br />$21.25 <br />$'124.35 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />R.3 <br />VB <br />cMc 2016 Notes <br />Generul Plon tlpdote Fee <br />01116002- 51600000- <br />hechon i col <br />01u6002- 51601000- <br />Viso <br />CCi: rrrlrrlrIlrr393S <br />tt2{.3: <br />t473,09 <br />Autha!3t17146 <br />o3t2612018 <br />Account# <br />Misc. Receipl: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />94962 $145.60 <br />50.00 <br />t145.60 <br />Planning Conditions: All materials to match existing <br />Oate: <br />Date: <br />Oate: