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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanica I Permit#: 4Ol3lll3 <br />Pin #: 33655lnspection Requests: (7 141 667-2738 lnspector Section: (714) 647-5853 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: 8345 <br />Address Range: <br />Historic: No <br />Suile Range: <br />Zoning: Rl tAssesso/sParcel: 412-24546 Lot 50 <br />Owner: <br />Address: <br />Fellpo Gomez <br />2522 S Townsend Street <br />Sanla Ana, CA 92704 <br />(714) 9204s80 <br />Fes Typo <br />01'!16002 51604 Atter Venl Sys <br />0'l l'16002 51604 Range Fan <br />01116002 51600 General Plan Updale <br />01116002 51604 lssuance <br />Amount <br />40.62 <br />30.09 <br />20.56 <br />51.26 <br />Fee <br />$40.62 <br />$30.09 <br />$20.s6 <br />$51.26 <br />Phone: <br />Tonant Name: <br />Contraclor <br />Address: <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic f ; <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Slngle Family Drvelling <br />Addltion <br />Addn/Patio Cover <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cMc 20r6 Notes: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subrect to Field: <br />\h xernanoez, ratny o5t2612017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />BuildinsPermit#: 10191663 <br />Ewry pemit issued shall becime invalid unlass tho wo* on the site <br />autttotied by such pemit is commenced within 180 days afret its <br />issuanca, ot il lho wot* authoded on the site by such pemit is suspended <br />ot abandoned lot a peiod ol 1 80 days aftot the lme tho wot* is <br />@nnl€ncad. <br />$20.56 <br />$121.97 <br />$142.53 <br />$0.00 <br />1142.53 <br />lnspector MID#: 2016-133546 <br />011 16002 51600 <br />011 16002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />ProjectAddress: 2522 S Townsend St <br />ary <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Owner-Builder <br />Date: <br />Date: <br />Date: