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City of Santa Ana <br />Permit Counter (714) 647-5800 <br />20 Cavic Center Plaza (M-19), Santa Ana, CA 92702 <br />l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 41 il7 -5853 <br />Mecha n ica I Permit #: 4o23111lJ <br />Pin #: 50547 <br />Project Address: 2128 S Hickory St <br />AssessofsParcel: 016.113-'19 Lot: 15 <br />Unit: <br />Block: 13 <br />Bldg: <br />Tract: 550 <br />Address Rang€: <br />Hlstoric: No <br />Suite Range: <br />Zoning: Rl <br />r[- <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor; <br />Address: <br />Nancy Lazaro-Losza <br />2'128 S Hickory St <br />Santa Ana, cA 927072912 <br />(7141278-2778 <br />Owner-Builder <br />Fee Type Amount <br />01116002 51604 Clothes Dryer - Residen 37.57 <br />01116002 51600 General Plan Update 20.56 <br />01116002 51604 lssuance 51.26 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$37.57 <br />$20.s6 <br />$51.26 <br />8otchi138785 - 3/25/2017 I0: l{Gr <br />olf ic.: CTYH TronBS: l{Acctl: R.fC: { <br />Rcpt+:01857551 - 5125/?.017 I <br />Tronsoct ion Totol tg <br />,loncr Lozoro-Loezo <br />Gan.rol urdot€ Fe€ <br />01116002- 5160ffX'0- <br />llrchon i co 1 <br />01rr6002- 3160{fl}0- <br />Vi 30 <br />CCi ! rfi*}rr{rrrr7693 <br />Notes: Repair/removeunpemlnedMechanical.Laundry <br />tacilitles to be inside garage. <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />workers' Compensation lnsurance: <br />Carrier: <br />Policy f: <br />Expires: <br />+ <br />02311 <br />0:30 <br />61.21 <br />I <br />4 <br />Authi:tl1 <br />Building Use: <br />Job Type: <br />Nalure o, Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Sub.iect to Field: <br />Building Permit f,: <br />Single Famlly Dwelling <br />Alteration <br />Remove Mechanical <br />Chavez, D <br />10293069 <br />ave <br />* <br />o5t25t20'17 <br />Account# <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$20 <br />$88 <br />56 <br />83 <br />$109.39 <br />$0.00 <br />$109.39 <br />Every pennit issued shall bocome invalid unless tho vtod< on the sile <br />authoized by such pefinit is commenced within 1 80 days alter its <br />issuance, ot if the work authoized on the sile by such permil is suspendod <br />gt abandoned lor a peiod ol 180 days allot the time lhe wo* is <br />cornmencad. <br />lnspector MID#: 2017-136347 <br />01 1 16002 51600 <br />01116002 51604 <br />Fee Total: <br />Paid to Oate: <br />Balance Du6: <br />Oate: <br />Oate: <br />Date;