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Project Address: 3622112lN Hazard Ave <br />Assesso/sParcel: 198-161-f8 Lot: 28 <br />Unil: <br />Block: NA <br />Bldg: <br />Tract: 554 <br />Address Range: <br />Historic: No <br />Suile Range: 7u <br />Zoning: R2 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Seclion: C/14) 647-5853 <br />Permit #: 4O133463 <br />Pin #: 43670 <br />Owner: <br />Address <br />Contraclor: <br />Address: <br />Phone <br />Tenanl Name: <br />Caboraca lnvestment, lnc. <br />190 W. 3rd Street <br />Santa Ana, CA 92701 <br />(714) 393-8001 <br />Owner-Builder <br />01116002 51604 <br />01 1 16002 51604 <br />01116002 51600 <br />01 't16002 51604 <br />Fee <br />$'126.90 <br />$6s.57 <br />$22.O8 <br />$ss.M <br />Fse Type Amount <br />Furnacr/CompCombo 126.90 <br />Fee Exempt 65.57 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Botch!:{9485 - 1/2a/2019 I0: LRoSALESoffice: CIYH Tron6i: 52 I of 4Acct;: Ref+: {0133{63Rcrti:02599503 - 1/21/2qtq +.23 Pn <br />Tronsoct ion Totol tl r r98- s7 <br />oroco Invegttent r IDC <br />t22.O8 <br />,217 .Xt <br />at .rct <, <br />Building Use: <br />Job Type: <br />Nature of Work <br />Sing16 Family Dwelling <br />Alteration <br />A/C & Furnace <br />Occupancy: <br />Conslr Type <br />Code: <br />Dale: 0112312019 <br />Date: <br />Date: 0/,12112019 <br />Account# <br />R-3, U <br />V B, SPK <br />cMc 20't6 <br />Planning Conditions: A,lC unit located in rear property. <br />Planning Approval By Guevara, Jerry <br />Plan Checked By <br />Permit lssued By: <br />Subject to Fieldi <br />Building Permit #:01116002 51600 <br />01 116002 s1604 <br />$22.08 <br />$247 .51 <br />B <br />8 $269.59 <br />$0.00 <br />$269.59 <br />Every poonil issuod sha invehd unless lhe wod< on lhe sile <br />authoized by such petmil is commenced within 360 days afrot ils <br />issuenct, or tl the wod< authorized on the site by such pemit is suspended <br />ot abandoned lor a peiod o1360 days affo. the time the wo* is <br />lnspector MID#: 2018-144336 <br />Generol Plcn Updote Fee <br />0116002- 5r6fi)o00- <br />llechan icol <br />01116002- 51604000- <br />ICL Check 9aN7 <br />Notes: Heating paid on 40133195 (changed from wall to <br />furnace). Auth. filed. <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Fee Total: <br />Paid to Dale: <br />Balance Ouo;