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City of Santa Ana <br />Permit Counler: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2Ot68097 <br />Pin #: 6EE6O <br />Project Address: 3622 W Hazard Ave <br />Assessor'sParcel. 198.16148 Lot: 28 <br />Unit: <br />Block: NA <br />AddressRange: 3622-3534 <br />Historic; No <br />Owner: <br />Address: <br />Caboraca lnvestment, lnc. <br />190 W. 3rd Street <br />Santa Ana, CA 92701 <br />(714) 393-8001 <br />Fee Type <br />01 116002 51603 TPP <br />01 116002 51600 General Plan Update <br />01 116002 51603 lssuance <br />Fee <br />$103.07 <br />$22.08 <br />$55.04 <br />Qty <br />1.00 <br />'1.00 <br />1.00Phone <br />Tenant Name: <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #; <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Planning Conditions <br />Planning Approval By <br />Occupancy: <br />Constr Type <br />Code: <br />Plan Checked <br />Permit lssued o2t28t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />B <br />Amsden, Julie <br />Subject to Field <br />Buildins Permit #: 1 0196881 <br />Every pednit issuod shall become invalid unless the wotu on the site <br />authonzed by such permit is commenced within 180 days afret ils <br />issuance, or if the wo* euthotized on the sile by such ponnit is susponded <br />ot ebandoned for a penod of 1 80 days 7fret lhe tine the wo* is <br />cofimenced. <br />Date: <br />Dale: <br />Date: <br />$180.19 <br />$0.00 <br />$180.19 <br />lnspector MID#: 2017-140492 <br />011 16002 51600 <br />01116002 51603 <br />$22.08 <br />$158.11 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />Bldg: <br />Tract: 554 <br />Suite Range: <br />Zoning: R2 \ <br />Amount <br />103.07 <br />22.O8 <br />55.04 <br />Contractorl <br />Address: <br />Owner-Builder <br />8.(o l <br />0t{ <br />[ic r <br />Trr <br />/ 2$/ 2tll9 <br />'flns+3 66 <br />Ref+:.2/28/2ltt9 <br />t <br />) <br />tul <br />tienlr lnc. <br />Llpdote Fee <br />5 r--r Lt u (t0 - <br />I JttL -l <br />9262 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Single Family Dwelling <br />Miscellaneous <br />TPP <br />R-3, U <br />V B, SPK <br />cEc 20r6 Notes. Temporary power pole. Letter o, auth on file.