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@ City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />l nspection Requests; (7 1 41 667 -27 38 l nspector Section: (7'1 4\ U7 -5853 <br />Mechanical Permit #: 40{33299 <br />Pin #: 57874 <br />Assessor'sParcel: 016-113-'19 Lol: l5 <br />U nit: <br />Block: 13 <br />Bldg: <br />Tract: 560 <br />Suite Range: <br />Zoning: Rl <br />Phone: <br />Tenant Name: <br />Contraclor: <br />Address: <br />Nancy Lazaro-Loeza <br />2128 S Hickory St <br />Santa Ana, CA 927072912 <br />17141278-2778 <br />Owner-Builder <br />Foo Type <br />01'116002 51604 Bathroom Fan <br />011'16002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />30.52 <br />22.O8 <br />55.04 <br />Fes <br />$30.52 <br />$22.08 <br />$55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />0fl <br />ne( <br />011 <br />flsg <br />Cr <br />t/ tt /2019'ronBi:40 <br />Rrfi:- 3/ tt/20t? <br />I otol <br />-Loezo <br />Lrpdote Fee <br />600000- <br />604m0- <br />firr16697Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Addition <br />Addition <br />Verduzco, Violel <br />10199095 <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />Auth i <br />Notes: <br />Planning conditions: <br />Planning Approval By <br />Plan Checked 8y: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Evary pemit issued shall bocome invalid unless lhe work on lhe slte <br />dulhoized by such permil is commenced within 1 80 days afier its <br />issuonci, or if the wo* authoizod on lho site by such pemit is suspended <br />or abandot@d bt a pedod of 1 80 daF afrer the time lhe wo* is <br />cgrfimen@d. <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Tolal <br />$107 64 <br />$0 00 <br />$107.64 <br />lnspector MID#: 2019-148731 <br />01 1 16002 51600 <br />01116002 51604 <br />$22.O8 <br />$85.56 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />4J <br />Project Address: 2128 S Hickory St Address Range: <br />Hisloric: No <br />Owner: <br />Address: <br />03/11/2019 <br />Account#