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20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section (714) 647-5853 <br />ElectricalCity of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Project Address: 3604 W Hazard Ave <br />Assessor'sParcel 198-17249 Lot: 79 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: 55,'l <br />Address Range: <br />Historac: No <br />Suite Range <br />Zoning. R2 <br />q <br />Owner: <br />Address: <br />Phone <br />Tenant Name: <br />Contractor <br />Address: <br />Caboraca lnvestment lnc <br />190 W. Third Street <br />Santa Ana, CA 9270'l <br />(714) 393-8001 <br />Owner-Builder <br />01116002 <br />01116002 <br />01116002 <br />011 16002 <br />01 1 16002 <br />01116002 <br />01116002 <br />01 1 16002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />5't603 <br />51600 <br />51603 <br />Qty <br />30.00 <br />20.00 <br />'15.00 <br />5.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$42 00 <br />$30 40 <br />$1515 <br />$1 19.35 <br />$35 35 <br />$51.29 <br />$21 .2s <br />$52.98 <br />Fee Type Amount <br />'125 Volt Receplacie 'l.40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures '1.01 <br />Dedicated Circuil 23.87 <br />Low Vollage/Res 35.35 <br />Subpanel 51.29 <br />General Plan Update 2'1.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />NOTEEE C <br />Amsden, Julae <br />Every pe.mil issued shall becone nvalid unless the wo* on lhe site <br />authonzed by such pemit ts commsncod within180 days aflet ils <br />$soance, or if tho wo* authorized on the site by such perfiit is suspended <br />ot abandoned lor a poriod of180 days aftet the timo lho wotk ts <br />cornmenccd <br />o311412014 <br />Account# <br />0{tcht312758 - 3/11/20t5 I03 CCtELT_AR <br />office: CTYH Trons+: 56 2 of 3Acct:: Rel+: 20269399 <br />RcDti:021?804(r - 3/14/20tg 12:31 Pn <br />Tronsoct ion Totol tl r003.rT4 <br />Coboroco Investrent I nc. <br />Generol Plon Updote Fee l2l .2ti <br />01116002- 51600000- <br />Electn icol t346 ..52 <br />e* {ffi{'"il04#tq6f auth on ftt.. ,1 , rrr:r:l . 64 <br />$367.77 <br />$0.00 <br />$367 .77 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subject to Fieid: <br />Building Permit # <br />Single Family Dwelling <br />Alteration <br />N/V <br />Occupancy: <br />Constr Type <br />Code; <br />R-3 <br />VB <br />cEc 2016 <br />Notes. <br />Date <br />Date <br />Date <br />Masc. Receipt: <br />Misc. Receipi: <br />Misc. Receipt: <br />Total <br />lnspector MID#: 2018-141036 <br />01116002 51600 <br />01'116002 51603 <br />$21.25 <br />$346.s2 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Permit #: 20265399 <br />Pin #: 29915