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Project Address: 1114 S Broadway <br />Assesso/sParcel: 013-142.16 Lot: 4 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: 458 <br />Address Range: <br />Historic: No <br />Suile Range: <br />Zoningi R2 <br />E <br />City of Santa Ana <br />Permit Counter: f/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7 1 41 667-27 38 lnspector Section: (714) 647-5853 <br />Mec ha n ical Permit #: 40{30662 <br />Pin #: 94O5O <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone <br />Tenant Name: <br />Gilberto H Amaral <br />ll 14 S Broadway <br />Santa Ana, CA 927071206 <br />17't4l547-1142 <br />LNH Constructlon Company <br />16425 Avenu6 352 <br />Visalia, CA 93292 <br />(5s9) 804-9696 <br />0't116002 5'1604 <br />01't 't6002 51604 <br />01116002 51600 <br />01 1 '16002 51604 <br />Fee <br />$28.42 <br />$30.0s <br />$20.s6 <br />$51 .26 <br />Fee Type <br />Bathroom Fan <br />Range Fan <br />General Plan Update <br />lssuance <br />Amount <br />28.42 <br />30.09 <br />20.56 <br />51.26 <br />Qly <br />1.00 <br />1.00 <br />1.00 <br />1 .00 <br />Phone <br />State Lic #: 0908731 <br />Lic Type: B <br />Bus. Lic #: 36/105.4 <br />Workers' Compensation lnsurance:Canior: lrldwe3t EmployoE C$ualty Co <br />Pollcy #: BNUWC0134389 <br />Expires: 0110112017 <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />I <br />PlanJng Condltlons: <br />Planning Approval By: <br />Single Famlly Dwelling <br />Alteratlon <br />Fire damago repairs <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cMc 2013 Notes: <br />Plan Checked By <br />Permit lssued By: <br />Subrecl to Field: <br />Amsden. Julie <br />Buildins Permit #: 1 0191302 <br />Ewry pemit issued shall bectme invalid unless tl,o woh on lfrg silg <br />authotizod by suah pemit is commenced within 1 80 days dfier its <br />issudnca, ot il the wotu authotized on the site by such pemit is suspondod <br />or abandoned fot d peiod of 1 80 days afret the fme the wo* is <br />@nmon@d. <br />lnspector <br />Date: <br />Date: <br />Date: 1210712016 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt; <br />Total <br />Repair all damages due to fire. Scope ol \.vork includes <br />removing and replacing subfloor framlng, replace flre <br />damaged posts and footings, add foundation anchorg <br />at fire damaged areas, remove and replace <br />f ire/smoke/water damaged drywall. Basement to be <br />restored to original use and conditiorl <br />$130.33 <br />$0.00 <br />$130.33 <br />01 1 16002 51600 <br />0't 1 16002 51604 <br />$20.56 <br />$'t 09.77 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />/l <br />MID#: 2016-132690