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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI|7O?. Plumbing <br />Permil Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3O139245 <br />Pin #: 17474 <br />Bldg: <br />f ruct: 1273 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />qProject Address: 1513 1/2 N Parsons Pl <br />AssessofsParcel: 100.190.11 Lot: 10 <br />Unit: <br />Block: NA <br />Owner: <br />Address <br />Phone: <br />Tonant Name: <br />Contraclor <br />Address: <br />Nguyen Van Sam <br />1513 N Parsons Pl <br />Sanla Ana, CA 927031220 <br />171412514831 <br />Owner-Builder <br />0'1 1 <br />011 <br />0'1 1 <br />011 <br />0'1 1 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />'16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />Fee Typo Amount Qty Fes <br />water closet 13.69 1 .00 $13.69 <br />Shower/Bathtub 21.42 1.00 $21.42 <br />Sink 12.23 2.00 $24.46 <br />Clothes Washer 13.45 1 .00 $13.45 <br />Dishwasher 11.52 1.00 $11.52 <br />Garbage Disp 10.26 1.00 $10.26 <br />Add'l Sewer Connection 21.42 1.00 $21.42 <br />Gas Line alter/extend/a( 63.12 1.00 $63.12 <br />wtr Hrr (httnlqt9rge _21,4fu2111" 1r0Q rrr ,$?,1,a2 <br />HoseBib0f'lr, e: ! IIH l&tg'sl i Yl 2.00 .i ,,i$29.78 <br />Generat daii tbilat e 21 25 i,er : : I O0l i, . ,, 521 25 <br />rssuance!' ll;;lli,,,l''i;AaeB'' ai2t.'tnr,qgl, sszsa <br />l{eueen Von Sor <br />Phone <br />Stale Lic f: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Polic-y #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature ot Work <br />G€nerol Plon [.le dote Fee <br />01116qt2- 51600000- <br />Plurb inr0lll6m2- 516020@- <br />ICL Gheck OOll27Single Family Dwelling <br />New <br />2nd Dwelling Unit <br />94837 <br />I <br />I <br />t6r54Occupancy: <br />Constr Type <br />Code: <br />Plannlng Conditions: All materials to match existing. <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjeci to Field: <br />Building Permit #: <br />Teri <br />Notes: (1) bathroom, (l) kitchen. Laundry facilities & water <br />haater wlthin closet. Handout 9iven, <br />$304.77 <br />$0.00 <br />t304.77 <br />Dale: <br />Dale: <br />Date:o4to4/2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Ewry Nmit issued shel bocame invalid unless fhe wott on lte sile <br />outt,o,nzed by strch pe'mit is @mmat,csd wilhin 1 80 de$ afrer its <br />issuanc€, or il tho wotk auttprized on tho site by such po.mit is suspendsd <br />at abandoned tot a godod ol 1 80 days afrat tho t,i,e the wo* is <br />comfirenc8d. <br />lnspector MID#: 2017-'139387 <br />01116002 51600 <br />01't '16002 5'1602 <br />$21.25 <br />$283.52 <br />Fee Tolal: <br />Paid lo Date: <br />Balance Due: <br />R-3 <br />v8 <br />cPc 2016