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Project Address: 2434 S Broadway <br />Assessor'sParcel: 410-381.03 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: NA <br />Address Range: <br />Historic: No <br />Suile Rangel <br />Zoning: Ml <br />city of santa Ana 20 civrc center Plaza (M-19). santa Ana, cAg27o2 Plumbing <br />Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30441920 <br />Pin #: 4635\\ <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Conlractor <br />Address: <br />GENE L FELLING <br />2220 S LOARA ST <br />Anaheim, CA 928023914 <br />17141775-7735 <br />Owner-Builder <br />01 'l 16002 <br />01116002 <br />0'1 1'16002 <br />01116002 <br />0'1116002 <br />51602 <br />51602 <br />51600 <br />51602 <br />57770 <br />Amount <br />7.22 <br />252.69 <br />22.95 <br />57.20 <br />3.91 <br />Fee Type <br />Cap Firlures <br />Penalty <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Foe <br />$28.88 <br />$252.69 <br />$22.95 <br />$57.20 <br />$3.91 <br />Botchi:s{335 - 2/ll/2o2o I0: oioroleelE <br />offi(e: CTYH Tronsi: l2l 2 of ?Accti: Reft: 301{ lgm <br />Rcpt+:02892048 - 2/ll/2O2O 12!57 Pn <br />Tronsoct ion Totol t970.68 <br />6ENE L FELLIHG <br />Qty <br />4.00 <br />1.00 <br />1.00 <br />'t.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 />6enerol Plon Uodote Fee <br />01u6002- 51600000- <br />n icrof ilr & oocurents <br />0u16002- 57770000- <br />f'l urb i os <br />0u16002- 51602000- <br />U iso <br />cc+: rrrr*rrrrrr19669 <br />t?2.98 <br />33 .91 <br />t338.7? <br />t970.ag <br />Auth+80837?1 <br />Buildang Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit #: <br />lndustrial <br />Tenant lmprovemont <br />N/V - Bathroom <br />Occupanc'y: <br />Constr Type <br />Code: <br />B <br />VB <br />cPc 2019 <br />104103093 <br />Every permit issued shall become invalid unless the wo* on the site <br />authotized by such pomil is commenctd within 3& days altet its <br />issuance. or if the wod< authonzed on the sile by such pefinit is suspended <br />ot abandoned for a penod ot 3@ days afret the time the wotk ts <br />cofifigncicd. <br />lnspector MrD# 2020-"r57689 <br />01 1 16002 51600 <br />01116002 51602 <br />01116002 57770 <br />Fee Tolal: <br />Paid to Date: <br />Balance Due: <br />$365.63 <br />$0.00 <br />$355.63 <br />Date <br />Date <br />OaleChavez, Dave4 a o2111t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.95 <br />$338.77 <br />$3.91 <br />Notes: Remove unpormitted bathroom facillty and restore <br />back to point ot origin.