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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Plumbing Permit #: 3Ol4O8{6 <br />Pin #: 20799lnspection Requests: (714) 667-2738 lnspector Section: f14) 647-5853 <br />Project Address: 409 N Laurel St Unit: <br />Block: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2Assesso/sParcel: 198-251-57 Lotr 84 <br />Owner: <br />Address <br />Ramiro Vera <br />409 N Laurel Street <br />Santa Ana, CA 92703 <br />(760) s34-3876 <br />0'1116002 51602 <br />01't 16002 51602 <br />01116002 5160t <br />01116002 51602 <br />01116002 5160C <br />01116002 51602 <br />FeeType Amount <br />Water Closet 14.22 <br />Shower/Bathtub 22.25 <br />Sink 12.70 <br />Gas Outlet. each Add'l 7.06 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1 .00 <br />1 .00 <br />2.00 <br />3.00 <br />1.00 <br />1.00 <br />Fee <br />$14.22 <br />$22.25 <br />$2s.40 <br />$21 .18 <br />$22.08 <br />$55.04 <br />Phone <br />Tenanl Name: <br />Conlraclor <br />Address: <br />Excelslor Restoration lnc <br />2430 N Gla3sell Streot, fE <br />Orange, CA 92865 <br />(71/r) 758-1153Phone <br />State Lic #: 969992 <br />Lic Type: B <br />Bus. Lic #: 341718 <br />Workers' Compensalion Insurance; <br />Carrier: State Compensation lnsurance Fund <br />Polic] f: 1423306 <br />Expires: 0.,/0112020 <br />BotchS:493@ -off ice3 CTYH <br />Acctg: <br />Rrpt9:0258918t <br />fioncdat r o. Tn <br />vll/20t9 I <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3, U <br />VB <br />cPc 20't6 <br />rot ion I <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Single Family Dwelling <br />Alteration <br />Firc Damage Repair <br />Noles: <br />Gener oI <br />1t I rlnn <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />od.t''t1t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />10198700 $160.17 <br />$0.00 <br />s160.17 <br />Every pemit issuod shall bec!me invalid unhss the wotu on tto site <br />euthotized by such pemit is cornmencad within I 80 days efier its <br />issuance, ot il the wo* aulhotizod on the site by such pormit is suspended <br />ot ebandoned fot a peid o1180 days aftet lhe time tp wo* is <br />cgmmen@d. <br />MID#: 2018-148324 <br />01 1 16002 51600 <br />01116002 51602 <br />$22.08 <br />$ 138.09 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Bldg: <br />Tract 540 <br />\f '""n0"'' *"'n, <br />Dale: <br />Dale: <br />Date: <br />lnspector