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City of Santa Ana <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />Plumbing Permit #: 3O{ 13'124 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 {\ <br />Proj ect Address: 820 S Van Ness Ave <br />Assessor'sParcel: 010-243-13 Lot: 12 <br />Suite: <br />Block: 17 <br />Bldg: Address Range: <br />Tract:POLYTECHNIC Historic:No <br />Suite Range: <br />Zoning: SD40 <br />Owner: <br />Address: <br />Maria Montes <br />820 S Van Ness Ave <br />Santa Ana, CA 927015507 <br />(714) s41-5ee8 <br />Fee Type <br />Water Closet <br />Shower/Bathtub <br />Sink <br />lssuance <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Amount <br />7.25 <br />7.25 <br />7.25 <br />23.50 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$7.25 <br />$7.25 <br />$7.25 <br />$23.50 <br />$4s.2s <br />$0.00 <br />$45.2s <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />IJU+I UUU <br />I RAHSACTI <br />Buildins <br />(:K <br />CHANGE <br />Building Use: <br />Type of Work: <br />Nature of Work: <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Single Family Dwelling - De Constr Type <br />Miscellaneous Occupancy: <br />Dir C/O Code: <br />Brodowski, Teri <br />Date: <br />Date: <br />Date: <br />VN <br />R3 <br />cPG 2001 Notes: Direct change-out of plumbing fixtures. Letter of auth <br />on file. <br />01/31/2003 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Building Permit <br />This permit shall expire by limitation and become null and void if the work authorized by this permit <br />is not commenced within 180 days from the date of this permit, or if the work authorized by this <br />permit ls suspended or abandoned at any time after the work is commenced for a period of 180 days. <br />Before such work can be recommenced, a new permit shall be first obtained to do so. <br />Account #: 01 1 -01 -591 2 lnspector <br />(flre <br />4r,*\+