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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714].667-2738 lnspector Seclion: (714) 647-5853 <br />Permit #: 3Ol4Ol62 <br />Pin #: 55852.1 <br />\ <br />Project Address: 1665 1/2 W Brook St Unit: <br />Block: NA <br />Bldg: <br />Tract 2355 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address: <br />Phone: <br />Tonant Neme: <br />Contraclor <br />Address: <br />Hung Thanh Lo <br />'1665 W. Brook St. <br />Santa Ana, CA 927034601 <br />(626) 780{359 <br />Owner-Builder <br />011 16002 51602 <br />0 1 1 't 6002 5't 60i <br />011 16002 5160i <br />011 16002 5160: <br />011 16002 51602 <br />011 16002 5160C <br />011 16002 5160i <br />Fes Type <br />Water Closet <br />Shower/Bathtub <br />Sink <br />Clothes Washer <br />Sewer Alter/Repair <br />General Plan Update <br />lssuance <br />Amount <br />14.22 <br />22.25 <br />12.70 <br />13.97 <br />44.51 <br />22.O8 <br />55.0,r <br />Qty <br />1.00 <br />1.00 <br />2.OO <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fes <br />$14.22 <br />$22.25 <br />$25.40 <br />$13.97 <br />$44.51 <br />$22.08 <br />$55.04 <br />Phone <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic r: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Eotchi:+6635 - LO/26/2glS I0: CCt SLLARoffice: CTYH Irons+: 40 2 ol 3 <br />Acct+: Ref+: 301{0162 <br />kcDt+:02420898 - 10/26/2018 2.O9 lt1 <br />TPonsoct ion Totol t t 1026.29 <br />R.3, U <br />VB <br />cPc 2016 <br />Notes <br />Hune fhonh Le <br />6enerol- Plon UpdoUe Fee <br />0l l l60r'12 - 51600000- <br />t lu.b ins <br />01116002- 516020@- <br />Vrso <br />CCi: rr rlrrrrlrrr3ST3 <br />i?2. r:tg <br />$175.3? <br />|l fi26.29 <br />Auth+ t060917 <br />Planning conditions: <br />Plannang Approval B}( <br />Plan Checked By; <br />Permil lssued By: <br />Subject to Field: <br />Buirding Permit #: 10197474 <br />Ewry Nmil issuod shall becgmo invehd unless the wod< on the site <br />authorized by such pemit is commen@d within 1 80 days aftet its <br />issuanca, ot il the wo* authonzed on lhe sile by such peinil is st spended <br />or abandonod tot a pend o1180 days afror tt e time the wodl is <br />comanen@d. <br />Slnglo Famlly Dwolllng OccuPancY: <br />New Constr Type: <br />New ADU attachad to (6) SFPode: <br />YI\Hernandez, Kathy 10t26t2014 <br />Account# <br />Misc. Recaipt; <br />Misc. Roceiptl <br />Misc. Receipt: <br />Tolal <br />$197 47 <br />$0.00 <br />$197 .47 <br />lnspector MID#: 2018-144730 <br />01'116002 5'1600 <br />011 16002 51602 <br />$22.08 <br />$175.39 <br />Fee Total <br />Paid to Oate: <br />Balance Due: <br />Assessois Parcel: 109.361-20 Lot: 106 <br />Building Use: <br />Job Type: <br />Nature ot Work: <br />Date: <br />Date: <br />Date: