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City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, c492702 hf Plumbins Permit #: 3lJ142217 <br />Pin #: 79701Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Proj ect Address: 1119 E Wilshire Ave Unil: <br />Block: NA <br />Btdg: <br />Tracl: 2626 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 014-222-53 Lol 151 <br />Owner: <br />Address <br />ERNESTO V CALDERON <br />11I9 E WILSHIRE AVE <br />Sanla Ana, CA 927071419 <br />(7141 727 -5063 <br />01116002 51602 <br />01116002 51600 <br />01116002 51602 <br />01116002 57770 <br />Foe Type Amount <br />Wtr Htr (Res up to 50 gi 23.97 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$23.97 <br />$23.79 <br />$s9.30 <br />$4.05Tenant Name: <br />Contractor <br />Address. <br />Builder Services Group dba <br />475 Rivera St #D <br />Riverside, CA 9250'l <br />13861 304-2222Phone <br />Stale Lic #: 1034361 <br />Lic Type: C-36, B, C-61, C-2, C-20, C-33 <br />Bus. Lic #r 368185 <br />Workers' Compensation lnsurance:Carner: Old Republic lns <br />Polrcy #: MWC31557120 <br />Expires 06/30/2021 <br />Building Use: <br />Job Typel <br />Nature of Work <br />Single Family Dwelling <br />Miscellaneous <br />Water heater <br />Occupancyl <br />Constr Type <br />Code: <br />R.3 <br />VB <br />cPc 2019 Notes: Direct change-out. Handout given. <br />Planning Conditions: <br />Planning Approval By Date <br />Dale <br />Date <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit f: <br />sden. Julre 07 t01t2020 <br />Account# <br />Every pernit issued shall become invalid unless t e worr( on lhe s,te <br />authoized by such pemit is commencad within 360 days eftet ils <br />issuance, or if lhe wgft authonzed oh the site by such petnit is suspended <br />ot abandoned fot a pedod o1360 days aftet the til'!,e the wotu is <br />conmen@d- <br />s11 1.11 <br />s0.00 <br />$1 11.11 <br />lnspector <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01 116002 57770 <br />$23.79 <br />$83.27 <br />$4.05 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Phone: <br />MID#: 2020-159860