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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927OZ Plu mbing Permit #: 30{42{36 <br />Pin #: 47o33Permit Counter; 17'l4l647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 2113 N Richmond St Unit; <br />Block: NA <br />Btdg: <br />Tract: 3902 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RiAssessodsParcel: 396{,14-16 Lotr 30 <br />Owner: <br />Address <br />Robert Rivera <br />2113 N. Richmond <br />Santa Ana, CA 927057621 <br />(42419004429 <br />Fee Type <br />Water Closet <br />Shower/Bathlub <br />Sink <br />General Plan Update <br />lssuance <br />Microlilm Records <br />Amount <br />14.78 <br />23.12 <br />13.20 <br />22.95 <br />57.20 <br />3.91 <br />Qly <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />1.00 <br />'1.00 <br />Fee <br />$14.78 <br />523.12 <br />$13.20 <br />$22.9s <br />$s7.20 <br />93.91 <br />Phone <br />Tenant Name <br />American Home Remodling <br />4375 Prado Rd #108 <br />Corona, CA 92880 <br />(951) 520-05s4Phone <br />State Lic #: 807029 <br />Lic Type: C-36, B <br />Bus. Lic #: 5340 <br />Workers' Compensation lnsuranceCaffier Falls Lake Fire and Casualty Company <br />Policy # FLA00797702 <br />Expires: 0110112021 <br />neF <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cPc 2019 <br />Building Usei <br />Job Type: <br />Nature ol Work <br />Single Family Dwelling <br />Alteration <br />Bathroom Remodel <br />Planning condilions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subjecl lo Field: <br />Building Permit #: <br />Chavez, Dave <br />Date: <br />Date; <br />Date:06t1'u2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />101 103735 $22.95 <br />$108.30 <br />$3.91 <br />$135.16 <br />$0.00 <br />t135.'t6 <br />Every pemit issued shall become invalid unless the $/orr( on lhe sllg <br />authonzed by such permit is commenced wilhin 3il days anet ils <br />issuance, or il the woi< authorized on the site by such pomit is suspended <br />or abandonod lor a period of 3ffi days aftet lbe lme lhe wotk is <br />cofifirenced <br />lnspector tvllD#: 2020-'158789 <br />011 16002 51600 <br />011 16002 51602 <br />01116002 57770 <br />Stn <br />Conlractor: <br />Address: <br />011 16002 51602 <br />01116002 51602 <br />01116002 51602 <br />011 16002 51600 <br />0't1 t6002 51602 <br />01 116002 57770 <br />B <br />0 <br />A <br />I <br />Notes. Bathroom remodel. Fixture change outs. <br />Fee Tolal: <br />Paid to Dale: <br />Balance Due: