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City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, cA g27o? Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requesls: (7'l4l667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{40973 A <br />Pin #: 74614 <br />Project Address: 221'l N Spurgeon St <br />Assessor'sParcel: OO3-12O-22 Lot. 3 <br />Unil: <br />Block: NA <br />Bldg: <br />Tract: 1503 <br />Address Range: <br />Historic: No <br />Owner: <br />Address <br />Phone: <br />Tsnant Name: <br />Contraclor <br />Address: <br />Bret Kloberdanz <br />22ll N. Spurgeon <br />Santa Ana, CA 927062952 <br />17141292-7779 <br />Owner-Builder <br />Feo Type <br />01'116002 51602 Gas Lane repair/replace <br />01116002 51600 General Plan Update <br />01 116002 51602 lssuance <br />Amount <br />44.51 <br />22.O8 <br />55.04 <br />Eotcht!50075 - S/n/2c.tsoff ice: CTYH Trsn:i: 57Ac.ti: Ref+Rcat9302643754 - 3/29/1oTronsoct ion ToLsI <br />Bret (lobendonz <br />Q.y <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$44.51 <br />$22.08 <br />$55.04 <br />c4 <br />IPhone <br />State Lic #: <br />Lic Typel <br />Bus Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />lol: 301{097tr <br />19 11r10 At1rr2t.63 <br />6enerol Plon Updote Fee <br />01116002- 51600000- <br />Plurb ing <br />01u6002- 51602000_ <br />Cnsh <br />Chonee <br />t22,08 <br />s99.55 <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Planning Conditions: <br />Planning Approval 8y <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />GaB Line <br />Chavez. Oave <br />52c' <br />Occupancy: <br />Constr Type <br />Code: <br />Date: <br />Date: <br />Date:o5129t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Tolal <br />Notes: Gas line replacement- Owner-Builder form on ,ile. <br />Ewry pomil issued sha becomo nvalid unless lhe wo.r( on the site <br />authotizod by such permil is commenced within 360 days after ils <br />issuance, ot il lho wod< authonzed on tha stte by such pemit is suspended <br />ot abandoned fot a period ol 3& days aftet lhe tino the worl< is <br />cofiitanccd <br />lnspector Mto#. 2019-',!51772 <br />01116002 51600 <br />01116002 51602 <br />$22.08 <br />$99 55 <br />Suite Range: <br />Zoning: R'l <br />R-3, U <br />VB <br />cPc 2016 <br />Fee Total: <br />Paid to Oate: <br />Balance Du6: <br />$121.63 <br />s0.00 <br />0121.63