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Project Address: 512 S Van Ness Ave <br />Assessor'sParcet 010-133-17 Lot: 14 <br />Unit: <br />Block: 5 <br />Bldg: Address Range: <br />Tract: POLYTECHNIC VlLlHistoric: No <br />Suile Range: <br />Zoning: SD40 <br />city of Santa Ana 20Civic Center Plaza (M-19), Sanla Ana. CA 92702 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit#: 3O14O474 <br />Pin #: 19744 <br />Owner: <br />Address <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Loraine Lopez <br />512 S Van NeBs Ave <br />Santa Ana, CA 927015547 <br />(562) 740-2513 <br />American Home Remodling <br />4375 Prado Rd #108 <br />Corona, CA 92880 <br />(951) 520-0654 <br />01116002 5'1602 <br />011't6002 51602 <br />01 1 16002 51600 <br />01116002 51602 <br />Amount <br />22.25 <br />12.70 <br />22.08 <br />55.04 <br />F6o <br />522.25 <br />$12.70 <br />$22.O8 <br />$5s.04 <br />Fee Type <br />Shower/Bathlub <br />Sink <br />General Plan Update <br />lssuance <br />Qty <br />'1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />Stale Lic 8: 807029 <br />Lic Type: C-36, B <br />Bus. Lic #: 5340 <br />Workers' Compensation lnsurancer <br />Carrier: Falls Lake Fire and Casualty Company <br />Policy #: FLA00797700 <br />Expiresr O1lO1l2O2O <br />Eotch+:49607 <br />0ff ice3 CTYH <br />Acct:: <br />Rc pt+:026149 <br />- 7/l/201? ID! LRoSALIfron6l: 22 2 ol iReft: 301{0S7166 - 5/t/2gt? 12t12 7nTotol 1193,27 <br />Airen icqn {o.e Rerod I ine <br />Generol I <br />:t1116002- <br />Pluib insllll6@2- <br />ICL Checl <br />lon UDdst,e <br />5 t 600000- <br />51602000- <br />3152 <br />Building Use: <br />Job Type: <br />Nalure ot Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Fixture change outs <br />Chavez, DaveI <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cPc 2016 <br />Notesr Bathroom fixture change outs <br />Oate: <br />Date: <br />Date:05101/20't 9 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />a, <br />Every pennil issued shall becone invalid unless lhe work on the sile <br />authorized by such pennit is commenced within 360 days aftet its <br />issuance, or if tho wotk euthorued on the site by such pe.mil is suspandod <br />ot abandoned lor a Niod ol 3@ days afret lho tifie the worl< is <br />comnencad <br />lnspector MID#: 2019-15'l 188 <br />011 16002 51600 <br />011 t6002 51602 <br />$22 08 <br />$89 99 <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />$112 07 <br />$0 00 <br />91'.t2.07 <br />r