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l <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA1ZTOZ Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3O13E241 <br />Pin #: 50997 <br />Project Address: 219 N Broadway <br />Assessor'sParcel: 398-267-02 Lot: 7 <br />Unit: <br />Block: 5 <br />Bldg: Address Range: 217-221 <br />Tracl: TOWN OF SANTA Alistoric: Yos <br />Suite Range: <br />Zoning: SD84 <br />q <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Al Cordero <br />219 N Broadway <br />Santa Ana, CA 927014852 <br />(775) 544-1499 <br />LSR Bullderg <br />225 North BroadrYay, #216 <br />Santa Ana, CA 92701 <br />(85814374247 <br />01'116002 51602 <br />011't6002 51602 <br />01 1 16002 51602 <br />01116002 51600 <br />01116002 51602 <br />Amount <br />13.24 <br />1 1.83 <br />43.27 <br />20.56 <br />51.26 <br />Feo Type <br />Water Closet <br />Sink <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />1 .00 <br />Fee <br />$13.24 <br />$11.83 <br />$43.27 <br />$20.56 <br />$s1.26 <br />Botchi:39219 - 6/25/2trt7 <br />off ice: CTYH lrons+3 43Acct+: Refl: <br />Rcati:0193173? - 6/29/ZOti <br />Tronsact ior Total <br />ID: <br />Phone <br />State Lic #: 9547,43 <br />Lic Type: B <br />8us. Lic #: 3,43456 <br />Worters' Compensation lnsuranceCanier: Atlas GoPay <br />Policy *: FLA0O5713 <br />Expires: OSl12l2O1A <br />30138241 <br />1l:30 An <br />t280.32 <br />LSR Builders <br />6enerol Plon Updole Fer <br />0u 16002- 51600000- <br />Plu.b ine <br />01116002- 51602000- <br />Viso <br />CC+ ! r*Irrrrrrrr*6633 <br />t ,r <br />AuthS : 1|:li30 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commerclal <br />Miscellaneoug <br />Plumbing <br />Occupancy: <br />Constr Type <br />Codel <br />B <br />VB <br />cPc 2016 <br />Notes: lnstallation of water closet and sink <br />Planning conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Every pemil issued shall bocone invalid unless lhe wo* on the site <br />authoized by such pemit is commenced within 1 80 days sfrer its <br />issuanca, ot il the wo* authodzed on the site by such pemit is suspended <br />or abandoned fot a penod ol 1 80 ddys afrer the tirfle the wod< is <br />commen@d. <br />Chavez, Dave <br />Bc- <br />06128t2017 <br />Account# <br />Misc. R6ceipl: <br />Misc. Receipl: <br />Mlsc. Receipt: <br />Total <br />Date <br />Oate <br />Date <br />$'r 40.16 <br />$0.00 <br />$140.16 <br />lnspector MID#: 2017-137101 <br />0't 1'16002 5'1600 <br />01116002 51602 <br />$20.s6 <br />$119.60 <br />Fee Total: <br />Paid to Date: <br />Balance Due: