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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7 1 41 667-2738 lnspector Section: (714) &7-5853 <br />Mechanical Permit #: 40{ 31355 <br />Pin #: 6.26,57 <br />Project Address: 1430 W Twelfth St <br />Assesso/s Parcel: 004-l l2-01 Lol: 32 <br />Unit: <br />Block: l{A <br />Bldg: <br />Tract: 1256 <br />Sute nange: d <br />Zoning: Rl <br />Owner: <br />Address <br />Phone: <br />Tonant Name: <br />Conlractor <br />Address; <br />Owner-Builder <br />01'116002 <br />01116002 <br />01116002 <br />011'16002 <br />01'116002 <br />51604 <br />51604 <br />51604 <br />51600 <br />51604 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$29.38 <br />$33.54 <br />$31 .10 <br />$21.25 <br />$52.98 <br />FsoType Amount <br />Bathroom Fan 29.38 <br />Laundry Fan Envir. Air 33.54 <br />Range Fan 31.'10 <br />General Plan Update 21 .25 <br />lssuance 52.98 <br />Phone <br />State Lic f: <br />Lic Type: <br />Bus. Lic #: <br />workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Date: <br />Oale: <br />Chavez, Oave Dale: 0813112017 <br />a22' <br />Account# <br />01 1 16002 51600 <br />B6t€hi:40011 - 8/31/2017 I0: ororoleslS <br />Office: CTYB Tronsi: 17 I ol IAccti: Refi: 40131355 <br />Rcptir0l993817 - 8/31/2Ol? 2.47 Pn <br />Tronsoct ion Totol t168.25 <br />Serg io & llonico Uolenciflno <br />GenProl Plon Updste Fee t21.25 <br />(r1116002- 51600(100- <br />llechsn icol t 117 . t10 <br />01116002- 51604000- <br />Remo[bahtorlor of SFD to croate new bathroorfl{O es <br />existin$Sllll{ittlll$il$ltS6? ano **bat0s426D <br />replacement. Auth on fl16. <br />Planning conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Single Family Dwelling <br />Alteration <br />Remodel <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cMc 2016 <br />Building Permit #: 101 91819 <br />Every pemit issued shall become invalid unless ths wol* on lhe slto <br />authoized by such pemit is cgmmenced ,,tithin 180 days aftet its <br />issuance, or if tho wotl< aulhotized on the site by such peinil is suspended <br />ot absndoned fot a peiod ol 180 days aftet the time the wo* is <br />commenced. <br />lnspector MID#: 2017-'133777 <br />01116002 5'1604 <br />$21.25 <br />$147.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Address Range: <br />Historic: No <br />Sergio & Monica Valenciano <br />'t430 w. l2rh st. <br />Santa Ana, CA 92703 <br />(7141296-3222 <br />$168.25 <br />$0.00 <br />$168.25 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Noles: