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City of Santa Ana <br />Permil Counter: (714) 647-5800 <br />20 Civic Center Plaz a (M-19), Santa Ana, CA92702 <br />fnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Plumbing Permit #: 3Ol3E53{ <br />(,1t4 Pin #: E7173 <br />Assessor'sParcel: 405-233-03 Lot: 22 <br />Bldg: <br />Tract 1558 <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address: <br />Phone <br />Tenant Name: <br />01116002 51602 <br />01116002 51602 <br />0't 1'16002 5'1602 <br />01116002 51602 <br />011't6002 51600 <br />011'16002 5'1602 <br />Froddie & Gloria Hsrnandez <br />1144 W Tenth <br />Senta Ana, CA 92703 <br />(714) 716{881 <br />Elan Balmas <br />1844 S Barrington Avenuo <br />Lo8 Angel$, CA 90025 <br />(8r8) 535-3792 <br />Foo Type Amount <br />Gas Line alter/exlend/a( 63.12 <br />Tankless Water Heater 63.12 <br />Repipe Res (Each 100' 42.85 <br />Waler Service (Each 10 42.85 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$63.12 <br />s63.12 <br />$42.85 <br />$42.85 <br />$21.25 <br />$52.98 <br />Phone <br />State Lic #: 10198/al <br />Lic Type: C-36 <br />Bus. Lic #: 363779 <br />Workers' Comp6nsation lnsuranceCanier: Exempt <br />Policy #: <br />Expires: <br />- 9/20/7917 I0r L <br />Tnons+: 70Reti: 30tl <br />53 - 9170/2017 2zL1Totol t2S6. <br />')i:.{ <br />€3 I YH <br />! 020158 <br />lon Eqlaos <br />;enerol Plon lJpdote Fee <br />,,r I I16002- 51600000- <br />lurb i nr,rl r t6oo2- 51602000- <br />.rtqo <br />( ' l: Irrrrrllrlrr9004 Auth+:lJ <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Slngle Family Owelllng OccuPancy: <br />Mlscellaneous Constr Type <br />Water Service/Plplng/HeaterCode: <br />R.3, U <br />VB <br />cPc 2016 <br />Planning Conditiong <br />Date: <br />Plan Checked By <br />Permit lssued By <br />Subject to Field: <br />Building Permit # <br />Date <br />Ewry pemit issusd shall bocgmo invalid unless fio woak on the sitc <br />auipdzed by such N.mit is c.mnetood within 1 80 days afrv its <br />issuot @, ot il ttlo wod< euthotized on tp site by such pemit is susp€ndod <br />or abandorcd tor a pedod o/,180 days aftot tlt€ time the wo* is <br />cgmnet@d. <br />o9120t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Recaipt: <br />Misc. Receipt: <br />Total <br />ki <br />$21.25 <br />$26,4.92 <br />$286.17 <br />s0.00 <br />$286.'r7 <br />lnspector MID#: 2017-138444 <br />01 'l 16002 51600 <br />01116002 51602 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Project Address: 1 144 W Tenth St Unit: <br />Block: NA <br />Address Range: <br />Hisloric: No <br />Contractor: <br />Address: <br />Planning Approval By: <br />Notes: