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city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing <br />Permit Counter: (714) 647-5800 Inspection Requests: 014) 667-2738 lnspector Section: (714) 447-5853 <br />Permit #: 3Ol425OO <br />Pin #: 9EGaE <br />Proiect Address: 1 1 17 N Concord St <br />Assessor'sParcel: 400-285-20 Lot 94 <br />Unit: <br />Block; NA <br />Bldg: <br />Tract: 26,{8 <br />Address Range: <br />Historic: No <br />Suite Range: t' <br />Zoning: Rl <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Vanossa Rodriguez <br />I117 Concord Street <br />Sanla Ana, CA 92701 <br />17't4l ?961347 <br />Five Star3 Plumbing <br />319 E Bishop Street <br />Santa Ana, CA 9270'l <br />(7r4) 650-9956 <br />Fe6 Type Amount <br />01116002 51602 Gas Line repair/replace 47.95 <br />01116002 51600 General Plan Update 23.79 <br />01'116002 51602 lssuance 59.30 <br />01116002 57770 Microlilm Remrds 4.05 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$47.95 <br />$23 79 <br />$59.30 <br />$4.05 <br />State Lic #: l0a7330 <br />Lic Type: C-36 <br />Bus. Lic #: 372a12 <br />Woriers' Compensalion lnsurance:Canier; Ergmpt <br />Polic-y #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature o, Work <br />Planning Conditiong <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subiecl to Field: <br />Building Permit #: <br />Chavez. Dave <br />* <br />Occupancy: <br />Constr Type <br />Code: <br />1011u2020 <br />Account# <br />Date: <br />Oate: <br />Oale: <br />Misc. Receipti <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes Repair gas piping to include replacement ot (6) outlets. <br />$135.09 <br />$0.00 <br />t13s.09 <br />Evory pom issuod shall become invalid unless lr,€ wol* o, t ,€ silo <br />authonzed by such permit is comnencad within 3 days afre. its <br />isswrrca ot il lhe wort eutpnzed on lhe s a by such pennit is suspendod <br />or abendoned fo, a penod ol 3@ days after lhe lime tho wotl< is <br />conmenced <br />lnspector MID#: 2020-162074 <br />01 1 16002 5't600 <br />01 '1 16002 5'1602 <br />011't6002 57770 <br />$23.79 <br />$107.25 <br />$4.05 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Phone <br />Single Family Dwelling <br />Miscellaneous <br />Gas Plping <br />R-3 <br />VB <br />cPc 2019