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llfu Cig of Santa Ana 20 Civic Center Plaza (M-1e), Santa Ana, CA s2702 Plumbinp Permit #: 30141{03 <br />Pin #: 441{9 <br />Proiect Address: 1129 112 S Van Ness Ave-a- - <br />Assessor's Parcel: 013-094-08 Lot: 66 <br />Unit: <br />Block: NA <br />Bldg. <br />Tract: 648 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address: <br />Phone: <br />Roberta Rogers <br />1129 S Van Ness Ave <br />Santa Ana, CA 927071135 <br />(7141 41 s-98s8 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51600 <br />01 1 16002 51602 <br />Fee Type <br />Water Closet <br />Shower/Bathtub <br />Sink <br />Garbage Disp <br />Sewer Alter/Repair <br />Gas Line alter/extend/ar <br />General Plan Update <br />lssuance <br />Amount <br />14.78 <br />23.12 <br />13.20 <br />11.08 <br />46.25 <br />68.1 4 <br />68.1 4 <br />46.25 <br />22.95 <br />57.20 <br />Qty <br />100 <br />1.00 <br />2.OO <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />Fee <br />$14 78 <br />$23.12 <br />$26.40 <br />$11 08 <br />$46.25 <br />$68.1 4 <br />$68.1 4 <br />$46.2s <br />$22.95 <br />$s7.20 <br />d ",n oEi?4.& a , .-. <br />, <br />Tenant Name: <br />Contractor. <br />Address: <br />Owner-Builder <br />Phone. <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policv #: <br />Expires: <br />Oalrhlrtifitgc} -, lq,/nfttO Tf\' lC'ftCi.lfe <br />ytarrr-rt a -!.b.lrJ't,a a a 'Ja L'-'l a lt - l-atlJuaaklhu <br />n0f i-ar f'TVU Taanrlt L1 ? r.P I <br />V, a a LL - t a a tt I t llta -'r - t - L' lJt t <br />Apr|'lr flafl. ilfi{ltlft? <br />aai-i-Ya' ll'Fl tJ'r't a.t-r-'l{, <br />R-r*ll.finLgfitq4 1lc. lnfilfJ ?.3i{ E,tl <br />irs.rt a,t'a.t lrL'a!'lJ ,, t'r .l.L'a, v -!'a I l, <br />Tarr^Fllalinr* TalnI t(}OZ la <br />ar utaJ$q-wrtlJa, av'trtta tvtv !-lJ <br />Eah aai a iian rn;r F.rt ars, rrlr tlrJ.Jt, J <br />\ <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Accessory Dwelling Unit-C Occupancy: <br />Conversion Constr Type <br />ADU Code: <br />Date: <br />Date: <br />Date: <br />R-3 <br />VB <br />cPc 2016 <br />a_f-EtrrnEat t rtt't rltatttr?a c.attrrgart t i.ta a altra v? irLllrL , st-nt I I annn- qt afit'llll1tl-t'.1 a a|Ytrtra. rr' a !rrr'!'Vtr!' <br />Etl rrreh i nnI atrlrr aaalnt t r etlnn- Et (nnnntl- <br />rJ a a a t.tarrja- r.t a irtJLrr.t.rr. <br />l{err} an l'rr^i <br />r t Li -, l, Lt glat l, <br />J\rir . l,tlrra rraa rr,tl I Oli <br />!.y, ..q.. tvrL. <br />Notes: <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />c?4, r ?r,.FL..t r a L..a, <br />c9(tL t <br />07 t0st2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt. <br />Total <br />Amsden, Julie <br />Building Permit #: 10199067 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance , or if the work authorized on fhe site by such permit is suspe nded <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />Inspector MID#: 2019-149037 <br />01 1 16002 51600 <br />01 1 16002 51602 <br />$22.e5 <br />$361 36 <br />$384 31 <br />$0 00 <br />$384.31