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(M-19) Santa Ana, CA 92702 <br />(714) 667-2738 lnspector <br />Unit: <br />Block: t{A <br />Bldg <br />Tracl 71 <br />Totalnt# <br />R-3 <br />VB <br />cPc 2019 <br />Misc Receipt <br />Mrsc Recerpl <br />[.4isc Receipl <br />01 <br />01 <br />0 <br />0 <br />@ Citv of Santa Ana 20 Civic Center Pl <br />Permit Counter. (714)647-5800 lnspection Req <br />Proj ect Address: I 1 10 W Columbine Ave <br />Ass€sso/s Parcel r10-25't -16 Lol 3 <br />O/rner: <br />Address <br />Sern Phe[ant <br />lllO W Columblne Av6 <br />Sent Ana. CA 92707 <br />|'714l.457-7151Phone <br />Tenant Name: <br />Conkactor <br />Address: <br />Fix lt All Plumblng S6.vico3, LL( <br />19881 Broo*hu.rt Unlt C159 <br />Huntlngton Beach, CA 92645 <br />171118221126Phone <br />Stale Lic #: 1028373 <br />Lic TvDe: c-36 <br />Bus. Lic *r 373026 <br />Workers' Compensalion lnsurance: <br />Canier NORGUARD lilSURAtaCE COf,PAt{Y <br />Policy #i F1WC193233 <br />Expires: 0712212021 <br />Building Use <br />Job Typ€: <br />Nalure of Work <br />Slngle Famlly Ow6lllng <br />m13cellaneoug <br />Plumbing <br />Occupancy: <br />Constr Type <br />Code: <br />Planning Condition3: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjed lo Faeld: <br />Buildang Permit #l <br />web,user lv <br />Dale <br />Date <br />Date <br />Every Frmll issue<l shallbecome nvalid unless the wofu on lhe sle <br />authonaed by such Nrmtl $ commencecl wilhin 360 days aftet ts <br />issuance, or I lhe wo* euthotizecl on lhe sile by such prni 6 <br />suspehcled or abandonecl lot a penod ol 360 clays aftet lhe ltme lhe work <br />lnspector MID#: 2021'165740 <br />A - No Balanc€ <br />A - No Ealance <br />Plumbing Permit #: lol(toca <br />Pin #: a.eleon (7'14) 647-5853 <br />Address Range: <br />Historic ilo <br />Suite Range: <br />Zoning: Ri <br />F6e Type <br />16002 51602 Wtr Htr (Res up to 50 gal) <br />16002 51600 General Plan Updale <br />16002 5'1602 lssuan.€ <br />16002 57770 Microlllm Records <br />Amount <br />23.97 <br />23 79 <br />59.30 <br />405 <br />Qtr <br />1.00 <br />100 <br />1.00 <br />1.00 <br />Feo <br />s23.97 <br />$23.79 <br />$59 30 <br />$4.05 <br />Notes Plumblng <br />s111 11 <br />s111 't 1 <br />$0.00 <br />Fee Tolal: <br />Paid to Date <br />Balance Oue