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Plaza (M-19), Santa Ana, <br />Requests: (714]. 667-2738 I <br />Unit. <br />Block. NA T <br />CitY of Santa Ana 2o civic <br />Permit Counter. (714) 647-5800 lnspe <br />Project Address: 801 E Occidental St <br />Assessor's Parcel 011-213-14 Lot: 19 <br />OrYner: <br />Address <br />Conlraclor <br />Address <br />Tenant Name: <br />Phone <br />State Lic f: 765699 <br />Lic Type; A <br />Bus. Lic #: 373878 <br />Workors' Compensation lnsuranceCanier: Erempt <br />Policy ,: <br />Expi,es: <br />Sally G FloroE <br />801 E occldentel st <br />Santa Ana, CA 927072335 <br />17'l41542]t780 <br />Exclusive Construction <br />402 N Westrldge Avenue <br />Glendora, CA 91741 <br />(626)4874828 <br />Single Family O$relling <br />Addition <br />Addition <br />MID#: 2019-152455 <br />Building Use: <br />Job Type: <br />Nalure ol Work <br />Planning Approval 8y <br />Plan Checked By: <br />Permil lssued 8y: <br />Subiect to Field. <br />lnspector <br />Occupan <br />Planning Conditions: <br />Verduzco, Violet"c <br />Date <br />Date <br />Date <br />Buildins Pe.mir #: 101 101083 <br />Every psrmtl Bsued shall become invalid unless the ,NotR on the sile <br />aulhonzed by such Nmil is comoancecl wtlhn 360 days alto. tts <br />Constr T <br />Code: <br />issuea(p. oa il ito wot* authonaa<t on thc Elo by such panntt is <br />or abendp/ldd to. a pond 0.1360 days aftet tho lfio tho wotk is <br />cgmra(rod. <br />01 'l 16002 51600 <br />011't6002 51602 <br />Accountf <br />2019 <br />R.3, U <br />VB <br />cPc 2016 <br />$450 <br />2702 <br />spector Section: (714) 647-5853 <br />Plumbing Permit #: 30141353 <br />Pin #: 8O52O <br />s <br />2234 <br />Address Range:Suite Range: <br />Zoning: RiHistoric No <br />Fse Type Amount Qlf <br />Water Closet 14 78 3 00 <br />Shower/Bathtub 23 12 3.00 <br />Sink 13 20 5 00 <br />Clothes Washer 14 52 1 0O <br />Dishwasher 12 44 100 <br />Garbage Disp 1 1.08 I 00 <br />Each Add'l 100' Sewer 23 12 1.00 <br />Gas Line alter/exlend/a( 68.14 1 00 <br />Tankless Water Healer 68 14 100 <br />Hose Brbb 16.08 1 00 <br />General Plao Update 22 95 1 0O <br />lssuance 57 20 1 0O <br />i:1,,, ri: t.il/ <br />,.,,: <br />: <br />011 <br />011 <br />01 'l <br />011 <br />0'l 1 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />16002 <br />'r6002 <br />16002 <br />16002 <br />r6002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />51602 <br />5't602 <br />5160t <br />5160i <br />5160i <br />5160i <br />51602 <br />51602 <br />5160i <br />5160i <br />5160C <br />5160i <br />PZvn <br />Fee <br />$44.34 <br />$69.36 <br />$66.00 <br />$ 14.52 <br />$12.44 <br />$1 1.08 <br />s23.12 <br />$68.14 <br />$68. 14 <br />$ 16.08 <br />$22.9s <br />$57.20 <br />3I <br />4 <br />rl <br />Exclusive Construct ion <br />t.,, <br />w/c, tuurho|Cr, sh(9, dblllvasher,washing <br />machih6lgtuhage disposal, sewer alter, extend ga!, <br />tankle3a wdar fieit.r; hoso bibt: <br />Notes: <br />Fee Tolal <br />Paid to Dale: <br />Balancs Oue: <br />$473.37 <br />$0.00 <br />i473.37 <br />Phone <br />Misc. Receipt: <br />IMisc Receiot: I <br />,,r" *"*,OlL