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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: 3O141597 <br />Pin #: 484T{ <br />Project Address: 2109 N Pacific Ave <br />Assessor's Parcel: 001 -072-09 Lot: 58 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 1724 <br />Address Range: <br />Historic. No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address: <br />Jason Labahn <br />2109 N Pacific <br />Santa Ana, CA 92706 <br />(7141 206-5345 <br />01 1 16002 51602 <br />01 1 16002 5160C <br />01 1 16002 51602 <br />01 1 16002 5777C <br />Fee Type <br />Sewer Alter/Repair <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />46.25 <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$46.25 <br />$22.95 <br />$s7.20 <br />$3.91 <br />Phone: <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 />Policy #: <br />Expires: <br />Batch+:53133 lI/22/?ltl9 ID: PZuniso <br />Oaa i ce: CTYH Trnnsf: g I sf 1 <br />Acct*: Ref *: s(tl +11?7 <br />Rcp bi : tr?91 1555 LI /?2/ 2019 1(t: 15 AH <br />Trqngocb i on Totsl t130.31 <br />.lflson Lnbnhn <br />Genernl Plnn Updnte Fee <br />01116002- 5160000fi- <br />Plumb i ng <br />r-r1 I 16[102- 516CI?000- <br />Ilic'rsf iln & DocumentE <br />01 1 I 6t:r02- 1777ttLrL1U- <br />Visn <br />CC+: rrr*r*r*rrr*8653 <br />i22.95 <br />_ t1tts.45 <br />$3,?1 <br />$13[t.31 <br />Auth*: SZZi1ZO <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 />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Sewer Repair <br />\0[ <br />Hernan dez, Kathy 11t22t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Total <br />Paid to Date. <br />Balance Due: <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />R.3, U <br />VB <br />cPc 2016 <br />Every permit issued 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 sife by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />01 1 16002 51600 <br />01 1 16002 s1602 <br />01 1 16002 57770 <br />$22.e5 <br />$1 03 4s <br />$3 91 <br />$130.31 <br />$0 00 <br />$130.31 <br />lnspector MID#: 201 9-156071 <br />,,