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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 lnspectjon Requests: (714], 667-2738 lnspector Section: (714) 647-5853 <br />Permit#: 30{4OO38 <br />Pin #: 85680 <br />Proiect Address: 1050 N Cabrillo Park Dr <br />Assessor'sParcel: 931-775-56 Lot: 2-5 <br />Unit: C-A <br />Block: NA <br />Bldg: <br />Tract: 10580 <br />Address Range: 1002-1098 <br />Historic: No <br />Suite Range: <br />Zoning: R4 <br />q <br />Phone <br />Tenant Name: <br />Lorraine Doyle <br />1050 N. Cabrillo Park Drive Bldg. <br />GaHttita, cA 92701 <br />(714) 309-6868 <br />Jason Simclk Construction <br />7 Windy Hills <br />Laguna Hills, CA 92653 <br />(949) 402-7138 <br />011 16002 <br />011 16002 <br />01116002 <br />01116002 <br />01 1 16002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Foe Type Amount Qty Fee <br />Sink 12.70 1.00 $12.70 <br />Dishwasher 11.97 1.00 $11.97 <br />Garbage Disp 10.66 1.00 $10.66 <br />Gas Line alter/extend/a( 65.57 1.00 $65.57 <br />General Plan Update 22.08 '1.00 $22.08 <br />lssuance Eotch+ r46159 -sE{ffi/2tl1S 1I!6 HGAliiSS,.sa <br />office: CTYH Tronsi: 39 3 ol 'i <br />Acct+: Refi: 30141:l(l.lg <br />Rcpli:02402525 - 9/28/2OLg 1r:r343 Al1 <br />Trsnsoct ion Totql t513.27Joson 5 irc ik <br />Joson S in,: ih Construct ion <br />Phone <br />Stale Lic #: 1O427O4 <br />Lic Type: B <br />Bus. Lic #: 370684 <br />Workers' Compensation lnsurance:Carrier: Exempt <br />Policy #: <br />Expires: <br />General Plon Updnte Fe€ <br />01116002- 51600000- <br />Plurb i ns <br />01116002- 51602000- <br />lloster Cord <br />CC+: ********rr*r0?17 <br />_ t22.08 <br />s155. 94 <br />t51l - :r7 <br />Auth+:21S232 <br />Condominium <br />Alteration <br />Kitchen Remodel <br />R-3, U <br />VB <br />cPc 2016 <br />Occupancy: <br />Constr Type <br />Code: <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />BuildinsPermit#: 10197874 <br />Every permil issued shall become invalid unless the work olt the sile <br />authoized by such permit is commenced within 180 days atler its <br />issuance, ot if the wo* authoized on the site by such pemit is suspended <br />or abandoned lot a period of 180 days aftet the time the wotu is <br />commenced. <br />Date: <br />Date: <br />Chavez, Dave - Date: 0912812018 <br />V !" <br />Account# <br />Notes: Kitchen remodel to include minor repairs including <br />backsplash replacement and drywall replacement. <br />$178.O2 <br />$0.00 <br />$178.02 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />01 1 '16002 51600 <br />I <br />lnspector MID#: 20'18-14649'1 <br />01 1 16002 51 602 <br />$22.08 <br />$'r 55.94 <br />Owner: <br />Address: <br />Contraclor: <br />Address; <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Fee Total: <br />Paid to Date; <br />Balance Due: