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City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cA927o2 frr Plumbing Permit #: 30{42360 <br />Pin #: 89990Permit counter: (714) 647-5800 lnspection Requests: (714].667-2738 lnspeclor Section: (714) 647-5853 <br />Project Address: 617 W Memory Ln Unit: <br />Block: NA <br />Bldg: <br />Tract 3374 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R'lAssessor'sParcel 002-035-05 Lot: 5 <br />Owner' <br />Address: <br />NICOLE DIONNE <br />517 WEST MEMORY LANE <br />Santa Ana, CA 92706 <br />(714) 856-0616 <br />01116002 5160i <br />01 1 16002 5160C <br />01116002 5150i <br />01 1 16002 5777C <br />Fee Type Amount <br />wlr Htr (Res up to 50 ge 23.97 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Qty <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />Phone <br />Tenant Name: <br />Conlractor <br />Address: <br />Servace Champions <br />3150 E Birch Street <br />Brea, CA 92821 <br />17111777-7777Phone <br />Euilding Use: <br />Job Type: <br />Nature ot Work <br />Single Famaly Dwolling <br />Miscellaneous <br />Plumbing <br />Occupancr: <br />Constr Type: <br />Code: <br />R-3 <br />VB <br />cPc 2019 <br />Planning Conditions: <br />Planning Approval Bla <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />web user <br />Date <br />Date <br />Date o4t21t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemit issued shall become invalid unless lh€ wolk o, lhe siig <br />authoized by such pomit is cofifiencod within 360 days after its <br />issuonca, or if the wod< euthodzed on the sito by such Nrmtt is suspended <br />or abondoned lot a penod ol 360 days dftet the lme tho wot* is <br />comnEn@d <br />$111.'l <br />$1 11.1 <br />i0.00 <br />lnspector MID#: 2020-160982 <br />N/A - No Balance <br />N/A - No Balance <br />Fee Tolal <br />Paid to Date: <br />Balance Due: <br />Feo <br />$23.97 <br />$23 79 <br />$59 30 <br />$4.0s <br />State Lic f: 799170 <br />Lic Type: C-36, B, C-2, C-20 <br />Bus. Lic #: 196430 <br />Work6rs' Compensation lnsurance:Carrier: Evorest Premler lns Co <br />Policy #: Riil8WC0005,[-201 <br />Expires: 0,.10112021 <br />Notes: Plumbing