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@ City of Santa Ana 20 civic center Plaza (M-19)' santa Ana, cAg27o2 Plumbing <br />Permit Counter: C/14) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{ 39920 <br />Pin #: 28872 <br />Project Address: 1115 S Shelton St <br />Assessor'sParcel: 013-06'l-05 Lot; 69 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 557 <br />Address Range; <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />E <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Graciela Lopez & Sergio Arargon <br />1115 S Shelton <br />Anaheim, CA 92802 <br />(714) 398-6342 <br />Orvner-Builder <br />011 t6002 51602 <br />01116002 51602 <br />01116002 51602 <br />01 1 16002 51600 <br />01116002 51602 <br />Amount <br />14.22 <br />22.25 <br />12.70 <br />22.O8 <br />55.04 <br />Fee <br />$14.22 <br />$22.25 <br />$ 12.70 <br />$22.08 <br />$55.04 <br />Fe6 Type <br />Water Closet <br />Shower/Bathtub <br />Sink <br />General Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />r111160(12 <br />Plurb ins <br />01116602 <br />{:osh <br />(:hsnse <br />otol tl <br />z & Sers io APors. <br />l"jpdote Fee <br />C'00('rl- <br />112000- <br />8/30,/2rilsIro,lsi! 40 <br />ftef+: <br />hroc I e <br />6enero <br />R-3, U <br />VB <br />cPc 2015 <br />en <br />197569 <br />Date: <br />Date: <br />Date: 08/30/2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: Fire damage rspair to (1) bathroom. Remove/replace <br />(e) plumbing fixtures. <br />$126.29 <br />$0.00 <br />9126.29 <br />Planning Approva <br />Plan Checked By; <br />Permit lssued By: <br />Subject to Field: <br />Buildang Permit #: <br />lBy <br />Every pe,mit issued shall bocome invalid unless the wo* on the site <br />authoized by such pemit is commenced t'tithin 1 80 days afte( its <br />issuance, or if the wo* authorized on the site by such permit is suspendod <br />ot abandoned fot a peiod 9f180 days aftet the time the worl< is <br />commencod. <br />01116002 51600 $22.08 <br />$104.21 <br />l <br />lnspector MID#: 2018-145780 <br />01116002 51602 <br />Fee Tolal: <br />Paid to Date: <br />Balance Due: <br />Bqtch+:. <br />Olf i ce: <br />Acct+: <br />Rcpt+:0: <br />Tconsoc <br />Building Use: Single Family Dwelling Occupancy: <br />Job Type: Alteratlon Constr TYPe: <br />Nalure of Work: Flre Damage Repalr Code: <br />Planning Conditions: lnterior work only. No change in floor plan.