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City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Sectaon: (714) 647-5853 <br />Permit #: 3014322fl <br />Pin #: 10142 <br />Project Address: 1110 S Shelley St <br />Lot 59 <br />Unit: <br />Block: NA <br />Address Range: <br />Historac: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Contractor: <br />Address: <br />Phone <br />Tenant Name: <br />Amy Nguyen <br />I11O S SHELLEY ST <br />Santa Ana, CA 927U3238 <br />(714) 566-5401 <br />Free Energy Savings Co. db <br />4751 Arrow Hwy <br />Montclair, CA 91763 <br />(909) 145.{'4s0 <br />Fee Type Amount <br />01 '116002 5160i Wtr Htr (Res up to 50 g: 23.97 <br />01116002 5160C General Plan Update 23.79 <br />01 116002 51602 lssuance 59.30 <br />01 116002 5777C Microfilm Records 4.05 <br />Fee <br />$23.97 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone <br />State Lic #: 1034739 <br />Lic Type: C-36, B, C-20, D€5 <br />Bus. Lic #: 375314 <br />Workers' Compensalion lnsurance:Carrier: Amorlcan Home Assurance <br />Policy #: WC027120527CA <br />Expires: 0710112021 <br />Occupancy: <br />Conslr Type: <br />Code: <br />R.3 <br />VB <br />cPc 2019 <br />Single Family Dw€llln9 <br />Alteration <br />Water h6ater <br />Notes Change out water heater located in garage. <br />Planning Approval By: Jacinto, Heidi <br />Plan Checked 8y <br />Permit lssued By <br />Subject to Field: <br />Building Permit # <br />Amsden. Julre <br />Every peffnil issuod shell becofie invalid unless the wod< on the site <br />authonzed by such petmil is conmenced within 360 days aftet ts <br />,ssuance, or il the wo* authonzed on the site by such permtt 6 suspended <br />ot ab8n&ned tor a psnd of360 days afte. tho tine the wod< ts <br />cornnpr@d. <br />o6.toat2021 <br />Account#ry <br />Date: <br />Date: <br />Date: <br />06t08t2021 <br />$11 1.1 <br />$0.00 <br />s111.11 <br />lnspector MID#: 2021-'16661 1 <br />01 116002 51600 <br />01 116002 51602 <br />01 1 '16002 57770 <br />$23 79 <br />$83.27 <br />54.05 <br />Fee Total <br />Paid to Oale: <br />Balance Due: <br />Assessor'sParcel: 109444-05 <br />Bldg: <br />Tract 3353 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />Planning Conditions: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Recoipt: <br />Total