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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Plumbing Permit #: 30141672 <br />Pin #: 66483Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 <br />Proiect Address: 1206 S Shelton St Unit: <br />Block: NA <br />Bldg: <br />Tract 557 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: R1AssessolsParcel: 013421-12 Lot: 86 <br />John Negron <br />1206 S. Shelton Street <br />Santa Ana, CA 92707 <br />(310) 424-0959 <br />01't16002 51602 <br />01'116002 51602 <br />01'116002 5'1602 <br />01116002 51602 <br />0'1116002 51602 <br />01116002 51602 <br />01'116002 5160C <br />01116002 51602 <br />01116002 5777C <br />FeeType Amount <br />Shower/Bathtub 23.12 <br />Sink '13.20 <br />Oishwasher 12.44 <br />Sewer Alter/Repair 46.25 <br />Gas Line alter/extend/a( 68.14 <br />Wate, Piping (Each 100 46.25 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />Feo <br />$23.12 <br />$ 13.20 <br />$12.44 <br />$46.25 <br />$68.14 <br />$46.25 <br />$22.95 <br />$s7.20 <br />$3.91 <br />Phone: <br />Tenant Name: <br />Conlractor <br />Address; <br />Owner.Euilder <br />Phone <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Comp€nsation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Miscellaneoua <br />Plumbing <br />Occupancy: <br />Conslr Type: <br />Code: <br />R-3 <br />VB <br />cPc 2016 Notes: Plumbing <br />Planning Conditions: <br />Planning Approval By; <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil f ; <br />web *fu <br />Dale <br />Dale <br />Date 1?J',1112019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />101103458 $293.46 <br />5293.46 <br />30.00 <br />Ewry pemil issued shall become invalid unless lhe work oll the sito <br />audtodzed by st1ch pa.mit is cammenced wilhin i6O days afte( its <br />issuancc, or il the wod< authotized on the site by such pemit is suspended <br />o( abandoned fot a peiod o1360 days aller the time the worl< is <br />commencad. <br />lnspector MID#: 2019-156432 <br />N/A - No Balance <br />N/A - No Balance <br />Fee Total <br />Paid lo Date: <br />Balance Due: <br />6 <br />Owner: <br />Address: