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uq <br />, <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 1126 E Buffalo Ave <br />AssessodsParcel: 396-18l-16 Lot 35 <br />Unit: <br />Block: NA <br />Bldg: <br />Tfacl: 1528 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />18 <br />Owner. <br />Address <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Rosalie Escandon <br />1126 E. Buflalo Ave. <br />Santa Ana, CA 92705 <br />(71417'.t3-5723 <br />Owner-Builder <br />01 116002 51602 <br />0 t1'16002 51600 <br />01116002 51602 <br />o't't16002 57770 <br />Amount <br />? .48 <br />23.79 <br />59.30 <br />4.05 <br />Feo <br />$7.48 <br />$23.79 <br />$59.30 <br />$4.05 <br />Fee Type <br />Cap Fixtures <br />General Plan Update <br />lssuance <br />Microfilm Records <br />P hone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurancel <br />Carrier: <br />Policy #: <br />Expires <br />Rotch+:60022 <br />0ff ice: CTYH <br />Accta 3 <br />Rcpi+:033546t <br />Trnosoct ioo <br />- 7 /21/?O2t <br />Tronsi: ?2 <br />nefa:| - 7/?t/202 <br />oLol <br />I0: ororo I e9l3of3 <br />3014 3 389 <br />l0:05 All <br />t49{.75 <br />Rosol r e Escondon <br />Generol PIon Uedote Fee <br />0rlt6uu2- 51600000- <br />Flu.b i nr <br />0l I16002- 51602000- <br />hicrof ilr I oocur€ntg <br />0r116002- 5777000U- <br />l'loster CordCCI:rrlr rr}r6l l9 <br />_ |23.79 <br />_ t66.78 <br />_ t4.o5 <br />t191.73 <br />Auth::566408Euilding Use: <br />Job Typel <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code: <br />Single Family Owelling <br />Swimming Pool/Spa <br />Dsmo Pool <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: Chavez, Dave <br />Sub,ect to Field: eC' <br />Buirdins Permit #: 101107325 <br />Notesr Demolish existing swimming pool and infill according <br />to handout requirements. Owner-Builder torm on file. <br />$94.62 <br />$0.00 <br />t94.62 <br />07t21t2021 <br />Account# <br />Misc. Receipl: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Every pemit issued shall become tnvalid unless lhe wotk on the site <br />authoized by such peml6commenced wlthtn 360 days attet tls <br />issuance, or il the wo* aulhonzed on lhe stte by such pemil is suspended <br />ot abandoned tot a petiod ol 3@ days after the lfie lhe wo* ts <br />cofimencid <br />$23.79 <br />$66.78 <br />$4.05 <br />Mto#. 2021-167577 <br />011 16002 51600 <br />01 1 16002 51602 <br />011 16002 57770 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Permit #: 3O143389 <br />Pin #: E2615 <br />Qty <br />'1.00 <br />1.00 <br />1.00 <br />1.00 <br />Date: <br />Date: <br />Date: <br />R-3, U <br />VB <br />cPc 2019 <br />lnspector