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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (/14) 647-5853 <br />Project Address: 3514 W Camille St Unil: <br />Block: BAssesso/s Parcel: l/14-303-'l I Lot: l2 <br />Bldg: <br />Tract: 1082 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />44q <br />Owner. <br />Address <br />Contraclor: <br />Address: <br />Phone <br />Tenant Name: <br />Tam Nguyen <br />19616 Sheryl Avenue <br />Cerritos, CA 90703 <br />(s62) 468-0412 <br />Yes Building and Design LL <br />17608 Oak Street <br />Fountaln Valley, CA 92708 <br />12671171-2964 <br />011 <br />011 <br />011 <br />01'l <br />01'l <br />011 <br />011 <br />011 <br />01 't <br />011 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Notesl <br />Fgo <br />$42.66 <br />$66.75 <br />$63.50 <br />$13.97 <br />$10.66 <br />$,14.51 <br />$44.51 <br />$6s.57 <br />522.08 <br />$ss.04 <br />Fee Type Amount <br />Water Closet 14.22 <br />Shorr/er 22.25 <br />Sink 12.70 <br />Clothes Washer 13.97 <br />Garbage Oisp 10.66 <br />Sewer Alter/Repair 44 .51 <br />Gas System 11 44.51 <br />Tankless Water Heater 65.57 <br />Gensral Plan Update 22.08 <br />lssuance 55.04 <br />Phone <br />State Lic #: 1031470 <br />Lic Type: B <br />Bus. Lic #: 371090 <br />Workers' Compensation lnsurance:Canier: Stats Fund <br />Policy #: 9240073 <br />Expires: 10/18/2019 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Occupancy: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cPc 2016 Complete remodel ot sfd - relocating all rooms except <br />bath #1, Addition ot 2 bedrooms & 3 bathrooms for a <br />total of4 bedrooms & 4 bathrooms. Convert 45sf <br />porch to a pantry. New porch (74sf), new patio (240sf) <br />GGUSD # 4989. <br />Planning Approval By: <br />Plan Checked ay. '- <br />-Permil lssued By ' / Amsden, Julie <br />Subjecl lo Field: / <br />Buildins Permit #; 1 0196683 <br />11/09/2018 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 5't602 <br />$22.08 <br />$407 .17 <br />Fee Total: <br />Paid lo Date: <br />Balance Due <br />Date <br />Dale <br />Date <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Ewry pemil issued shall bacome invalid unless the wo* on lho site <br />euthoizod by such pennit is cornnenctd within 180 ddys afrer its <br />issuance, ot il the wo* authotized on the site by such peffnit is susponded <br />ot abandoned lot a peiod of 1 80 days thet lhe time the wo* is <br />c.,nmen@d. <br />lnspector MID#: 2017-139323 <br />$429.25 <br />$0.00 <br />$429.25 <br />Permit #: 3Ot40253 <br />Pin #: 35669 <br />Qty <br />3.00 <br />3.00 <br />5.00 <br />1.00 <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />1 .00 <br />Single Famlly Owelling <br />Addition <br />Addition