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City of Sqnta Ana <br />,Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702 Plumbing Permit #: 30122877 <br />Project Address: 2004 N Ross St <br />Assessor's Parcel: 002-103-05 Lot: 8 <br />I nspection Requests : (7 1 4) 667 -2738 f nspector's Section: (714) 647-5853 <br />Suite Range: <br />Zoning: Rl <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 788 <br />Address Range: <br />Historic: No <br />Owner: <br />Address: <br />RUBENR&BEATRICERAYA <br />2004 N Ross St <br />Santa Ana, CA 927062506 <br />(7141 550-0584 <br />Fee Type Amount <br />Water Closet B.7SBathtub 8]sShower B.7SSink 8.75 <br />Sewer Alter/Repair 17.50 <br />Extend Gas Line ZS.ls <br />Tankfess Water Heater ZS.T5lssuance 35.50 <br />Notes:Flurrrb ins <br />Cherk <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Bstchl!4{05 - fil/Oll0g I0: E06ARqffice! CTYH Trnns*i Zll 1 of sAcct*: nef+: S0l ZZS,Rcpt*:00218341 - llll1ggg {:51 pn <br />Tronsoct ion Totol ft;5S3.+a <br />RUBEHR&BEATRICERAYA <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />2.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$8.75 <br />$8.75 <br />$8.75 <br />$17.50 <br />$17.50 <br />$25.75 <br />$25.75 <br />$35.50 <br />$148.25 <br />$0.00 <br />$148.25 <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation I nsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: Single Family Dwelling <br />Job Type: Addition <br />Nature of Work: Addition <br />Verduzco, Vior"il{ <br />L <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />R-3 <br />V-N <br />cEc 2004 <br />I rt7 <br />t l4g .25 <br />S1r535.46 <br />Planning Conditions: No Field Changes Without Planning Approval. <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />01107 t2008 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Building Permit <br />This permit shall expire by limitation and become null and void if the wo* authoized by this permit <br />is not commenced within 180 days from the date of this permit, or if the wotu authoized by this <br />permit is suspended or abandoned at any time after the wofu is commenced for a period of 180 days. <br />Before such work can be recommenced, a new permit shall be first obtained fo do so. <br />Account #: 01 1-01-5912 lnspector MID#: 2003-51695