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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing <br />Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714\647-5853 <br />Permit #: 3O143667 <br />Pin #: 90985 <br />Project Address: 1137 S Shelton St <br />Assessor's Parcel 013-061-12 Lot: 63 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 557 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />a <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor. <br />Address: <br />Phone <br />ROBERT & LAURA MONZON <br />1137 S SHELTON ST <br />Santa Ana, CA 927071028 <br />(7141 319-6934 <br />Happy Cowboy Plumbing <br />495 Richey St, #204 <br />Corona, CA 92879 <br />(626) 7s5-1s40 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 5160C <br />01 1 16002 51602 <br />01 1 16002 5777C <br />Fee Type Amount <br />Gas Line repair/replace 4l .gs <br />Water Service (Each 10 4T .gs <br />General Plan Update Z3.Tg <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$47.9s <br />$47.9s <br />$23.79 <br />$59.30 <br />$4.0s <br />State Lic #: 1078645 <br />Lic Type: C-36 <br />Bus. Lic #: 378938 <br />Workers' Compensation lnsurance:Carrier: State Comp lns <br />Policy #: 9304065 <br />Expires: 08l,2U2022 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: ( <br />Subject to Field: \ <br />Building Permit #: <br />Single Family Dwelling <br />Alteration <br />Gas piping repair <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date. <br />Date: <br />R-3, U <br />VB <br />cPc 2019 Notes:Gas piping repair & water service replacement <br />1Amr 09t21t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />sden, Julie <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on the site by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01 1 16002 57770 <br />$23.79 <br />$1s5.20 <br />$4.05 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$183.04 <br />$0.00 <br />$183.04 <br />for"pg (:owt <br />lnspector MID#: 2021-1 68909 <br />/