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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing <br />PermitCounter: (714)647-5800 lnspection Requests:QM)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: 30143267 <br />Pin #: 45989 <br />Project Address: 1420 W Memory Ln <br />Assessor's Parcel: 001-293-01 Lot: POR 25 <br />Unit: <br />Block: NA <br />Bldg: Address Range: <br />Tract POTTS, BORDEN &]llistoric: No <br />Suite Range: <br />Zoning: A1 <br />Owner: <br />Address: <br />Phone <br />RODOLFO CARBAJAL <br />1420 W MEMORY LN <br />Santa Ana, CA 927061421 <br />(7141 605-9892 <br />01 1 16002 51602 <br />01 1 16002 5160C <br />01 1 16002 51602 <br />01116002 5777C <br />Fee Type <br />Sewer Alter/Repair <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />47.95 <br />23.79 <br />59.30 <br />4.05 <br />Qty <br />1.00 <br />1.00 <br />100 <br />100 <br />Fee <br />$47.95 <br />$23.79 <br />$5e 30 <br />$4 05Tenant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />, Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />PoliEy #: <br />Expires: <br />6/ l8/2fi21Trnns*: iRefi: 3g/2lt2l S <br />$1 <br />ben er'o r <br />Ll1116tlt-t <br />PIurnb iri <br />Lt l I l,ttlu <br />I'l i r.rof i <br />Lt t I 16lll. <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 />Miscellaneous <br />Sewer <br />Zuniga, AllissaY <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date. <br />R-3 <br />VB <br />cPc 2019 <br />0611 8t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: Alter/repair sewer. Auth on file. <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Every permit issued 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 permit is suspe nded <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 />$23.7e <br />$1 07 25 <br />$4.05 <br />$135.09 <br />$0 00 <br />$135.09 <br />RODOI <br />Inspector MID#: 2021-166873 <br />,TT