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HomeMy WebLinkAbout30142403 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing Permit Counter: [/ 14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: 714) 647-5853 frB Permit #: 30142403 Pin #: 55273 Project Address: 4402 W Moonridge Ave Assesso/sParcel: 100-532-12 Lol 22 Unit: Block: NA Bldg: ftacl:2713 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address Contractor Address Tenant Name: Nakamura Harry ,1402 Moonridgo Avsnu6 Santa Ana, CA 92703 (7',t41323-3017 Orange County SerYices dbi 3801 Lenawee Avenue Culver City, CA 90232 (310) 838-0408 Fee Type Amount 01116002 5160i Wtr Htr (Res up to 50 g: 23.97 01116002 5160C General Plan Updale 23.79 01116002 51602 lssuance 59.30 O1116OO25777C Microtilm Records 4.05 Q.y 1.00 1.00 1.00 1.00 Fee $23.97 $23.79 $s9.30 $4.05 Phone State Lic # 765436 Lic Type: C-36, C-20 Bus Lic #: 164117 Workers' Compensation lnsurance. Carrier: lnsurance Company ot the West Policy #: WSD505257100 Expires: O1lO1l2O21 Building Usel Job Type: Nature of Work Planning Conditions: Planning Approval 8y Plan Checked By: Permil lssued 8y: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Plumbing Occupancy: Conslr Type: Code: R-3 VB cPc 2019 Noles. Plumbing web Dale Dale Date,.M Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 0uoa2020 Account# $1 1 1.1 $111.1 $0.00 Ewry Nint issuod shall bec.me nvolid lnless the wo* on the site aothonzad by such penntt is cgmmencecl wtthh i60 days attor ls issuance, ot il the wo authorired on the stle by such permtl $ suwnded comrnercad lnspector MID# 2020-161276 N/A - No Balance N/A - No Ealance Fee Tolal Paid to Dale: Balance Due Phone: PLUMBING-INSPECTOR RECORO APPROVALS DATE ID/SIG.COMMENTS Oi?NN TUILDET DELCAAATrcN I h.cby dnm uod.. Fn !, of Fia, tur I m .rtPr lim iE Cofi-ld Lttr t * ld llE lolt'ri! 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