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City of Santa Ana 20 Civic Center Plaza (M-19) Santa Ana, CAg27o2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 <br />Permit #: 3O14197O <br />Pin #: 5O32N <br />Project Address: 322 E Twenty-Second St <br />Assessor'sParcel: OO3-122-O7 Lotr I <br />Unit: <br />Block: NA <br />Etdg: <br />.|..acl: 1472 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R'l <br />Contractor <br />Address: <br />Tenant Name: <br />RAFAEL G RUBALCAVA <br />322 E Twenty-Second St <br />Santa Ana, CA 92706 <br />(7141 428-9257 <br />Rescue Rooter <br />740 N Hariton St <br />Orange, CA 92868 <br />(7141771-7481 <br />01116002 51602 <br />01116002 51600 <br />01'1 16002 51602 <br />01 1 16002 57770 <br />Fee Type <br />Sewer Alter/Repair <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />46.25 <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />1 .00 <br />1 .00 <br />'1.00 <br />1.00 <br />Fee <br />$46.25 <br />$22.95 <br />$57.20 <br />$3.91 <br />State Lic #: 765155 <br />Lic Type: C-36, A, C-42 <br />8us. Lic #: 319175 <br />workers' Compensation lnsurance:Carrier: Liborty lns Corp <br />Policy #: WA763D508631019 <br />Expires: 1010112020 <br />Botchi:545{{ ' 2/23/2A2O I0i o}orqle515 <br />office: CIYH lr(lns+! 119 1 of 1Acct+: Refi: 301,1I ?70 <br />Rcpti:0290236S - 2/25/2tt20 ttzl Fll <br />Transact ion Totol tt30'31 <br />Rescue Rooter <br />$130.31 <br />$0.00 <br />$130.31 <br />Genernl Plon Update Fee <br />011161102- 516t10000- <br />Ilicrof i Id & Docunents <br />01116002- 577700r[]- <br />t'lu,nb ire <br />01116002- 516D20rlD- <br />ICL (:heclr 81tr1(12799 <br />S6wer cleanout <br />$2?.95 <br />t3.91 <br />i 1tr3, 4 5 <br />$ 1Sr'r . 31 <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 repair <br />Occupancy: <br />Constr Type <br />Code; <br />Dale: <br />Date: <br />Date:sden, Julie <br />Every pemit issued shall become invalid unless the worr( o, the site <br />authoized by such penit is commenced within 360 days after its <br />issuance, or if the wo* authorizod on the site by such peftnit is suspendod <br />or abandoned lot a petiod of360 days after the time the wo* is <br />commenccd <br />02t25t2020 <br />Account# <br />$103.45 <br />$3.91 <br />lnspector MID#: 2020-158025 <br />01 116002 51600 <br />01 1 16002 51602 <br />01116002 57770 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Owner: <br />Address; <br />Phone: <br />Phone: <br />R-3 <br />VB <br />cPc 2019 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: