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Project Address: 1202 S Douglas St <br />Assessor'sParcel: 109-386-11 Lol: 84 <br />Unit: <br />Block: NA <br />Bldg: <br />Trccl:2218 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />E <br />@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: O14) 447-5800 lnspection Requests: (714) 667-2738 lnspector Section: O14) 647-5853 <br />Owner: <br />Address <br />Contraclor: <br />Address: <br />Phone <br />Minh Chau Kleu <br />5651 Ocean Terrace Orive <br />Huntington Beach, CA 92648 <br />(714) 418-6604 <br />Owner-Builder <br />01116002 51602 <br />01 t16002 5'1602 <br />01116002 51502 <br />01116002 51602 <br />01116002 5'1602 <br />01116002 51600 <br />01116002 51602 <br />Fee Type <br />Water Closet <br />Shower/Bathtub <br />Sink <br />Sewer Alter/Repair <br />Hose Bibb <br />General Plan Update <br />lssuance <br />Amount <br />13.69 <br />2',t.42 <br />'t2.23 <br />42.85 <br />14.89 <br />21.25 <br />52.98 <br />Fee <br />$13.69 <br />$21.42 <br />$12.23 <br />$42.85 <br />$14.89 <br />$21.25 <br />$52.98 <br />Qty <br />100 <br />100 <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />8ot <br />0ff <br />Acc <br />Rcp <br />ch+ <br />iceti! <br />,12926 - 3/26/2015 I0! oropolestst CTYH Tronsi: g? 2 ot {Pefi: 3(rt 39205 <br />02215825 - 3/2612018 t:(r8 Ptt <br />Tl.onsoct ion Tot ol <br />ll inh Chou ( ieu <br />t{73.08 <br />Auth+ 3 307116 <br />Euilding Use: Singlo Famlly Dwelllng Occupancy: <br />Job Type: Addirion Constr TYPe <br />NatureofWork: AddnrPatloEnclosu:'arcovopode: <br />Planning Conditions: All materials to match existing <br />Planning Approval By: <br />R-3 <br />VB <br />cPc 20r6 Notes <br />Generol Plon Updote Fe <br />01116002- 51600000- <br />Plurb ing <br />01116002- 5r6u2000- <br />Uiso <br />cca ! rrlrrrlrirrl3939 <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />n <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />1 962 <br />Ewry pomit issued shall become invalid unless the wod o, lhe srita <br />authonzed by such pemil is commenced within 180 days afrer its <br />issuance. or if lhe worl< authonzed on the site by such pefinit is suspendod <br />or abadorod lot a pend ol 1 80 days atlet the tine the wo* is <br />comfien@d. <br />lnspector MID#: 2017-140004 <br />o3t26t20'18 <br />Account# <br />01 1 15002 51500 <br />01 1 16002 5't602 <br />$21 .25 <br />$1s8.06 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$179.31 <br />$0.00 <br />$179.31 <br />Permit #: 3O139205 <br />Pin #: 27749 <br />Tenant Name: