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Project Address: 1005 N Fairlawn St <br />Assessor's Parcel: 405-1 14-07 Lot: 41 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 1899 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Permit #: 30.24{95{ <br />Pin #: 37E36 <br />Owner: <br />Address: <br />Sankofa <br />1005 N. Fairlawn Ave. <br />Santa Ana, CA 92703 <br />(310) 350-1792 <br />Fee Type Amount <br />Water Closet 14.78 <br />Shower 23.12 <br />Sink 13.20 <br />Clothes Washer 14.52 <br />Wtr Htr (Res up to 50 gi 23.,,12 <br />Repipe Res (Each 100' 46.25 <br />General Plan Update 22.9s <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Qty <br />2.00 <br />2.00 <br />2.OO <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$29.56 <br />$46.24 <br />$26.40 <br />$14.s2 <br />$23.12 <br />$46.2s <br />$22.e5 <br />$57 20 <br />$3.e1 <br />Phone: <br />Tenant 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 />Policy #: <br />Expires: <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 s1602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51602 <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01 1 16002 57770 <br />t, Building Use: <br />I Job Type: <br />" Nature of Work: <br />Single Family Dwelling OccuPancy: <br />Alteration Constr Type <br />N/V - Demo/Repair/Restore Code: <br />Date: <br />Date: <br />Date: <br />R-3, U <br />VB <br />cPc 2019 <br />Notes: Plumbing fixtures. Owner-Builder form on file. <br />st'r lit & uofum€nu <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Chavez, Dave <br />102103204 <br />02t19t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <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 />Inspector MID#: 2020-1 57561 <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01 1 16002 57770 <br />$22.95 <br />$243.29 <br />$3.91 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$270 1 5 <br />$0 00 <br />$270.15 <br />Lliu'/ su <br />3r'ftt t <br />16LtLt2