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City of Santa Ana 20 Civic Center Plaza (M-19), santa Ana, cA 92702 <br />Permit Counter: (7'14) 647-5800 lnspeclion Requests: (7'14) 667-2738 lnspector Section: (714)647-5853 <br />Plumbing Permit #: lola29!l <br />Pin #: lGasl <br />Unit: <br />Block NA <br />Aldg <br />Tracl: NA <br />Address Range: <br />Hisloricl l{o <br />Suite Range: <br />Zoning: R2 <br />e <br />Assessoas Parcel 099-212{3 Lot NA <br />Owner: <br />Address <br />Tlm e E3thor lrlorrlet <br />5214 Rooa€volt Ave. <br />Santr An., CA 92703 <br />(562) 547-8239 <br />01116002 51602 <br />01116002 51600 <br />01116002 51602 <br />01116002 57770 <br />Fee Typo <br />v\/lr Hlr (Res up to 50 gal) <br />General Plan Update <br />lssuan@ <br />Microfilm Records <br />Amount <br />23.97 <br />23.79 <br />59.30 <br />405 <br />Qtr <br />100 <br />100 <br />100 <br />100 <br />Foe <br />$23.97 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone <br />Tonant Name <br />Contractor: <br />Address: <br />Owner-Bullder <br />Phone <br />State Lic #: <br />Lic Type <br />Bus Lic *: <br />Workers' Compensation lnsurance <br />Camer: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Slnolo Frmily Dwelling <br />Ml!collenoou! <br />Plumblng <br />Occupancy <br />Constr Type <br />Code: <br />R.3 <br />VB <br />cPc 2019 <br />Nolesr Plumbing <br />Planning Conditlon3 <br />Planning Approval By: <br />Plan Checked By <br />Permil lssued By: <br />Subjecl lo Field: <br />Building Permal #: <br />web_user v <br />Dale <br />Oate <br />Date 03t19t2021 <br />Account# <br />Misc. Receipl <br />Misc. Receipl <br />Misc Rec€apl <br />Total <br />Every Frmt issuecl shall becofie tnval'cl unless the wod< on the site <br />authoize<! by such Nnnit 6 commenced within 360 days aftet tts <br />issuencc. or I the wort aulhoted on lhe si/e by such Frnit is <br />susryncle<l ot abancloned lot a period ol 36O days allet the lime the wo* <br />N/A - No Balance <br />N/A - No Balance <br />Fee Tolal: <br />Paid lo Dale: <br />Bahnca Due <br />$111.11 <br />$111.1 1 <br />00.00 <br />lnspector MID#: 2021-164988 <br />Project Address: 5214 W Roosevelt Ave