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Project Address: 2214 W San Lorenzo Ave <br />Assesso/sParcel: 412-262-22 Lotr 80 <br />Unit: <br />Block: NA <br />Btdg: <br />Tract 83aa <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Ri <br />W <br />city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing <br />Permit Counter: f/14) 647-5800 lnspection Requests: (714) 67-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3Ol3El92 <br />Pin #: 97492 <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Long Nguyen <br />2214 W San Lorenzo Avenue <br />Santa Ana, CA 92704 <br />171412614811 <br />Freoman & Son Flre Reston <br />31566 Rallroad Canyon Rd <br />Sun City, CA 92587 <br />(800) 778{910 <br />01116002 <br />01'r 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Fee Type Amount <br />Waler Closet 13 .24 <br />Shower/Bathtub 20.73 <br />Sink 11.83 <br />Clothes Washer 13.01 <br />Sewer Aller/Repair 41.46 <br />Gas Line alter/extend/a( 61.07 <br />General Plan Update 20.56 <br />lssuance $.2a <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$13.24 <br />$20.73 <br />$11.83 <br />$13.01 <br />$41 .46 <br />$61.07 <br />$20.56 <br />$51.26 <br />Phone <br />Stale Lic #: 688391 <br />Lic Type: B <br />Bus. Lic #: 340260 <br />Workers' Compensation lnsurance:Carrier: Granito State lnsurance Company <br />Policy #: 055258399 <br />Expires: 01t01/2018 <br />Slngle Famlly Dwelling Occupancyl <br />Altor.tlon Conslr TyPe <br />Flro damago rapair/r6model Code: <br />R.3, U <br />VB <br />cPc 2016 Notes: <br />Buildins Permit #: 101 93092 <br />Ewry Nmit issued sha becgrna invalid unlass 1116 rotk oar t e sito <br />audtotuad by such pemit is crmmoncod within 1 80 days aftet its <br />issuence, ot il t,l€ wotl< autlptized on ltl6 site by such pemit is susponded <br />ot abandoned lot a pedod of 1 80 days aftet the time the wo* is <br />@mmon@d. <br />lnspector MID#: 2O17-136402 <br />$ xernanoe., ratny <br />Date <br />Date <br />Date 0611312017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />$20.56 <br />s212.60 <br />Fee Total: <br />Paid to Date: <br />Balance Ouo: <br />$233.16 <br />$0.00 <br />$233.16 <br />Building Uso: <br />Job Type: <br />Nature of Work: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Planning Conditions: <br />011't6002 51600 <br />01 '116002 51602