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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714].647-5853 <br />Permit #: 30238198 <br />Pin #: 98985\ <br />Project Address: 1213 W Santa Ana Blvd <br />Assesso/sParcel: 008{82-21 Lot: 14 <br />Unit: <br />Block: NA <br />Suite Range: <br />Zoning: R2 <br />Owner: <br />Address: <br />Phone: <br />Tenant Namo: <br />Conlraclor <br />Address: <br />Stophanie Nguyen <br />20901 Splndrlft Lano <br />Huntlngton Boach, CA 92646 <br />(714) 386{529 <br />Owner-Builder <br />01116002 51602 <br />01116002 51602 <br />011 16002 51602 <br />01116002 51600 <br />011 16002 51602 <br />Fee Type <br />Gas Line repair/replace <br />lnvestigation <br />Penatty <br />General Plan Updale <br />lssuance <br />Amount <br />41.46 <br />90.14 <br />226.47 <br />20.56 <br />51.26 <br />aty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1 .00 <br />Feo <br />$41.46 <br />$90.14 <br />$226.47 <br />$20.56 <br />$51.26 <br />Phone <br />Stale Lic #: <br />Lic Type: <br />8us. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />NOTICE OF Vi(jli.ar fnri,j <br />Building Use: <br />Job Type: <br />Nature of Work <br />Duplsx <br />MiscollaneouE <br />Gas Llne <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cPc 2016 <br />Notes <br />Planning Conditions: New line to be installed withln interrior wall or below crarYlspace <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subiec{ to Field: <br />Building Permit #: <br />Ewry <br />',€tmit <br />issued shall becgmo invalid un|fss lho no* on t le slo <br />auhotiaed by such pomit is @mmencad wthio 1 80 days afret its <br />issuanc€, ot if the wod< authoizod on tha sito by such pormit is suspendod <br />or abandoned lgt a potiod of180 days afror tho timo the wo* is <br />@mmencf,,d. <br />\I n"rn"no"., xar'v <br />Date <br />Date <br />Date 06114/2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />s20.56 <br />$409.33 <br />$429.89 <br />$0.00 <br />$429.89 <br />lnspector MID#: 2017-136790 <br />0'1116002 51600 <br />0't 116002 51602 <br />Fee Total: <br />Paid lo Date: <br />Balancs Du€: <br />Bldg: Address Range: 1213-121s <br />Tract: IATTHEWS'ADO Historic: No