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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests; (714't 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{ 3E3E3 <br />Pin #: 44380 <br />Project Address: 1430 W Twelfth St <br />Assesso/sParcel: 0O,l-112-01 Lot: 32 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 1256 <br />BtAddress Rang€: <br />Historic: No <br />Suite Range <br />Zoningr Rl <br />Owner: <br />Address <br />Phone: <br />Tenanl Name: <br />Contraclor: <br />Address: <br />Sergio & Monica Valenciano <br />1430 w. iah st. <br />Santa Ana, CA 92703 <br />(7141?96-3?22 <br />Owner-Builder <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />0't'116002 <br />01116002 <br />01116002 <br />01116002 <br />01'116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Nolesr <br />Sei lio A llonica Vol€nciono <br />lienPcol Plon Updote F€e i21 .:15 <br />l I 16002. 51600000-Flr,rbins l?5tr.:lt) <br />rtl r 16002- 516020(0-Viso 1152-97Remod?tlFid C5fiRlr6679te neg,.;ry15rgqry hln <br />oxlltlng arca. Kltchsn remodel, and wlndow <br />replacomsnt, Auth on flle. <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires; <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Slngle Family Dwelllng <br />Alteration <br />Remodel <br />Chavez, Dave <br />10191819 <br />Date <br />Date <br />Datet-08114t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cPc 2016 <br />Every pe.mit issued shall becofie inwld unless lhe wo* on tho sile <br />authorized by such pemil is cgntobncgd within 180 days afrer its <br />issuance, ot it tho wotk authodzed on the sito by such pemit is suwnded <br />or abadotBd lot a pend ol 1W days afrer the tirfle the wo* is <br />cgmrnen@d. <br />$21.2s <br />$250.20 <br />lnspector MtD#. 2017-133777 <br />01116002 51600 <br />011 16002 5 t602 <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />$271.45 <br />$0.00 <br />1271.4s <br />Fee Type Amount Qty Fee <br />Waler Closet '13.69 1 .00 513.69 <br />Shower 21.42 1.00 $21.42 <br />Sink 12.23 2.00 $24.46 <br />Garbage Disp 10.26 1.00 $10.26 <br />Add'l Sewer Connection 21.42 1.00 $21.42 <br />Gas Line alter/extend/a( 63.12 1.00 $63.12 <br />Repipe Res (Each 100' 42.85 1.00 $42.85 <br />General Plan Update 21.25 1.00 $21.25 <br />lssuance 52.98 1.00 $52.98 <br />t,rr,:hir.Jgl// . 3/14/)i.tll IDr llirr i <br />ill i ice: (TYH lr(lnsi: ;1[t <br />i,, , i+: REf+: ,illl.j. i 't. { i+:(11s91129 g/t4/'!t:.tl/ 9t4.\lr,,nso,:tir:n ToLol l{i1'.1