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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civlc Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{ 63909 <br />Pin #: 13994lnspection Requesls: (714) 667-2738 lnspector Section (714) 647-5853 <br />Project Address: 1430 W Twelfth St Unit: <br />Block: NA <br />Bldg: <br />Tract: 1256 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning; Rl "lAssessor's Parcelr 004-l l2-01 Lol: 32 <br />Owner; <br />Address <br />Sergio & Monica Valenciano <br />1430 W. 12rh St. <br />Santa Ana, CA 92703 <br />(7',t41296-3222 <br />F T pe Amount <br />0.'t4 <br />51.29 <br />21.25 <br />52.98 <br />Qty Feo <br />$56.00 <br />$51.29 <br />$21.25 <br />$52.98 <br />01 603 Res Rew <br />Phone: <br />Tenant Name: <br />01 1 16002 51 neral Plan Update 1.00 <br />1.0001 116002 51603 lssuance <br />Conlractor <br />Address: <br />Owner-Builder Sotchi:39777 - 8/11/2t17 I0: LROSALEoii ice: CTYH TrRnsi: 20 I sl ?Accti: Ref+! m163909 <br />kcpti:01981128 - 8/11/2(117 9t13 An <br />Ir onsoct ion Totol 1152.97 <br />Ser s io A llonico Volenciono <br />Phone <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Generql PIqn Updote Fee t2t.: <br />tr60. i <br />ils?. 9 <br />'c <br />ri 60Q2- 111600000- <br />r:rt 116002- 51603000- <br />Vi50(:c+!lrrrr*rrrrrr6599 Aulh+;r:r{ <br />Building Use <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Alteration <br />Remodel <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cEc 2016 <br />Notes Remodel interior of SFD to create nevy bathroom within <br />existing area. Kitchen remodel, and window <br />replacement. Auth on file. <br />Chavez, <br />Date <br />Date <br />Oate o4114t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Buildins Permit #: I 01 91 819 <br />Evory pemit issued sha becone invalid unless the work on lh€ s/te <br />authonzed by such permit is commenced within 1 80 days aftet its <br />issuance, or il lhe work autllgdzed on lhe site by such pemit is suspended <br />or abandoned tor a period ol 180 days aftet the tifie the wo* is <br />commenced. <br />$ 181 .52 <br />$0.00 <br />$181.52 <br />1116002 51603 Serv <br />lnspector MtD# 2017-133777 <br />0't116002 51600 <br />01 1 '16002 5'1603 <br />$21.25 <br />$160.27 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Davet2a <br />Planning Conditions: <br />Fee Total: <br />Paid lo Date: <br />Balance Oue: