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Project Address: 1126 S Pacific Ave <br />Assesso/sParcelr 109-411-07 Lot 62 <br />Un:3 <br />Block: NA <br />Bldg: <br />Tract 3070 <br />Address Range: <br />Historic: No <br />Suite Range: Apts 3.4 <br />Zoning: R3 <br />City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAgzToz Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3O141770 <br />Pin #:aao\"1 <br />Owner: <br />Address <br />Conlraclor <br />Addressi <br />Phone <br />Tenant Name: <br />Margarel A Sporcich <br />501N Goldern Circle #208 <br />Sanla Ana, CA 92705 <br />(714) 541-3138 <br />Calitornia Rootor & Plumbin <br />1905 E Oeere Ave <br />Santa Ana, CA 92705 <br />(9491 222"2202 <br />01116002 <br />01116002 <br />01116002 <br />01 t16002 <br />01 t16002 <br />51602 <br />s1602 <br />5160C <br />51602 <br />5777C <br />Feo Typo Amount <br />Waler Piping (Each 10O 46.25 <br />Min Fee Adj 26.10 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Qty <br />1.00 <br />'1.00 <br />'t.00 <br />1.00 <br />1.00 <br />Fee <br />$46.25 <br />$26.10 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />State Lic #. 703820 <br />Lic Type: C-36 <br />Bus. Lic #: 338141 <br />Workers' Compensation lnsurance;Carrier: Oak Rlver lnsurance Company <br />Policy # CAWC030943 <br />Expires O1l3Ol202O <br />otchi.i3Ttl - l/3/2o?oif icer CIlll Trur>l! 41ccti: Refi: <br />cpiir0285709{ - ii3/2924 <br />rorgoct ion Totol <br />IO3 CCUELLARlof1 <br />30r 4 1770 <br />I : 21 P]'ttt56.1l <br />rl iiot.nio Rooter' & Plu.br,,e I <br />Multi-Famlly (5 or mor6 uni Occupancy: <br />Ml3cellanaou3 Constr Type: <br />Water Piping Code:Notes:water piplgg,h. lq4ylpl*: 3.*.4 <br />eneroi Plon Urdole Fee <br />i i i.i002- 516004G0- <br />iurb in! <br />i i i60!:- 3160?000- <br />icrof ii. & 0ocu.eotsiij6w2- 3777(i000- <br />j22.95 <br />t129. 55 <br />13.91 <br />3156 . 4l <br />Auth+:U03(138 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval Byl <br />Plan Checked By: <br />Permit lssued By: \l <br />Subject to Field: <br />Building Permit #: <br />R-1 <br />VB <br />cPc 2019 <br />Oale: <br />Date: <br />DalelHernandez, Kathy <br />Every pemil issued shall becofie invahd unloss lre wolk oa t e silo <br />authoized by such pemil is ctmmenczd within 360 days afrer its <br />issuance. ot il lhe wo!* authorizod on the stte by such potmit is suspended <br />ot abandoned lor a perid ot 360 days efte. the tirno lhe worl< is <br />cornfierrced <br />lnspector MID#: 2020-156875 <br />01to3t2020 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01 t 16002 57770 <br />$22.95 <br />$129.55 <br />$3.91 <br />Fee Total <br />Paid to Dale: <br />Balance Dua: <br />$ 156.4'l <br />$0.00 <br />3156.41 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total