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City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Plumbing <br />Permit Counter: O 14) 6/7-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3()142798 <br />Pin #: 22929 <br />Project Address: 111 E Occidental St <br />AssessofsParcel. 403-185-09 Lot 9 <br />Unitr A <br />Block J <br />Bldg: <br />Tlact252 <br />Address Range: <br />Historic: No <br />4 <br />Phone: <br />Tenant Namq <br />Contractor: <br />Address: <br />Don Douglasg <br />24882 Camino Villa <br />Santa Ana, CA 92630 <br />(714) 791€415 <br />Owner-Builder <br />0'1116002 <br />0'1116002 <br />011't6002 <br />01116002 <br />011 't6002 <br />011 16002 <br />011 16002 <br />5 t60i <br />51602 <br />51602 <br />5160i <br />5160C <br />51602 <br />5777C <br />Feo Type Amount <br />Water Closet 15.32 <br />Shower/Bathtub 23.97 <br />Sink 13.68 <br />Repipe Res (Each 100' 47.95 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Q()' <br />100 <br />100 <br />100 <br />100 <br />100 <br />100 <br />100 <br />Fee <br />$15.32 <br />$23.97 <br />$13.68 <br />$47.95 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone <br />Stale Lic l: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy *: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Planning Approval By: <br />Plan Checked By; <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Date; <br />Date; <br />Date:,-v oaoa2021 <br />Account# <br />Ouplex <br />Miscellaneous <br />Plumbing <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3 <br />VB <br />cPc 2019 <br />Misc. Receipt: <br />Misc. R€caipt: <br />Misc. Receipt: <br />Total <br />web <br />Every pemit issued shell become hvalid unless the wotu on the site <br />euthorized by such peffnit is cornnonced within 360 days allet ils <br />issuance. ot tt lha wod< authoized on the sile by such petm is suspended <br />ot aban&ned lot a pedod 0/,360 days afret the time the wo* is <br />commoncf,d <br />lnspector MID#: 2021-164046 <br />N/A - No Balance <br />N/A - No Balance <br />Suite Range: <br />Zoning: Cl <br />Owner: <br />Address: <br />Planning Conditions: <br />Notes: Plumbing <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$188.06 <br />$188.06 <br />t0.00