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Project Address: 511 E Fifteenth St Unit <br />Block CAssessor'sParcel 398-142-16 Lot I <br />Bldg: <br />T(act:. 276 <br />Address Range: 507-5l l <br />Historic; No <br />Suite Range: <br />Zoning: R3 <br />City of Santa Ana 20 Civrc Center Plaza (M'19), Santa Ana, CAgzToz Plumbing <br />Permrt Counter: (714) 647-5800 lnspectron Requests (714) 667-2738 lnspector Section (714) 647-5853 ftA <br />Permit #: 30141220 <br />Pin #: 43373 <br />Phone <br />Tenant Name: <br />Atla Khosraviani <br />18781 Portofina Dr <br />lrvino, CA 92603 <br />17't41713-3247 <br />Owner-Builder <br />Owner <br />Address <br />Contraclor <br />Addressl <br />01 1 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />Amount <br />23 12 <br />13 20 <br />14.52 <br />22.95 <br />57.20 <br />5 t60i <br />5160i <br />5160; <br />5160( <br />51602 <br />Fee <br />$23 12 <br />$13 20 <br />$14 s2 <br />$22 95 <br />$57 20 <br />Fee Typo <br />Shower <br />Sink <br />Clothes Washer <br />General Plan Update <br />lssuance <br />Q.y <br />1.00 <br />1.00 <br />100 <br />1.00 <br />1.00 <br />Phone <br />Slale Lic #: <br />Lrc Type: <br />Bus. Llc #: <br />Workers' Compensation lnsurance <br />Carrier <br />Policy # <br />Expires: <br />Sotchi:5143{ - 8/13/2019 I0: LROSALES0ffice: CTYH Tronsi: 23 3 of 3Accti: Refi: 301{ 1220 <br />Rcpli.g27l7492 ' 9/13/2019 2.gZ Pn <br />Fnonsoct ion Totol 1671,72 <br />Allo Khosrovion i <br />Plunrbrng for addrtion. Owner-Burlder fornr on file <br />Building Use: <br />Job Type: <br />Nature ol Work <br />Planning Conditions: <br />Planning Approval 8y <br />Plan Checked Byl <br />Permit lssued By: <br />Subject to Fieldl <br />guilding Permit *: <br />Single Family Dwelllng <br />Addltion <br />Addition <br />Zuniga, Allissa <br />1 01 991 14 <br />Occupancy: <br />Conslr Type: <br />Code: <br />R-3 <br />va <br />cPc 2016 <br />Notes <br />Date <br />Date <br />Date <br />Misc. Receiptl <br />Misc. Receipt: <br />Misc Receipt: <br />Total <br />08,13/2019 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51602 <br />Fee Total <br />Paid to Oate: <br />Balance Due: <br />$130 99 <br />$0.00 <br />t130.99 <br />$22 9s <br />$'r08 04Every permit ,ssued shall become invahd unless ahe wo.k on tio s,te <br />authonzecl by such pem $ comnoncod wtlhth360days allet ts <br />$suanc:c. o, i tho wotk authoized on tho s e by such pemit is suwhded <br />or abandoned lor a penod ot360 days aftet tha ttme the wod< ts <br />commoncc<l <br />lnspector MtD#.2019-149264