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Project Address: 1406 W Tenth St <br />Assessor'sParcel: 004-122-24 Lot. 17 <br />U nit: <br />Block: NA <br />Bldg: <br />f .acl: 1262 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />City of Santa Ana 20 Civic Center Plaza (M-19), Sanla Ana, CA,27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3Ol4{955 <br />t_ <br />Pin #: 5{61\ <br />Phone <br />Tenant Name; <br />01116002 5160i <br />01116002 5160C <br />01'1'16002 51602 <br />01116002 5777C <br />Owner: <br />Address: <br />Contractor <br />Addressl <br />Sandra Brousseau <br />1405 W 'toth <br />Santa Ana, CA 92703 <br />(714) 800-0286 <br />Rescue Rooter <br />740 N Hariton St <br />Orange, CA 92868 <br />(714l.771-7481 <br />FeeType Amount <br />Repipe Res (Each 100' 46.25 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Qty <br />1.00 <br />'1.00 <br />1.00 <br />1.00 <br />Fee <br />$46.25 <br />$22.9s <br />$57.20 <br />$3.91 <br />\\s <br />State Lic #: 765155 <br />Lic Type: C-36, A, C,42 <br />Bus. Lic #: 319175 <br />Workers' Compensation lnsurance:Carrier: Liberty lns Co.p <br />Policy #: wA763D508631019 <br />Expires: 'l0l01l2020 <br />Bstch9:54479 - 2/2A/202n ID: IIGAR(:Iloffice: CTYH Trqns+: 21 I of :Acct+: Reti: 30141955 <br />Rcat+r02898290 - 2/21!/2lJ2B 9r34 hl1 <br />Tronsoct ion Totol $130 ' 31 <br />tiescue Rooter <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 />Single Family Dwelling <br />Miscellaneous <br />Repipe <br />Generql Plon Updqte Fee <br />[t t I 1 6l]02- 5 I 6r]ur10r1- <br />Ilicrof i ln & DocumEnts <br />r:rl1l6r:r02- 5777t'U$0- <br />Il icrof i lil & Docunents <br />{r1l6t'02- 5777rj00tr- <br />ICL ChecI 811:rltr127g(r <br />Occupancy: <br />Constr Type: <br />Code:Notes <br />Yj <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Every pemit issued shall become invalid unless the wo* on lhe sito <br />authotized by such pe.mit is commenced within 360 days after its <br />issuance, or if the work authoized on the site by such pemit is suspended <br />ot abandoned lor a panod of 360 days atter the time the wotu is <br />commenced <br />lnspector MtD#. 2020-157923 <br />ozt20t2020 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01116002 57770 <br />Fee Total <br />Paid to Dale: <br />Balance Due: <br />$22.95 <br />$103.45 <br />$3.91 <br />$130.31 <br />$0.00 <br />$130.31 <br />Phone: <br />R-3, U <br />VB <br />cPc 2019