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City of Santa Ana <br />Permit Counter: (714) 447-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Plumbing Permit #: 3Ol4OE2O <br />Pin #: 91137 <br />Project Address: 2022 W Twelfth St <br />Assessor'sParcel: 004-172-16 Lot: 36 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 1685 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Phone: <br />Tenanl Neme: <br />Contraclor: <br />Address: <br />Ramona Perez <br />2022 W 12th St <br />Santa Ana, CA 927031927 <br />(7141418$202 <br />Owner-Builder <br />011 16002 <br />01116002 <br />01't'16002 <br />01116002 <br />01 1 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />5'1602 <br />5'1602 <br />51602 <br />51600 <br />51602 <br />Qty <br />1 .00 <br />2.OO <br />3.00 <br />1 .00 <br />2.OO <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$22.25 <br />$44. s0 <br />$38.10 <br />$13.97 <br />$13.90 <br />$66.75 <br />$44.51 <br />$22.08 <br />$ss.04 <br />Fee Type AmountBathtub 22.25 <br />Shower 22.25 <br />Sink 12.70 <br />Clothes Washer 13.97 <br />Cap Fixtures 6.95 <br />Add'l Sewer Conneclion 22.25 <br />Sewer Atter/Repair 44.51 <br />General Plan Update 22.08 <br />lssuance 55.04Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Slngle Famlly Dw6lllng <br />Addition <br />Addltion <br />Occupanc.y: <br />Constr Type <br />Code: <br />R.3, U <br />VB <br />cPc 2015 Notes <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: Chavez, D <br />Subiect to Field: <br />BuildinsPermit#: 10196753 <br />Dale <br />Date <br />DateaveYc-0/.t1212019 <br />Account# <br />Addition/tloor plan layout changes - (2) new bedrooms, <br />(2) nevv bathrooms, rcloctte oxirting laundry room and <br />bathroom, enlarge kitchen & dining room, convert <br />existing famlly room into 2{ar garage. SAUSO #3761. <br />Owner-Authorization form on tile. <br />$321.10 <br />$0.00 <br />$321.10 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.O8 <br />$299.02 <br />lnspector <br />01 1'16002 51600 <br />011 16002 51602Ewry pamit issued shall becgme invalid unless lha wod( o, lr€ site <br />auhoized by such pemit is commencad within 1 80 days afret its <br />issuanca. ot if the wo* authoized on the site by such pemit is suspended <br />ot abandoned fot a pedod of 1@ ddys after the tine the wo* is <br />cnfinehtEd <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />MID#: 2018-142338