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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing <br />Permil Counter: C/14) 647-5800 lnspeclion Requests: (7'14) 667-2738 lnspector Section: 014) 647-5853 <br />Permit #: 30{ 38438 <br />Pin #: ETf R\ <br />AssessodsParcel:'109-371-08 Lot: 73 <br />Unit: <br />Block: NA <br />Btdg: <br />T'ract: 2248 <br />Address Range: <br />Hisloric: No <br />Suite Range; <br />Zoning: Rl <br />Owner: <br />Address: <br />Phone: <br />T6nant Name: <br />Conlraclor <br />Address: <br />O(olla Baranas <br />l3(X S Douglas St <br />Sanla Ana, CA 927043707 <br />(714) 504-9920 <br />Owner-Builder <br />0'1116002 51602 <br />0't 1 t6002 51602 <br />011'16002 51600 <br />01116002 5'1602 <br />Amount <br />13.45 <br />42.85 <br />21.25 <br />52.98 <br />Fse <br />513.45 <br />$42.85 <br />$21.25 <br />$52.98 <br />Fee Type <br />Clolhes Washer <br />Sewer Alter/Repair <br />General Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policl #: <br />Expires: <br />Botchi!4mll - S/31/?Ol7 I0: ororaleslS <br />officer CTYH Tronsi: l5 2 ol 1Acctl: Refi: 30138133 <br />Rcpt?:01993811 - 8/3t12017 1:59 Pll <br />Troosoct ion Totol t{82.33 <br />ofel io Boronos <br />Generol Plon Lbdote Fee <br />01116m2- 5160@00- <br />Pl[b int <br />01116fit2- 51602000- <br />Coeh <br />Chonee <br />tzl .25 <br />t109.28 <br />t500.00 <br /><lt7 ,67 ' <br />Planning Conditions: <br />Planning Approval <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />By <br />Slngle Famlly Dwelling <br />Addltlon <br />Addition <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3, U <br />VB <br />cPc 2016 Notes: Laundry room addn. <br />Oate: <br />Oate: <br />Date: 0913112017 <br />Account# <br />Misc. Rec6ipl: <br />Misc. Recaipl: <br />Misc. R6caipt: <br />Total <br />eri <br />93467 <br />Ewry pomil isswd shall bee.me invalid unless tho wod o, lrtg s,fe <br />authotized by such psmit is cgfinenced within 1 80 days aftet ils <br />issuanca, o( il the wo* authonzed on the site by such pernit is suspended <br />ot abandoned tor a peiod of 1 80 days afret the time the wo* is <br />camnen@d. <br />01 1 16002 51600 $130.53 <br />$0.00 <br />$130.53 <br />$21.25 <br />$ 109.28 <br />lnspector <br />01 1 16002 51502 <br />Fee Total: <br />Paid to Oate: <br />Balance Dus: <br />Project Address: 1304 S Douolas St <br />Building Use: <br />Job Type: <br />Nature of Work: <br />MID#: 2017-137296