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Project Address: 2620 W Segerstrom Ave <br />Assessor'sParcel: 933-071-59 Lot:2,611,2,4,5 <br />Unit: A <br />Block: NA <br />Suite Range: <br />Zoning: R4 <br />q <br />city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing <br />Permit Counter: (714) 647-5800 lnspectaon Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{4OOO4 <br />Pin #: 8994{ <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone <br />Tenant Name: <br />Lori Tillman <br />2620 W. SegeBlrom Ave, #A <br />Santa Ana, CA 92704 <br />17141423J1062 <br />Slaler General lnc <br />8502 East Chapman Ave., #: <br />Orange, CA 92869 <br />(714) 653-5030 <br />01 'l 16002 51602 <br />01 1 't6002 51602 <br />01 1 16002 5'1602 <br />01't16002 51600 <br />01 '1 16002 51602 <br />Amount <br />14.22 <br />22.25 <br />12.70 <br />22.08 <br />55.04 <br />Fee Type <br />Water Closet <br />Shower <br />Sink <br />General Plan Update <br />lssuance <br />Qry <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />914.22 <br />$22.25 <br />$12.70 <br />$22.08 <br />$5s.04 <br />Phone <br />State Lic #: 945654 <br />Lic Type: B <br />Bus. Lic #: 353370 <br />Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company <br />Policy #: CST5011908 <br />Expires: 0l/01/2019 <br />gotchir46067 - 9121/2018 I0: J(0ffice: CTYH TroDEi: 50 1Acct+! Reflr 3014r: <br />Rcpti:02390007 - 9/21/?018 r2.i3 <br />Tronsoct ion Totol t336. g <br />Sloter Generol Inc <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Condations: No change in floor plan. <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field <br />Building Permit <br />Every parmit issued <br />authoized by such permit is commenced within 180 days dlter its <br />issuance, ot if the wod< authoized on tll€ site by such perfiil is suspended <br />ot abandoned for a peiod o1180 days aftet the time the work is <br />comnenced. <br />lnspector MID#: 2018-143185 <br />Multi-Family (5 or more uni Occupancy: <br />Miscellaneous Constr Type <br />Remodel Bathroom Code: <br />Date: <br />Date: <br />Date: <br />U, R-2 <br />VB <br />cPc 2016 <br />01116002 51600 <br />01116002 51602 <br />$22.08 <br />$104.21 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />6enerol Pl.on Updote Fee <br />01116002- 51600000- <br />t lurb ins <br />01116002- 51602000- <br />ICL Check 003629 <br />Notes: Remove & replace fixtures in downstairs bathroom. <br />$'126.29 <br />s0.00 <br />$126.29 <br />efl <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Bldg: Address Range: 2600-2830 <br />Tract: 8235/8868 Historic: No <br />invalid unless the wo* on the sile <br />o9124t201A <br />Account#