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Project Address: 2105 N Louise St <br />Assessor'sParcel 001-114-06 Lotr l2 <br />Unil: <br />Block: NA <br />Bldg: <br />Tract: 3205 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />q <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumblng <br />Permit Counter: Cl14) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: C/14) 647-5853 <br />Permit #: 3IJ139277 <br />Pin #: 43221 <br />Owner: <br />Address: <br />Contraclor <br />Address. <br />Phone <br />Tenant Name: <br />RobertL&LindaBecker <br />2105 Louiso St <br />Santa Ana, CA 927063,144 <br />(714) 543{963 <br />Supreme Remodeling lnc <br />,4545 Victory Blvd #401 <br />Van Nuys, CA 9l4l l <br />Fee Typo <br />Water Closet <br />Shower/Bathtub <br />Sink <br />General Plan Update <br />lssuanc€ <br />Amount <br />13.69 <br />2't .42 <br />12.23 <br />21.25 <br />52.98 <br />Fee <br />$13.69 <br />$21 .42 <br />$24.46 <br />$21.25 <br />$52.98 <br />Qty <br />1.00 <br />1.00 <br />2.00 <br />1.00 <br />'t.00 <br />Phone <br />State Lic #: 939981 <br />Lic Type: B <br />Bus. Lic f: 368975 <br />Workers' Compensation lnsurance:Carrier: State Compensation lnuaurance Fund <br />Policy #: 9155814 <br />Expires: O4l12l2O1A <br />Generol PIoo ljpdote Fee <br />01u6002- 5160000(r- <br />Plurb ine <br />01116002- s1602000- <br />ICL Checl 3527 <br />t2t .21 <br />3t 12.55 <br />l78s.2r <br />Botch3:{3215 - 1/lL/?Otg ID: ccuELLAlolficai CTYII TPonBi: {7 3 of 5Accti! Ref+: 30139277 <br />Rcatt!0222901{ - 1/tl/2019 12:11 f[ <br />fFonsoctior fotol t785.21 <br />SuDre.e fterodel ine Inc <br />$133.80 <br />$0.00 <br />s133.80 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditlons: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subiect to Field: <br />Single Family Owelling <br />Alteration <br />Bathroom Remodel <br />\u <br />Occupanca: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cPc 2015 Notes: <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Buildins Permit #: 101 96092 <br />Every permit issued shell become invelid unless the worl< on the sile <br />authonzed by such pomit is @mmencad within 1 80 days efrer its <br />issuanco, or it tho wotk authodzed on the site by such perfiil is suspendod <br />ot abandonec! lot a peiod of 1 80 days affet the lime the wo* is <br />c!mnlErr@d. <br />lnspector MID#: 2018-1426'11 <br />oAt11t2018 <br />Account# <br />01116002 51600 <br />01 1 16002 51602 <br />Fee Total: <br />Paid lo Oate: <br />Balance Due: <br />$21 .25 <br />$1 12 55 <br />01 1 '16002 5'1602 <br />01 116002 51602 <br />01116002 51602 <br />01 1 16002 51600 <br />01 116002 51602