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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mec ha n ica I Permit #: 4Ol <br />Pin #: <br />u --\\l3tO72 <br />l nspection Requests: 17 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 34698 <br />Proje ct Address: 1.210 E Park Ln Unit: <br />Block: NA <br />Btdg: <br />Tract: 6635 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssesso/sParcet 396-121"18 Lot lT <br />Owner: <br />Address: <br />Lori Bagley <br />1210 E Park Lane <br />Santa Ana, CA 92705 <br />1714) 402-3575 <br />Fee Type <br />01116002 51604 Furnace/Comp Combo <br />01116002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />126.90 <br />22.O8 <br />55.04 <br />Qty <br />1 .00 <br />1.00 <br />1.00 <br />Foe <br />$126.90 <br />$22.08 <br />$5s.04Phone <br />Tenant Name: <br />Conlraclor: <br />Address; <br />Greenstar Home Serviceg ln <br />1951 N Main Street <br />Orange, CA 92865 <br />(9,19) 88s-0102 <br />Eotchi:47853 - l/t5/2$19off i.e3 CTYH lronesr 13Acct+: Refi!Rcrtt:025004{2 - t/15/2tt19 <br />fronsoct ion Totol <br />I ll' <br />Phone ,t'1133072 <br />,l:32 An <br />i305.93State Lic r: 795556 <br />Lic Type: C-36, C-20 <br />Bus. Lic #: 314246 <br />Workers' Compensation lnsurance:Carrier: Llberty lnsuranca Corp <br />Policy #: WA763D508631018 <br />Expires: 1010112019 <br />Greengtor Hore Sepvices In( <br />Generol F <br />0, 11600?- <br />hechon ico <br />0r t 16002- <br />ICL Cher! <br />lon Uedote Fee <br />51600000- <br />t?2,0B <br />t181.9{ <br />t3n5.93 <br />5t 604000- <br />008273 <br />Building Use: <br />Job Type; <br />Nature of Work <br />Single Family Owelllng <br />Mlscellaneoug <br />HVAC <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />Notes: Direclchange.out <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: r <br />Building Permit #: <br />Ke er, Selena Date: <br />Oate: <br />Date: <br />01/'t 5/2019 Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />sden, Julie 0't/15,2019 <br />Account# <br />Ewry pednit issued shdll ber,me invalid unbss the wo* on the site <br />euthoizod by such permit is commenced wilhin 1 80 ddys aftet its <br />issuence, or il the wo* authoized on the site by such pennit is suspended <br />ot abandoned tot a peiod ol 1 80 days aftet the time the wo* is <br />cgi,,rl,encf.d <br />$204.02 <br />$0.00 <br />$204.02 <br />lnspector MID#: 2019-148779 <br />01 1 16002 51600 <br />01 116002 51604 <br />Fee Total: <br />Paid to Date: <br />Balancs Due: <br />$22.08 <br />$ 181 .94