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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853 <br />Mecha n ica I Permit #: 40{ 32069 <br />Pin #: 4714 <br />Proiect Address: 3904 S Flower St <br />Assessor'sParcel: 410-291-02 Lot: NA <br />Unit: H <br />Block: NA <br />Bldg: <br />Tract NA <br />Suite Range: <br />Zoning: R4 <br />E <br />Contractor <br />Address: <br />Prime & South Coast L P <br />50 California St 920 <br />San Francisco, CA 941114606 <br />Western Plumbing Services <br />1810 N. Linwood Ave. <br />Santa Ana, CA 92705 <br />(714) 492-5490 <br />Fse Type Amount <br />01116002 51604 Clothes Dryer - Residen 38.83 <br />01116002 5160C General Plan Update 21.25 <br />0'1116002 5'1604 lssuance 52.98 <br />Qty <br />'1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />$38.83 <br />$21.25 <br />$52.98Phone <br />Tenant Name: <br />Phone <br />State Lic #: 1021101 <br />Lic Type: C-36 <br />Bus. Lic #: 364095 <br />Workers' Compensation lnsurance: <br />Carrier: State Farm Fire and Casualty Company <br />Policy #: 90C6X6879 <br />Expires: OBl24l2OlA <br />Botch3:43635 - 1/7 /2A18 <br />oft ice: CTYH Tronsi: 22 <br />Acct+: Refi l <br />Rcpti:02258743 - 5/7/20t9 <br />frcnsact ion Totol <br />I0: ccuEl <br />1l ! <br />4013206r <br />1l:42 An <br />tl'29t'l.gl <br />l,lestern Flurb ins Serv ices <br />Gmenol Plon Updote Fee <br />01116002- 51600000- <br />llechon i co I <br />01116002- 5160{000- <br />llos[er Cord <br />CC+:*r**r**r**i*{823 <br />trL rl'l <br />Auth+:02669i <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Multi-Family (5 or more uni Occupancy: <br />Alteration Constr TyPe: <br />washer/dryer Code: <br />Daie: <br />Date: <br />Date: <br />R-2 <br />VB <br />cMc 2016 Notes: lnstall a washer & dryer in an existing closet. <br />Zuniga, Allissa <br />Every pemit issued shall become invalid unless the wo* o, the sile <br />authoized by such permit is commenced within 1 80 days aftor its <br />issuance, ot it the work authodzed on the sito by such permit is suspended <br />ot abandoned for a period of 1 80 days aftet the time the wotk is <br />commoncecl- <br />o5lo7 t2ua <br />Account# <br />$21 .2s <br />$91.81 <br />$1 13.06 <br />$0.00 <br />$113.06 <br />lnspector MID#: 2018-143173 <br />01 1 16002 51600 <br />0'1 1 'l 6002 51 604 <br />Fee Total <br />Paid lo Date: <br />Balance Oue: <br />AddressRange: 3800-3928 <br />Historic: No <br />Owner: <br />Address: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total