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)laza (M-1 9), Santa Ana, CA ! <br />Requests: (714) 667-2738 ln <br />Unit: <br />Block: NA <br />tsl <br />Tracl <br />( <br />( <br />R-3, U <br />VB <br />cEc 2019 <br />t1t2021 <br />qccount# <br />CitY of Santa Ana 2o Civic cent <br />Permit Counter (714) 647-5800 lnspect <br />Project Address: 2627 N Jacaranda St <br />Assessor's Parcel 396-371-30 Lot NORTH HALF <br />Owner: <br />Address: <br />Amy J Farrell <br />2627 N JACARANDA ST <br />Santa Ana, CA 927056945 <br />4'714}-720-5924 <br />Tenant Name: <br />Contraclor <br />Address: <br />American Home Remodling <br />4375 Prado Rd #108 <br />Corona, CA 92880 <br />(951) 520.0654Phone <br />State Lic #: 807029 <br />Lic Type: C-36, B <br />Bus. Lic #: 5340 <br />Workers' Compensation lnsurance:Carrier: Falls Lake Firs and Casualty Company <br />Policy #: FLA00797702 <br />Expires: 0110112022 <br />t <br />Building Use: <br />Job Typel <br />Nature of Work <br />Duplex <br />Alteration <br />Bathroom remodel <br />Occupan <br />Constr T <br />Code: <br />Planning Conditions: <br />Planning Approval By Date <br />Date <br />Date <br />Plan Checked By <br />Permil lssued By <br />Subject to Field: <br />Building Permil # <br />ry Amsden. Julie 0 <br />Every peinit issued shall become nvalld unless lhe worr( on lho s/e <br />authonzed by such pemtt ts commenced wtlhh360 days attel its <br />issuance, ot il th6 wotk authonzod on the sto by such pemlt ts suspendod <br />ot abahdoned lot a peiod o1360 days after lhe time the work is <br />cofifiencecl <br />lnspector MID#: 2021-165238 <br />)1 't '16002 51600 <br />)1116002 51603 <br />11116002 57770 <br />$23.7( <br />$62.4r <br />$4.01 <br />702 Electrical Permit #: 2lJ173o45 <br />Pin #: 47931ector Section: (714) 647-5853 <br />I Address Range Suite Range: <br />Zoning: R2287Historic: No <br />1 16002 51603 <br />1 16002 51600 <br />I 16002 51603 <br />116002 57770 <br />Fee Type <br />125 Volt Receptacle <br />General Plan Update <br />lssuance <br />N4icrofilm Records <br />Amount <br />1 .57 <br />23.79 <br />59.30 <br />4.05 <br />Qty <br />2.00 <br />1.00 <br />1 .00 <br />1.00 <br />Fee <br />$3.14 <br />s23 7S <br />$59.30 <br />$4.05 <br />8ot':h+ i,'ig6:,6 - 1,,.oli ice: (:TYH Tr( <br />A,:,:t+ ? <br />Rcpti:01229437 -lrnnsqct ron TotoI <br />ns+: i1 <br />R€li: <br />3/"it/21'-12 <br />IO! EL I ZASE <br />1 of 2 <br />2tr173t:t{l <br />11 :2{ An <br />t2r-11 . .l' <br />Aner iaon Hooe Refiod). rne <br />Gener(ll Plon Updote teE <br />(r1 1 1 6r.102- 516trtr0Ut-r-i icrof i lin A oo.:ul'ent e <br />[rl 1 l6Ur-r2- 577;,UUr:r(r- <br />I <br />t4. r:ri <br />i l6Llt-t:16r:rl utIr(t ah l.ir:rl . .i9 <br />Notes Electrical for bathroom remodel <br />$90.28 <br />$0.00 <br />$90.28 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Phone <br />il::::::i:i",1