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City of Santa Ana 20 civic center Plaza (M-19i, Sarira Ana; cA.g27o2 <br />Permit Couni.er: (714) 647-5800 inspection Requests: (714t 667-2738 <br />Mechanical Permit #: 4o12o4ao <br />lnspectois Segtion: (714) 647-5853 <br />Project Address: 2410 W Brook St <br />Assessor'sParcel: 4A7..062-27 Lot: 3 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 9779 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />E <br />Owner: <br />Address: <br />Corrtrarlci <br />Addressl <br />CarlosCAJuanaGarcia <br />2410 Vir Brook St <br />Santa Ana, CA 927042402 <br />17141 *7-2479 <br />Servi,r.e Champions <br />22911 Savi Ranch Parkway <br />Yorba L:nda, CA 92887 <br />1714t'77"'t777 <br />Fee Type <br />01116002 51604 Furnace <br />01116002 51600 General Plan Update <br />011 16002 51604 lssuance <br />Amount <br />54.20 <br />'t8.25 <br />45.50 <br />Qty <br />1.00 <br />'1.00 <br />'1.00 <br />Fee <br />$54.20 <br />$18.25 <br />$45.50Phorie: <br />Tcnant Nam-o <br />Phone: <br />State Lic #: 799170 <br />Lic Type: C-36, C-20 <br />Bus. Lic #: 1964.10 <br />Workers' Compensation lnsura'.ce:Canier: Towet nsurance co <br />Policy #: WCPBC{028011 <br />Expires: 0312212t12 <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 />Single Family Dwelling <br />Alteration <br />Furr a9e <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3 <br />VB <br />cMc 2010 Notes: Directchange-out <br />Date: <br />Date: <br />Date:12t15t2011 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Arnsden, Julie <br />Every pennit issued shall be.nm'., invalid unless the wotk <br />on the site authorizeii by sucl: oemit is commenced within <br />160 days after its lssuance, c: if rhe wotu authorized on the <br />s;te by s-uch permit is suspended or abandoned for a pedod <br />C 180 days after the time the to* is commenced. <br />01 1 16002 51600 <br />0't't16002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$18.25 <br />$99.70 <br />$1 17.95 <br />$0.00 <br />$117.95 <br />iirspector t\'lD4: 20'l 1-100570