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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civac Center Plaza (M-'19), Santa Ana, C492702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 40{33097 <br />Pin #: Egtl5 <br />J rl <br />Project Address: 3622 W Crystal Ln <br />Assesso/sParcel: 144-354-01 Lot: 55 <br />Unit: <br />Block: NA <br />Bldg: <br />frcd 4244 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Contractor: <br />Address: <br />Stephen A Conti <br />3622 w Crystal Ln <br />Sanla Ana, CA 92705 <br />17141777-7777 <br />Service Champions <br />3'150 E Birch Street <br />Brea, CA 92821 <br />17 141 777 -7777 <br />Fee Type <br />01'l'16002 51601 Fumace/Comp Combo <br />01'116002 5160C General Plan Updale <br />01116002 51604 lssuance <br />Amount <br />126.90 <br />22.O8 <br />55.04 <br />Fee <br />$126.90 <br />$22.08 <br />$55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00Phone <br />Tenant Name: <br />Phone <br />State Lic #: 799170 <br />Lic Type: C-36, B, C-2, C-20 <br />Bus. Lic #: 195/130 <br />Workers' Componsalion lnsurance:Canier: PeclrlcComp€nsatlonlnluranceCompany <br />Policy #: WA00060704 <br />Expires: O3lXll2O19 <br />Eotch+t+8946 - L/28/201i I0r E <br />olf ice! CIYH TronsSl 24Accti: R.fi! {01: <br />Rcatir02508+87 - l/28/m$ rlz2 <br />Tronsoct ion Totol t305. <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Planning Conditions: <br />Planning Approval B!,1 <br />Plan Checked By: <br />Permit lssued By: <br />Subjeci to Field: <br />Building Permil f: <br />Single Family Dwelling <br />Miscellaneous <br />FAU <br />Guevara. Jerry <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />lon l,Jpdote Fee <br />5r 600000- <br />t160+000- <br />010221 <br />Noles: <br />Date: <br />Date: <br />Date: <br />01124t2019 Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Ewry pemit issued sha betprne invalid unlass tlra wo.k on llrg sile <br />authoized by such pemit is cammerccd within 1 80 days ofrot its <br />issuance. ot if the wod< authotized on the site by such pemit is suspended <br />ot abandoned tot d padod of 180 days afrer the time lho t otk is <br />commen@d. <br />01t2812015 <br />Account# <br />s204.02 <br />$0.00 <br />1204.O2 <br />lnspector MID#: 2019-149016 <br />0't 1 16002 51600 <br />011 16002 51604 <br />$22.O8 <br />$ 181 .94 <br />Fee Total <br />Paid to Date; <br />Ealancs Due: <br />Owner: <br />Address: