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Lot: 79 <br />unil Bldg: Address Range Suite Range: <br />Zoning: Rl <br />\r <br />Block: NA Tract: 1939 Historic. No <br />city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714).667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 10193471 <br />Pin #: 4980{ <br />Building Usel <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Miscellaneous <br />lnsulation <br />SFD w/att garage <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320144J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: S1,300.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Oescription of Work: lnstall insulation in attic <br />Planning Conditions:No Exterior Modifications <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Sarah Te.okowski <br />1002 W Fairbrook <br />Santa Ana, CA 92706 <br />(e09) 231-s886 <br />Conlraclor: QualityConservationServic <br />Address: 4751 Arrow Hrryy <br />Montclair, CA 9'1763 <br />Phone: (909),145-0450 <br />State Lic #: 757471 <br />Lic Type: C-36, B, C-20, D-65 <br />Bus. Lic #: 330814 <br />Workers' Compensation lnsurance: <br />Carrier: Redvyood Fire & Casualty lnsuranc <br />Policy #: QUWC700525 <br />Expires: OAl14l2O17 <br />Engineer <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />rI <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />NPOES lnsp. Req'd. <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Oate: <br />Date: <br />Oale: O7l'1012O17 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />07776002 51601. Permit Fee <br />07776002 576L2 gld}. Stds- Revolving <br />07776002 51600 General Plan Update <br />07716002 51601 lssuance <br />$154.26 <br />$1.00 <br />$21 .25 <br />$s2.98\dr".n"n0"., x"tty <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert. Req'd: No <br />Every pemit issued shall become invalid unless the wo* on lhe sile authoized by <br />such permit is cofinenced wlthin 180 days aftot its issuanco.ot if lhe wo* aulhotizod <br />on lhe site by such poinit 6 suspendec! ot abandoned fot a ponod o1160 days aftet <br />tho lime lhe wo* is cofimenced <br />lnspector MID#: 20'17-137308 <br />$21.2s <br />$207.24 <br />$1.00 <br />Fee Total: <br />Paid to Dater <br />Balance Due <br />$229.49 <br />$0.00 <br />s229.49 <br />Proiect Address: 1002 W Fairbrook Ln <br />Assessods Parcel: 002-213-07 <br />01116002 51600 <br />01116002 51601 <br />01116002 51612