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Project Address: 2106 N Forest Ave <br />Assessor'sParcel: 001-083-13 Lot: 120 <br />Unil: <br />Block: NA <br />Bldg: <br />T'rad: 1721 <br />q <br />City of Santa Ana <br />Permit Counter: (7 1 41 647 -5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Mecha nica I Permit #: 40131773 <br />Pin #: 3993{ <br />Owner: <br />Address: <br />Conlraclor: <br />Address: <br />01116002 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />5'1604 <br />51604 <br />51604 <br />51600 <br />51604 <br />Amount <br />29.38 <br />33.54 <br />3'1.10 <br />21.25 <br />52.98 <br />Foe <br />$s8.76 <br />$33.54 <br />$31 .10 <br />$21.25 <br />$52.98 <br />Phone <br />Tenant Name: <br />Pedro Gonzalez <br />2'106 N Forest Ave <br />Santa Ana, CA 927062427 <br />(714) 93r-558s <br />Newimage Restoratlon lnc <br />10122 Flanner Avenue <br />Garden Grove, cA 92840 <br />(714) 458-3014 <br />Fee Typ6 <br />Balhroom Fan <br />Laundry Fan Envir. Air <br />Range Fan <br />General Plan Update <br />lssuance <br />Qty <br />2.00 <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Phone <br />State Lic #j '1006312 <br />Lic Type: B, C-21, C-23 <br />Bus. Lic #: 12345 <br />Workers' Compensalion lnsurance:Carrier: Norguard lnsurance Company <br />Policy #r NEWC998497 <br />Expires: 0111512019 <br />Eotcha!{1893 - l/22/2fifi ID: crorolcBllofficr: CTYH Trons+: 27 I of jAcctCr Refa! 1l1lj l tl3Rcpti:021{3?70 - t.t22./2qte tt:rii 4;Ironsoct ion lotol ,?-!:.9? <br />HePirose Restorot ion I n,:. <br />r?r.rs <br />rl76, t8 <br />,rrr.f, <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 Notes <br />G.nerol Plan Updote Fee0u16002- 51600000- <br />n.chon i col01tl6002- 5160{00(r- <br />ICL Chrck 0r 361 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Single Family Dwelling <br />Alteratlon <br />'l st floor remodel <br />Amsden, Julie <br />Planning Approval By: <br />Plan Checked By: .,.--r/Y <br />Permit lssued By I /) <br />Subjecl to Field: I V <br />Building Permit #: <br />Date: <br />Date: <br />Date: <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />01l2a2u8 <br />Account# <br />01116002 51600 <br />01116002 51604 <br />$21.25 <br />$176.38 <br />Fee Total: <br />Paid to Date: <br />Balance Oue; <br />$'197.63 <br />$0.00 <br />3197.63 <br />Ewry Nmit issued shall becgmo invalid unless lhe work on the sife <br />authoized by such pemit is commenced within 1 80 days afret ils <br />issuanca, or it tho wo* authotized on aha site by such pemit is suspended <br />gt abandoned for a pedod of180 days aflet the time the wo* is <br />commen@d. <br />lnspector MID#: 2016-'129309 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl