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City of Santa Ana <br />Permil Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechan ical Permit #: 4Ol3OE97 <br />Pin #: 4E224 <br />f nspection Requests: (7 141 667-27 38 lnspector Section: (714) 647-5853 <br />Unit: <br />Block: NA <br />Btdg: <br />Tract: 1964 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Ri +t-AssessofsParcel: 003{5i-13 Lot: 9 <br />Ovrner: <br />Address: <br />Eric & Shawna Dye <br />913 Grovemont St <br />Santa Ana, CA 927052045 <br />(949) 279.4080 <br />Fee Typo <br />011'16002 51604 Range Fan <br />01116002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />30.09 <br />20.56 <br />51 .26 <br />Qly <br />1.00 <br />1.00 <br />1.00 <br />Fo€ <br />$30.09 <br />$20.56 <br />$51.26Phone <br />Tenant Name: <br />Contracior <br />Address: <br />Henrys Handlwork <br />13591 Woodland Drivo <br />Tustln, CA 92780 <br />(7141 342-2203 <br />8.0 <br />Phone <br />I <br />Stale Lic #: 565129 <br />Lac Type: B <br />Bus. Lic #: 0002861 <br />Workers' Compensation lnsurance:Carrier: Exempt <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Famlly Dwelling <br />Alteralion <br />Kitchen Remodel <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />Notes: <br />Planning Conditions:No Exterior Moditications. No c nge in floor plan <br />Planning Approval By:Date: <br />Date: <br />Date: <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />efl <br />0192200 5'101.91 <br />$0.00 <br />9101.91 <br />Every pemit issued shell become invalid unless t ,g work on the sifg <br />authorized by such pennia is commenced within 1@ days afret its <br />issuance, ot il the wo* authodzed on tho site by such petnit is susponded <br />ot abdndoned lor a peiod ol 180 days afret lhe tme the wo* is <br />comrion@d. <br />lnspector MID#: 2016-'129935 <br />01116002 51600 <br />01116002 51604 <br />$20.56 <br />$81.35 <br />Fee Total: <br />Paid to Date: <br />Balanco Duo: <br />Project Address: 91 3 E Grovemont St <br />o?J27 t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total