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City of Santa Ana <br />Permit Counter: (714], 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Mecha n ica I <br />Proiect Address: 2620 W Seoerstrom Ave <br />Assessor'sParcel: 933-071.59 Lot 2,611,2, 4, 5 <br />Unit: A <br />Blockr NA <br />Bldg: <br />Tract: 8236/8868 <br />AddressRange: 2600-2830 <br />Historic: No <br />Suite Range: <br />Zoning: R4 <br />ry <br />Owner: <br />Address <br />Contractor <br />Address: <br />Lori Tillman <br />2620 W. Segerstrom Ave, #A <br />Santa Ana, CA 92704 <br />17141423-1062 <br />Slater General lnc <br />8502 East Chapman Ave., #: <br />Orange, CA 92869 <br />(714) 653-5030 <br />Fee Type <br />01116002 51604 Bathroom Fan <br />01116002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />30.52 <br />22.O8 <br />55.04 <br />Generol Plsn Updste Fee <br />ull16002- 91600000- <br />il€chln icol <br />0r116002- 51604000- <br />ICL Cheik 003629 <br />Fee <br />$30.52 <br />$22.O8 <br />$55.04 <br />Tenant Name: <br />Bstchi:46067 - 9/24/2018 I0: JGULTIN <br />office: CTYH Tronsit 50 i :;'Acct+: Ref+: {0153r. ,', <br />RcDti:02390008 - j/21/2018 l2:Lrj i11 <br />frqnsoct ion Totol t336. St <br />Slster 6enenol Inc <br />State Lic #: 946654 <br />Lic Type: B <br />Bus. Lic #r 353370 <br />Workers' Compensation lnsurance: <br />Carrier: Benchmark lnsurance Company <br />Policy #: CST501'1908 <br />Expires: O1lO1l2O19 <br />Building Use: Multi-Family (5 or more uni Occupancy: <br />Job Type: Miscellaneoua constr Type <br />Nature of Work: Remodel Bathroom code: <br />Planning Conditions: No change in floor plan <br />Planning Approval By <br />Every permit issued shall become invalid unless lh€ work on the site <br />authorized by such pemit is commenced within 1 80 days aftet its <br />issuance, ot if the wo* authorized on the site by such pomit is suspended <br />or abandoned fot a period of180 days aftet the time the work is <br />commenced. <br />ogt24t2018 <br />Account# <br />Notes: Remove & replace fixtures in downstairs bathroom. <br />$107.64 <br />$0.00 <br />$'107.64 <br />U, R.2 <br />VB <br />cMc 2016 <br />efi <br />Date: <br />Date: <br />Dale: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />196345 $22.08 <br />$85.56 <br />MID#: 2018-143185 <br />01116002 5'1600 <br />01116002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Permit #: 4lJ13,2617 <br />Pin #: 3o,437 <br />Phone: <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Phone: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />lnspector