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ProjectAddress:2117 N Mantle St <br />Assesso/sParcel: 396-012-07 Lot: 19 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: 3902 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />City of Santa Ana 20 civic Center Plaza (M-19) Santa Ana, CAgzToz Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: 1714])667-2738 lnspector Sectionr (714) 647-5853 nG <br />Permit #: 4lJ134417 <br />Pin #: 5Or70 <br />Owner: <br />Address: <br />Contraclor <br />Addressl <br />Phone <br />Tenant Name: <br />Gary Jensen <br />21'17 N Mantle Ln <br />Santa Ana, CA 927057656 <br />|\714't 569-'1122 <br />American Home Remodling <br />4375 Prado Rd #108 <br />Corona, CA 92880 <br />(951) 520-0654 <br />01 1 16002 51604 <br />01 1 16002 51600 <br />01116002 51604 <br />01116002 57770 <br />Amount <br />32.88 <br />23.79 <br />4.05 <br />Fe€ Type <br />Bathroom Fan <br />General Plan Update <br />lssuance <br />Microfllm Records <br />Notes: Bath fan <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />'t.00 <br />Fee <br />$32.88 <br />$23.79 <br />$s9.30 <br />$4.05 <br />Botchi:56152 - S/|L/292O I0: CC0ffice: CTYH Tnons+: 23 2Accti: Refi: {0134 <br />RcDt+!03028038 - gll|/292t) ,1t28 <br />Troosoct ion Tolol 1231.1 <br />UELLAfof2 <br />817 <br />AN <br />3Phone <br />State Lac #: 807029 <br />Lic lype: C-36, B <br />Bus. Lic #: 5340 <br />Workers' Compensation lnsurance:Carrier: Falls Lake Fire and Casualty Company <br />Policy #: FLA00797702 <br />Expiresr 0110'112021 <br />A6er icon Hore RelodI ins <br />Geoerol Plon Ucdote Fee <br />01116002- 51600000- <br />nechoB ico I <br />01u6002- 5160{000-nicrofill & oocurentg <br />01116002- 5777000(r- <br />ICL Check 9641 <br />423.7? <br />t92.18 <br />t{. r:t5 <br />231.13 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By <br />Permil lssued By <br />Subject to Field: <br />Building Permit # <br />Single Family Owelling <br />Alteration <br />Bathroom remodel <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cMc 2019 <br />Oate: <br />Dale: <br />Date: <br />Misc. Receipt: <br />Misc. Recoipt: <br />Misc. Receipl: <br />Total <br />, Julie <br />Every petmit issued shall bec!me invalkl unless l,he work on tl,e site <br />authorizod by such perfiit is commencod within i6O days aftet its <br />tssoance, or il the wod< authodzed on the site by such pemil is suspended <br />or abandoned lor a pedod of 360 days afrer ho tine the wotu is <br />conmenced. <br />lnspector MID#: 2020-160705 <br />08t'1112020 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51604 <br />01 116002 57770 <br />$23.79 <br />$92.18 <br />$4.05 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />$120.02 <br />$0.00 <br />$120.02