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City of Santa Ana <br />Permil Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, CA 9270?Mec hanical Permit #: 40{3tl07 <br />Pin #: 619E3lnspection Requests: (714) 667-2738 lnspector Section: (714) &7-5853 <br />Unit: A <br />Block: B <br />Bldg: Address Range; <br />Tracl: HARTLEY'S ADO Historic: No <br />\eAssessolsParcel: 005.143-17 Lot: 8 <br />Owner: <br />Address <br />Aura Rebollar <br />1844 N. Van NeBs Unlt A <br />Santa Ana, CA 92701 <br />(714) 955-8370 <br />Foe Typs <br />01116002 516(X Furnace <br />01116002 51600 General Plan Update <br />011'16002 516(N lssuance <br />Amount <br />61.07 <br />20.56 <br />5'1.26 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$61.07 <br />$20.56 <br />$51.26Phone <br />Tenant Name: <br />Contraclor: <br />Address: <br />Quality Conservation Servlc <br />4751 Arrow Hwy <br />Montclalr, CA 91763 <br />(909) 445.{'450Phone <br />Slate Lic #: 757471 <br />Lic Type: C-36, B, C-20, D-65 <br />Bus. Lic #: 330814 <br />Workers' Compensation lnsurance:Carrier: Redwood Flrs & Casualty lnsurance <br />Policy #: QUWC700525 <br />Expiresi 0611512017 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Trlplex <br />Miacellaneous <br />Furnace change out. <br />R-2 <br />VB <br />cMc 2016 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued 8y: <br />Subject to Field: <br />Building Permit #: <br />Chavez, Dave <br />Date <br />Date <br />Date ost2412017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. R€ceipt: <br />Total2a <br />01 1 16002 51600 <br />01116002 51604 <br />$20.s6 <br />$112.33 <br />$132.89 <br />$0.00 <br />$132.89 <br />lnspector <br />Fee Total: <br />Paid to Date: <br />Balance Du6: <br />ProjectAddress:844 N Van Ness Ave Suite Range: <br />Zoning: P <br />Occupancy: <br />Constr Type: <br />Code:Notes: Furnace change out. Contractor letter of authorization <br />on file. <br />Every pemit issued shall become invalid unless lho work on l}}e sile <br />authoized by such pemit is commenced wilhin 180 days aftet its <br />issuance, or rt the wo authoized on the site by such pemit is suspended <br />ot aban&ned bt a peritd ol 1& days afrer the tme tho ulodl is <br />comnerwd <br />MID#: 2017-136339