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City of Santa Ana <br />Permit Counter: (7 1 41 647 -5800 <br />20 Civic Center Plaza (Nrl-19), Santa Ana, C492702 <br />lnspection Requests: (714\ 667-7738 lnspector Section: (714) 647-5853 <br />Electrical <br />,iL, <br />Permit #: 20{68415 <br />Pin #: {0856 <br />Project Address: 614 S Shellev St <br />Assessor'sParcel 010-045-.04 Lot: 14 <br />Unit: <br />Block: NA <br />Bldg: <br />frcd 2279 <br />Address Range: <br />Historic: No <br />Suile Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Conlractor: <br />Address: <br />Connie vargag <br />5'14 S Shelley St <br />Santa Ana, CA 92703 <br />(714) 269-3894 <br />Service Champions <br />3150 E Birch Street <br />Brea, CA 92821 <br />(714].777 -7777 <br />01 1 16002 5160: <br />01 1 16002 5160C <br />01 1 15002 s150: <br />Amount <br />96.90 <br />22.O8 <br />55.04 <br />Fee <br />$96.90 <br />$22.08 <br />$55.04 <br />Fee Type <br />Air Conditioner <br />General Plan Updale <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1.00Phone <br />Tenant Name: <br />Phone <br />State Lic #: 799170 <br />Lic Type: C-36, B, C-2, C-20 <br />Bus. Lic #: 196/130 <br />Workers' Compensation lnsurance: <br />Carrier: PacificCompensationlnsuranceCompany <br />Policy #: WA00060705 <br />Expires: 0312212020 <br />Building Use; <br />Job Type: <br />Nalure of work <br />Planning Approval Blr <br />Plan Checked Byl <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Alteration <br />Furnace/A,/C <br />Verduzco, Viole( <br />Occupancy: <br />Conslr Type <br />Code: <br />Notes <br />Dale: <br />Date: <br />Oale: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />o4t'10t20'19 <br />Account# <br />$17 4.02 <br />$0.00 <br />$17 4.02 <br />Every pennil issuod sha become invalid unless lhe wo* on the site <br />aulhodzed by such pe/mil is commenced within180 days altet its <br />tssuance. ot il the wo* authonzed on lhe sit,. by such pemtl is suspended <br />ot abandoned fot a petiod of 180 days dftet the time the wo* is <br />cofifienced. <br />lnspector MID#: 2019-150686 <br />01 't 't6002 sl600 <br />01116002 51603 <br />$22.08 <br />$151 .94 <br />Fee Tolal <br />Paid to Date: <br />Balance Due <br />gotch+:{926u - 4/Lo/2atl9 I0: Et <br />off ice: aTYH Trons+: 25 IAc.L+: Refa: 2ul6t <br />Rcrti:825883i9 - Orr1rrgl9 tlt tt! <br />Tronssct ion Totsl t379.1. <br />6enennl Plon Updote Fee <br />01116u02- 5t6011000- <br />Electricol <br />rr11 160112- 5160j0fJr-r-I(l Che,:| ulLl:;94 <br />J <br />R-3, U <br />VB <br />cEc 2016 <br />Planning Conditions: locate at the rear of the property