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Project Address:1004 N Cab illo Park Dr <br />Assessor'sParcel: 93'1.775-10 Lot 2-5 <br />Unit: E <br />Block: NA <br />Bldg: <br />Tract; 10580 <br />Address Range: 1002-1098 <br />Historic: No <br />Suite Range: <br />Zoning: R4 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27OZ Mechanical <br />Permit Counler: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit#:4O13/l4,O9 <br />Pin #: 9f { 3fr <br />Phone <br />Tenant Name: <br />011'16002 51604 <br />011'16002 51600 <br />01r 16002 51604 <br />01116002 57770 <br />Owner: <br />Address: <br />Klmborly Alba <br />1004 Cabrillo Park Orlve Unit #E <br />Santa Ana, CA 92701 <br />(714) 856-6793 <br />Ratael's Appliances Air Con <br />9375 Joshua Road <br />Oak Hills, CA 92344 <br />(909) 467-5332 <br />Fee Type Amount <br />Furnace/CompCombo 131.87 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fos <br />$131.87 <br />$22.9s <br />$s7 .20 <br />$3.91 <br />Phone <br />State Lic #: 93604'l <br />Lic Type: C-20 <br />Bus. Lic #: 3?4929 <br />Workers' Compensalion lnsuranceCarrier: Exempt <br />Policy #: <br />Expires: <br />BoLchi:5{043 - l/23/202O I0: CCUELLAR <br />otfice: CTYH Trors+: 70 2 ol 3Accti: Reft: {0134{09 <br />Rcptl:02880954 - l/23/2029 3137 ?n <br />Tronsoction Totol 3628.75Rofo€l Rivos <br />Rofoel's Apcl ionces Air Condiu <br />$215.93 <br />50.00 <br />3215.93 <br />6enerol Plon Updote Fee <br />01116002- 51600000- <br />ilechon icol <br />0u16002- 5160{000- <br />It icrof i 1r S 0ocurents <br />01t16002- 57770000- <br />V iso <br />cc+: Ilrrrrrrr*r15899 <br />_ ,2?.91 <br />t 189. 07 <br />f3.91 <br />t628.75 <br />Authi:713273ddilding Use: <br />Job Type: <br />Ntlure of Work: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit *: <br />Condominium <br />Alteration <br />A,/C Change out <br />Graham, Jetfery 01123t2020 Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Constr Type <br />Code: <br />R-t <br />VB <br />circ 2019 <br />>? <br />01123t2020 <br />Account# <br />Chavez. Dave <br />Every ponnil iss@d shall becgz,e invahd unless tho uto on the sile <br />euthonzed by such permit is commenced within 3@ days afret its <br />issuance, ot if the wod< authorized on the site by such permil is suspended <br />ot abandoied tot o penod ol 3@ days allet lhe time lhe wod< is <br />cofifiErEed. <br />lnspector MID#: 2O20-'157312 <br />01 1 16002 51600 <br />01'116002 51604 <br />01116002 57770 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$22.95 <br />$'189.07 <br />$3.91 <br />Contraclor <br />Address: <br />Date: <br />Date: <br />Date: <br />Notes: Change out A/C like for like.