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City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 <br />Mechanical Permit#: 4Oll39OO <br />lnspectofs Section: (714) 647-5853 <br />Project Address: 911 N Olive St Suite: <br />Block: NA <br />Bldg: <br />Tracl: 455 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 405-183-28 Lot: 19 <br />Owner: <br />Address <br />Cory Nelson <br />911 N Olivo St <br />Santa Ana, CA 927032331 <br />(714) s43-787s <br />Feo Type <br />Decor F/P-Gas <br />Bathroom Fan <br />Gas Piping lncidental <br />lssuance <br />Amount <br />23.50 <br />'16.00 <br />16.00 <br />32.50 <br />Qty <br />1.00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />$23.50 <br />$16.00 <br />$16.00 <br />$32.50 <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #; <br />workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />gsgq6i:988 <br />off ice: CTYH <br />Accti: <br />- o3/2t/o6 I0: CKELLY <br />Trong3:33 <br />Rcpti:00007070 - <br />Tnunsoct ion TotoI <br />Corv t{elson <br />Refi: 4011396t-l <br />3/21/2006 l0: 17 An <br />a88.0 <br />Single Family Dw€lling <br />Addition <br />Addition <br />Occupancy: <br />Constr Type <br />Codel <br />R-3/U-'l <br />V-N <br />cMc 2001 <br />tlechon icol <br />Check <br />r88,00 <br />t717 .15 <br />Notes: <br />Planning Conditions: <br />Planning Approval By Date: <br />Date: <br />Date: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Amsden, Julie o3t21t2006 <br />Building Permit #, lC) \q8qq_<Fee Total: <br />Paid to Date: <br />Balance Due: <br />$88.00 <br />$0.00 <br />$88.00 <br />This pemit shall expire by limitation and becomo null and void if the wotu authoized by this permit <br />is not commenced within 180 days lrom the date ol this petmit or if the wofu authoized by this <br />permit is suspended or abandoned at any time after the wot* is commenced for a peiod of 180 days. <br />Belorc such wot* can be rccommenced, a new pemit shall be first obtained to do so. <br />Account #: 011-01-5915 lnspector MID#: 2005-60524 <br />Building Use; <br />Job Type: <br />Nalure of Work: