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Proiect Address: 2121W Edinoer Ave <br />Assessor'sParcel: 935.400-01 Lot: I <br />Unil: B <br />Block: NA <br />Bldg: <br />Tract: 9773 <br />AddressRange: 2107-2121 <br />Hisloric: No <br />Suite Range: <br />Zoning: P <br />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 lnspector Section: (7'14) 647-5853 <br />Mechanical Permit#:4Oit41A2 <br />Pin #:5OO98r i <br />{\ <br />Owner: <br />Address. <br />Conlraclor: <br />Address; <br />Amount <br />68.16 <br />22.95 <br />57 .20 <br />3.9'l <br />Fso <br />$68.16 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />Tenant Name: <br />Msria Ochoa <br />2121 W. Edinger Ave. UnitB <br />santa Ana, cA 92704 <br />(714) 437-9185 <br />lnter-City Energy Systems, I <br />1175 N DEL RIO PLACE <br />Ontario, CA 91764 <br />15621777-1142 <br />Fee Type <br />01116002 51604 Furnace <br />011 16002 51600 General Plan Update <br />01116002 51604 lssuance <br />01116002 57770 Microtilm Records <br />Qly <br />1.00 <br />1.00 <br />1 .00 <br />1.00 <br />Phone <br />Stale Lic #: 587709 <br />Lic Type: C-36, B, C-10, C-20, HIC <br />Bus. Lic #; 199981 <br />Workers' Compensation lnsurance:Calrier: Zurich Amerlcan lns Co <br />Policy #: WC03816460 <br />Expires: O7lO1l2O2O <br />Botchi353123 - ll/21/2gt9 I0! IIGARCI0ffice: CTYH TronsS: 35 4 ofAcct+: Refi: {0134182 <br />Rcati:0281113,t - tl/21/2q19 11:05 AI1 <br />fronsact ion Totol t563.8{ <br />In [er-C itc Enersc Slsters' Inc <br />Furnace change out. <br />t <br />l.r- <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Planning Conditions: <br />Duplex <br />Miscellaneoug <br />Furnace <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />t563. <br />Authi:053120 <br />Notes <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Chavez, Dave <br />Every pernit issued shall becoo16 invalid unless tio wolk or, t ,o sife <br />autlroized by such penni is commenced within 3 days afte. its <br />issuanco, or if the worl< authotizod on the stto by such pomit is suspended <br />or abandoned lot a poiod of 3& days afret the tima the work is <br />cgrwan@d <br />lnspeclor MID#: 2019-156034 <br />1112',1t2019 <br />Account# <br />01116002 51600 <br />01116002 51604 <br />01116002 57770 <br />$22.95 <br />$125.36 <br />$3.91 <br />Fee Total: <br />Paid to Dalel <br />Balance Due: <br />$152.22 <br />$0.00 <br />$152.22 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: