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Unit: - <br />Block: NAAssesso/sParcel: 408-O3t-O5 Lot: POR 1 <br />Bldg: <br />Trad,: 102a <br />Address Range: <br />Hisloric: No <br />Suile Range: <br />Zoning: O <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Mechar; <br />lnspection Requests: O 1 41 67 -2738 lnspector Section: 1zt c1 olz-saqr/ <br />ical Permit #: 4Ol3O5lO <br />Pin #: E7325 <br />Owner: <br />Address: <br />Conlractor <br />Address: <br />Phone <br />Tenant Name <br />CITY OF SANTA ANA <br />PO BOX 1988 <br />Santa Ana, CA 927021984 <br />Pacific Hydrotech Corporati <br />314 East 3rd Street <br />Perris, CA 92570 <br />01116002 516M <br />01116002 51604 <br />01116002 s3603 <br />01116002 51600 <br />01116002 5't604 <br />Fse <br />$86.82 <br />$41.99 <br />$81.00 <br />$21.25 <br />$52.98 <br />Amount <br />86.82 <br />41.99 <br />0.65 <br />21.25 <br />s2.98 <br />Qty <br />1.00 <br />1.00 <br />124.62 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: 518355 <br />Lic Type: A <br />Bus. Lic #: 351486 <br />Workers' Compensalion lnsurance:Carrier: Federal ln3 Co <br />Policy #: 54309453 <br />Expires: O7lO1l2O18 <br />80tch+!{0330 - 9/28/2017 IDr ERUEII}office: CTYH Tronsg: 1{ l0 of 11Acct+r Refi: i0130it0 <br />RcDtt:02040226 - 9/78/2017 11:{8 At1 <br />Tron3oct ion Totol t7r 055.76 <br />Pocil i c Hcdrotech Corponotion <br />Generol Plon Updote Fee <br />01116002- 51600000- <br />llechan icol <br />01tl6002- 51601000- <br />ICL Che,:k 00082?73 <br />Uiso <br />CCI: rrrlrlr*ilrr 4 3?5 <br />t?1.25 <br />tss.69 <br />U <br />VB <br />cMc 2013 <br />l7 tfr {g <br />t7I <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subiect to Field: <br />West, Glen <br />Link, Patricia <br />Dale: <br />oale: l1108/2016 <br />Date: 0912U2017 <br />Account# <br />Misc. Receipt: 68742 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Autha:17{97 <br />$284.04 <br />$ 179.10 <br />3104.94 <br />lfr <br />Notes <br />Buirdins Permit #: 10191117 <br />Ewry pemit issued shall bectme invalid unless tl'€ wg on the site <br />aufnarizad by such petmit is commencad within 1& days aftot its <br />issuancg, or if the wotk authoized on the sita by such pemit is suspended <br />ot abandoned tot a Ndd ol 1 N days afrer the time the wod< is <br />commencad. <br />lnspector MID#: 2016-132282 <br />01 '1 16002 51600 <br />01 1 16002 51604 <br />$21 .25 <br />$83.69 <br />Fee Total: <br />Paid to Date: <br />Balance Duo: <br />Project Address: 2852 W Edinger Ave <br />F6e Type <br />Heat Pump <br />Venl Fan/Comm <br />P/C - 650/o <br />G€neral Plan Update <br />lssuance <br />Commorclal Occupancy: <br />New Constr Type: <br />ReEtroomrstorago Bullding Code: