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City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2 Mecha n ical Permit #: 4O133164 <br />Pin #: 74354Permit Counter (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 809 S Main St Unit: C <br />Block; NA <br />Bldg: Address Range: <br />Tractr JOHNSONS AOD Historic: No <br />Suite Range: <br />Zoning: CSMAssessor'sParcel: 011-041-28 Lot: 9 <br />Owner <br />Address <br />Or. lssac Beshay <br />2200 Harbor Blvd., 8-210 <br />Costa Mesa, CA 92627 <br />|'9491 548-2273 <br />Feo Typo <br />01116002 51604 Add'l Vent Sys <br />01116002 51604 Min Fee Adj <br />01116002 5160C General Plan Update <br />0'l'116002 5160.4 lssuance <br />Amount <br />45.33 <br />29.76 <br />22.95 <br />57.20 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Feo <br />$45.33 <br />$29.76 <br />$22.95 <br />$57.20 <br />Phone <br />Tenant Name: <br />Conlractor: <br />Address: <br />Youssef Construction lnc. <br />9l5l Atlantic Avenue *7498 <br />Huntington Beach, CA 9261 <br />(866) 388-7584 <br />o-l-L..<na?", -1rt ,nnlo tn. Ael lT lEooc 7 <br />Phone <br />ntr:-^' alvl, <br />a,-^tL. nall alo I <br />T---,--I i ^- taa ^ t <br />State Lic #: 938042 <br />Lic Type: B, C-7, A, C-10, C6 <br />Bus. Lic #: 364425 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 92U7U-2O17 <br />Expires: O2J1O|2O18 <br />V^. t--^f /'^-.i 6!,-i i6n <br />C^-^-- l Ol^^ ll-,4-t^ E^^ <br />at?, ao <br />rrtno,r- <iinnnnn- <br />nlttaan.r- aiin;nnti- <br />Euilding Use: <br />Job Type: <br />Nature ot Work <br />Commerclal <br />Alteration <br />T.t. <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />VB <br />cMc 2016 Notes. Auth on file <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By; <br />Subiect to Field: <br />Building Permit #: <br />Dale:Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Zuniga, Allissa M::::o7to1t2019 <br />Account# <br />10199076 $155 24 <br />$0.00 <br />1155.24 <br />Evory pemtt issued shall bocome invalid unless tho rvork or, tho slle <br />authodzed by such permit is cofimonced wtthin 360 days aftet its <br />,ssuanca. ot tt the wgd< authonzed on the gto by such parfii is suspsndod <br />ot aband/}ned lor a ponod ot360 days after the time the wo* ts <br />commence{l <br />lnspector MID#: 2019-149202 <br />01 116002 5'1600 <br />01 1 16002 s1604 <br />Fee Total <br />Paid to Dale: <br />Balance Due: <br />q <br />$22.95 <br />$132.29