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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 4lJ1322o4 <br />Pin #: 90260 <br />Project Address: 2109 S Park Dr <br />Assessor'sParcel: 015-201-03 Lol: '18 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 1192 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />q <br />Ownerl <br />Address <br />Contraclor <br />Address: <br />DORINE PHILLIPS <br />2109 S, PARK DR <br />Santa Ana, CA 92707 <br />(71415744275 <br />lnter-City Energy Systems, I <br />1I75 N DEL PLACE <br />Ontario, CA 91764 <br />(5621777-1142 <br />Foe Type Amount <br />01'1'16002 51604 Wall Heater/Floor Furna 63.12 <br />01'116002 5'1600 General Plan Update 21.25 <br />01116002 516M lssuance 52.98 <br />Fee <br />$63.12 <br />$21 .25 <br />$s2.98Phone <br />Tenant Name: <br />Phone <br />State Lic #: 587709 <br />Lic Type: C-35, B, C-10, C-20, HIC <br />Bus. Lic #: 1999E1 <br />Workers' Compensation lnsurance:Carrier: Zurlch Amerlcan lns Co <br />Policy #: WC038,t6460 <br />Expires: O7lO1l2O1A <br />Building Use: <br />Job Type: <br />Nature 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 />Single Family Dwelling <br />Miscellaneous <br />Mechanical <br />Occupancyi <br />Constr Type <br />Code: <br />Notes: Mechanical <br />Dale: <br />Date: <br />Date:0611212018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />web user <br />Every pennit issued shall bocome invalid unless the work on the site <br />authorizod by such pemit is commenced within 180 deys afler its <br />issuance, ot if the wo* authoized on the site by such permit is suspended <br />or abandoned fot a period of 1 80 days after the time the wo* is <br />conmenced <br />$137.35 <br />$137.35 <br />$0.00 <br />lnspector MID#: 2018-144000 <br />N/A - No Balance Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Qty <br />1.00 <br />1.00 <br />1 .00 <br />R-3 <br />VB <br />cMc 2013