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Project Address:1809 E ver Rd <br />Assessor'sParcel 430-032-19 Lotr POR 106 <br />unfl: 301 <br />Block: 9 <br />Bldg: Address Range: t8o9-1013 <br />Tract IRVINE SUB Historic: No <br />Suite Range: <br />Zoning: M1 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaz a (M-19), Santa Ana, CAI27O2 Mechanical <br />lnspection Requests: (714) 667-2738 lnspector Section: C/14) 647-5853 A <br />Permit #: 40133074 <br />Pin #: 74839 <br />Owner: <br />Address: <br />Phone: <br />Tenant Namo: PALA <br />Freeway Businoss Plaza <br />P O Box 427 <br />Walnut, CA 91789 <br />Raul Lopez <br />1573 Napa Court <br />San Jaclnto, CA 92583 <br />(95r) 219-7852 <br />Amount <br />30.52 <br />22.O8 <br />55.04 <br />F6e <br />$61.04 <br />$22.08 <br />$55.04 <br />Qty <br />2.00 <br />1.00 <br />1 .00 <br />Contractor <br />Address:Eotch+:{8961 - 3/25/2019 ID: CCUELLAh <br />otf ice: CTYH Tnoosi: 103Acctl: ftsti: 40 <br />Rcpti:02565671 - 3125/201q 12 <br />Tronsocl ioa foLol llr <br />Rsul Lopez <br />6of <br />13307{Phone <br />State Lic #: 1010196 <br />Lic Type: B, C.33 <br />Bus. Lic #: 372275 <br />Workers' Compensalion lnsurance:Canier: Exempt <br />Policy #: <br />Expires: <br />6enerol PIon t Ddote Fee <br />01 I 161102- 516111100ll- <br />llechon icol <br />01116002- 51604000- <br />ICt Check 013t,t <br />,22.O8 <br />t116.08 <br />t1r324.55 <br />Building Use; <br />Job Type: <br />Nature of Work <br />lndu3trial <br />Tenanl lmprovement <br />TI <br />Occupanc"y: <br />Constr Type; <br />Code: <br />B <br />III B, SPK <br />cMc 2016 <br />Every pemit issuod shall bacome invalid unless lh€ work on tho sil6 <br />authotized by such Nmit is @mfienced within 1 80 days aftar its <br />issuanca, ot if lhe wotu authoized on the site by such pernit is suspended <br />or abandoned fgt a pedod ol 1 80 days after the tirne the work is <br />MID#: 2019-148816 <br />o3125t2019 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51604 <br />Fee Total <br />Paid to Date: <br />Balance Duc: <br />Notes: lnterior tenanl improvement including addition of(2) <br />bathrooms, (3) offices & a conference room. <br />$138.16 <br />$0.00 <br />t138.16 <br />Oate: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.08 <br />$116.08 <br />Fee Type <br />01116002 5160,{ Bathroom Fan <br />01116002 5160C General Plan Update <br />01116002 51604 lssuance <br />Planning Conditions: <br />Planning Approval By; <br />Plan Checked By: ! <br />Permil lssued By: Verduzco, Violet\ <br />Subject to Field: <br />Buildins Permit #: I 0198921 <br />lnspeclor