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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechan ica I Permit #: 4O1t4275 <br />Pin #: 67737N <br />Project Address: 1395 S Lyon St <br />Assesso/s Parcel: a02O8l -15 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Ml <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone: <br />Tenant Namo: Coa3t Composlte! <br />Van Holland Concrolc & Cor <br />3410 La Siorra Avenue #F23 <br />Rlvoralde, CA 92503 <br />(95r) 3s9-0s55 <br />51604 <br />51604 <br />53603 <br />51600 <br />51604 <br />57770 <br />Amount <br />112.08 <br />68.14 <br />0.65 <br />22.95 <br />57.20 <br />Feo Typo <br />Heat Pump <br />Air Handling <br />Ptc - 650h <br />General Plan Update <br />lssuance <br />Microftm C€d<iibir ':; <br />01116002 <br />01116002 <br />0'1116002 <br />0'1116002 <br />01116002 <br />0't 1 t6002 3 <br />Qty <br />10.00 <br />10.00 <br />'r,802.20 <br />'1.00 <br />'r.00 <br />Fee <br />$1,120.80 <br />$681.40 <br />$1 ,171.43 <br />$22.95 <br />$57.20 <br />$3.919'! 1 00 <br />IYH rons+:5 <br />Refi:- 6/ttr/2tna{2979669 - <br />ct ion Toto I <br />,nn Holl(nd Concnete & (:onstru <br />tce <br />ngoPhone <br />State Lic *: 298795 <br />Lic Type: B, C.8 <br />8us. Lic #: 373250 <br />Workers' Compensation lnsuranceCarrier: Erompt <br />Policy #: <br />Expires: <br />6enencl Plon updote Fe€ <br />crl 1 16ftr2- 516(r(r0tr(r- <br />t1echon icol. <br />01, 16(r(12- 516cr4(r0(r- <br />ll icnof i lr & 0ocutentg <br />t:rl I 16(r(12- 37770(r(r0- <br />ICL Ch€ck 00I I g6l $l r <br />Building Usel <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 />lndustrial <br />Tonant lmprovoment <br />Tl/Roof Mtd Equp <br />CSG Consultanls <br />Chavez, Davel9' <br />1011006s9 <br />Occupancy: <br />Constr Type <br />Code: <br />B, F-l, S.'l <br />V B, SPK <br />cMc 2016 Noles: roof mounted equipment <br />Misc. Receipt: 73908 <br />Misc. Recaipl: <br />Misc. Receipt: <br />Total <br />Ewry pomit issued shall bocome invelid unless t r€ worr( on lhe sile <br />authodaed by such petmit is commencad wilhin 3il days after its <br />issuance, or il the wgrk authgrizad on lhe sita by such pemil is suspended <br />or ebandoned br a pedd ol 3& days etter the line lho work i5 <br />cgwner@d. <br />$3,057.69 <br />$1,739.27 <br />$1,3'r8.42 <br />lnspector MID#: 20't9-152656 <br />01't 16002 51600 <br />0 1 1 '1 6002 5't 604 <br />01116002 57770 <br />$22.9s <br />$1.291.56 <br />$3.91 <br />Fee Tolal: <br />Paid lo Oate: <br />Balance Due: <br />Permit Counter (714) 647-5800 lnspection Requests: (7'14], 667-2738 lnspector Section: (714) 647-5853 <br />ComRef So.Ca lndustrial Sub <br />3501 Jamobore Rd, <br />Newporl Beach, CA 92562 <br />05/08,2020 <br />06/09/2020 <br />Account# <br />Date: <br />Date: <br />Date: