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Assesso/sParcel: 109-443-16 <br />l,Jnil: <br />Block: NA <br />Address Range: <br />Historic; No <br />q <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg?702 Plumbing <br />Permit Counter: (714\ 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853 <br />Owner: <br />Address: <br />Contractor; <br />Address: <br />RAFAEL CHAVEZ <br />1IO5 S SHELLEY ST <br />Santa Ana, CA 927043237 <br />Futura Energy lnc <br />9211 Greenleaf Avenue <br />Santa Fe Springs, CA 90670 <br />(562) 941-7459 <br />Fee Type Amount <br />01'116002 51602 Wtr Hlr (Res up to 50 g. 21.42 <br />01116002 5160C General Plan Update 21.25 <br />0'1116002 5'1602 lssuance 52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$21 .42 <br />$21.25 <br />$s2.98Phone <br />Tenant Name: <br />B(tEh+343772 - 5/15/2018 <br />off irel CTYH Trnns+: 26Acct+: Ref+: <br />Rcpti:02264353 - 5/15/2019 <br />Tnsnsqct ion Totsl <br />lof <br />13943i <br />339 All <br />.63State Lic #: 945827 <br />Lic Type: C-35, B, C-10, C-20 <br />Bus. Lic #: 351485 <br />Workers' Compensataon lnsurance: <br />Carrier: Property & Casualty Co of Hartford <br />Policy #: 76WEGGB7317 <br />Expires: 0712512018 <br />ID: HGAR(:I <br />30 <br />1 <br />t91 <br />Futurc Energv Inc <br />Generol Plon lrpdote Fee <br />0llr61102- 5r6uri00tl- <br />PIu b ins <br />uI116002- i1602000- <br />ICL (:heck $03636 <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 />Water Heater <br />Occupancy: <br />Constr Type: <br />Code: <br />R.3, U <br />VB <br />cPc 2016 <br />zunisa,arrisN/ <br />Date: <br />Date: <br />Date:05t15120't8 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every permit issued shall become invalid unless the work on the site <br />authoized by such permit is commenced within 1 80 days aftet its <br />issuance, ot il lhe worl< authorized on the site by such parmit is suspended <br />or abandoned fot d pe od of180 days aftet the lime the wo* is <br />cofifienced. <br />lnspector MID#: 2018-143359 <br />01 '1 16002 5't600 <br />01 1't 6002 51602 <br />$21 .25 <br />$74.40 <br />Fee Totat <br />Paid to Date: <br />Balance Due: <br />$95.65 <br />$0.00 <br />$9s.65 <br />Permit #: 3O139435 <br />Pin #: 66092 <br />Project Address: 1105 S Shelley St Bldg: <br />Tract 3353 <br />Suile Range: <br />Zoning: R1Lot: 40 <br />Phone: <br />Notes: Change out. Hand out given.