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Project Address: 4901 W Sixth St <br />Assessor'sParcel; 100-211.27 Lot: POR 22 <br />U natl <br />Block: NA <br />Bldg: <br />Tract 1078 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />E <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg?702 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 40131828 <br />Pin #: 65048 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Le Phuoc Ngoc & Truong T Vul <br />4901 w. 6th st. <br />Santa Ana, CA 9270325'16 <br />(714) 865-5862 <br />Model BuildeB lnc <br />10022 Geraldine Rd <br />Garden Grove, CA 92840 <br />(714) 865-5862 <br />Fes Type <br />0'l 1 16002 5'1604 Compressor <br />01116002 5160C General Plan Update <br />01116002 51604 lssuance <br />Amount <br />86.82 <br />2't.25 <br />52.98 <br />Fse <br />$86.82 <br />$21.25 <br />$52.98 <br />Qty <br />'1.00 <br />1.00 <br />1.00Phone <br />Tenant Name:dPhone <br />State Lic #: 81981I <br />Lic Type: B <br />Bus. Lic #: 350585 <br />Workers' Compensation lnsurance:Canier: Granlto Stete lna Co <br />Policy #: 01301/1255 <br />Expires; 1112312018 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3 <br />VB <br />cMc 2015 <br />Slngle Family Dwelllng <br />Mlscellaneoua <br />A/C <br />Notes <br />Plannlng Condltlonr: A/C Unll ln Rear of Property. No modiflcation to prevlou3ly approved site <br />plan <br />Planning Approval By Gomez, P6dro Date: <br />Plan Checked By: Date: <br />Permit lssued By: Brodowski, Teri Date: <br />Subject to Field; <br />BuirdinsPermit*: 10192264 <br />Ewry pamit issrls,d shdll &@rro inwlid unlesa t,la worl on lr,e s,te <br />auiDizad by such pemit is @mmencod within 180 days afrer its <br />issuance, or if the ,,,tgt* outllotired on the sile by such pednit is susponded <br />ot abendoned lot d peiod of180 days afrer the time the wo* is <br />comrenced. <br />lnspector Mto#. 2015-123212 <br />01116002 51600 <br />01116002 51604 <br />$21.25 <br />$139.80 <br />Fee Total <br />Paid to Dale: <br />Balance Due: <br />o2t1312014 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$161 .05 <br />s0.00 <br />$161.05 <br />02113t2018