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Project Address: 501 E Memory Ln <br />Assessor'sParcel: O4l-213-04 Lot <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: 501-555 <br />Historic: No <br />Suite Range: <br />Zoning <br />5tl <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical <br />Permit Counter: (714) 647-5800 lnspeclion Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 4lJ134146 <br />Pin #: 30213 <br />Owner: <br />Address <br />Contraclor <br />Address: <br />Phone <br />Town & Country Manor <br />555 E MEMORY LN <br />Santa Ana, CA 927061705 <br />CW Driver LLC <br />468 N. Rosemead Blvd. <br />Pasadena, CA 91107 <br />(626) 35r-8800 <br />Planning Conditions: <br />Planning Approval By: Date: <br />Plan Checked By: CSG Consultants Date: <br />Permit lssued By: Chavez, Dave Dale: <br />Subject to Field: <br />Buildins Permit #: 10197634 <br />Ewry pomit isst/€d shall o€c?,mo invalid unloss the wg* on tho site <br />autttotized by such c€ai],it is commencrd within 3il days anet its <br />issuenca. ot il the wo* authotized on tho site by such permit is suspandod <br />ot abadoned lor a podod gf 360 days efret tl'o lime the wo* is <br />@.'lnen@<t. <br />lnspector MtD# 2017-134648 <br />12J'1912019 <br />12119t2019 <br />Account# <br />01 1 16002 51600 <br />01 't 16002 51604 <br />01116002 53603 <br />01116002 57770 <br />$22.95 <br />$10,507.28 <br />$230.87 <br />$3.91 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Feo Type Amount Qt) Fee <br />51604 Furnace 68.16 14 00 $954.24 <br />51604 Furnace 97 25 ',1.00 $97.25 <br />5'1604 Compressot 9373 19.00 $1,780 87 <br />5'1604 Compressor 1 12 08 9.00 $1,008.72 <br />51604 Air Handling 46 25 52 00 $2,405 00 <br />51604 Air Handling 68 14 9 00 $613 26 <br />51604 Type lHood 117 68 2 00 $235.36 <br />51604 Type ll Hood 68.14 1.00 $68.14 <br />51604 Bathroom Fan 31 72 50 00 $1,586.00 <br />51604 Laundry Fan Envir. Air 36.21 3 00 $108 63 <br />51604 Range Fan 33 57 4 00 $134.28 <br />51604 Vent Fan/Comm 45 33 7 00 5317 31 <br />51604 Evaporative Cooler 68.14 1.00 $68.14 <br />51604 Fire Damp€r 68.14 10.00 $681.40 <br />51604 Product Conveying Sysl 195.74 2.00 $391 48 <br />53603 P/C - Repeat at 50% 230.87 1.00 $230.87 <br />5'1600 General PIan Update 22 95 1.00 $22 95 <br />5'1604 lssuance 57 20 1.00 $57.20 <br />57770 Microfilm Records 3.91 1.00 $3.91 <br />Notesi Replacer ,.40132558. lrcchanical for new assisted <br />living trcilhy. <br />$'10.765.01 <br />$0.00 <br />310,765.0'l <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />01'1 <br />011 <br />0'l't <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />'16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />Phone <br />State Lic # 1009002 <br />Lic Type: B <br />Bus Lrc #: 373580 <br />Workers' Compensatron lnsurance:Cafiier Old Republic General lnsurance Corporation <br />Policy *. AiCW98931 <br />Expares: 1012112020 <br />11 <br />Building Usei <br />Job Type: <br />Nalure ot Work <br />Commercial Occupancy: <br />Now Constr Type <br />Nsw A33l3ted Llvlng Facilitycode: <br />A-2, A.3, B, R-2.r, S-2 <br />IA,VA,SPK <br />cMc 20r6 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Tenant Name: