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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 40133144 <br />Pin #: 9E239J <br />Lot NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract NA <br />Address Range: 800{10. <br />Historic: No <br />Suite Range: <br />Zoning: M2 <br />Conlraclor <br />Address: <br />Phone <br />Tenant Name <br />lrwin Goldman <br />810 E. Dyer Road <br />Santa Ana, CA 92705 <br />(7141662-2'.t17 <br />Gomez Alr Conditioning LL( <br />845 N Aspen Ave <br />Rialto, CA 92376 <br />(909) 965-101s <br />011 16002 51604 <br />01116002 51604 <br />01116002 53603 <br />011'16002 51600 <br />01116002 51604 <br />Fee Type <br />Compressor <br />VAV Box <br />P/C - 65% <br />General Plan Update <br />lssuance <br />Fes <br />5450.95 <br />$327.8s <br />$506.22 <br />$22.08 <br />$ss.04 <br />Phone <br />State Lic #: 102'1629 <br />Lic Type: C-20 <br />Bus. Lic #: 370707 <br />Workers' Compensation lnsurance:Canier: Norguard lnaurance Company <br />Policy #: ctWCO60891 <br />Expires: O2n1lm.20 <br />Botchi:{9z3{ - 1/91201? J0: NGARCIT <br />officel CTYH Tronsi: 25 1 ofAccti: Ref+: {0133141 <br />RcDtf:02587{?6 - 1/9/?Ol9 l0:?7 All <br />Tronsoction Totol 11r 560.16 <br />Gorez Ail' Conditionine LLC <br />G€necol Plon Updote Fee <br />0111600?- 51600000- <br />I'lechon ico I <br />0r116002- 51604000- <br />Viso <br />cci r *Ifir*rrrirr3631 Auth+ i (rl <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />Commercial <br />Miscellaneous <br />Roof mounted equlpment <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />V B, SPK <br />cMc 20't5 Notes <br />CSG Consultants <br />Chavez, Dave <br />Date <br />Date <br />Date <br />03/15/2019 <br />04/09/2019 <br />Account# <br />Misc. Receipt: 72151 <br />Misc. Receipt: <br />Misc. Receipt: <br />TotalSubiect to Field: <br />Buildins Permit #: 101991 02 <br />azz' <br />Ewry peqnit issuod shall bectme invalid unless the wgd< on the site <br />eutlorized by such pgmil is commenced wilhin 180 days afret its <br />issuance, or il lhe wo* authodzed on the site by such Wmit is suwnded <br />ot dbandoned for a poriod ol 1@ days af,er the lrne the work is <br />comrnen@d <br />$'r,362.'r4 <br />$506.22 <br />$855.92 <br />lnspector MID#: 2019-149235 <br />01116002 51600 <br />01116002 51604 <br />522.08 <br />5833.84 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Proiect Address: 8'10 E Dver Rd <br />Assesso/sParceli 411-11141 <br />Owner; <br />Address: <br />Amount <br />90.19 <br />65.57 <br />0.65 <br />22.O8 <br />55.04 <br />Qty <br />5.00 <br />5.00 <br />778.80 <br />1 .00 <br />1.00