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Permit #: 4Ol3lt03 <br />Pin #: 96642 <br />Unil: <br />Block: NA <br />Bldg: <br />Tract: 2459 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 140-152-10 Lol: 30 <br />O$/ner: <br />Address <br />Consuelo Delgado <br />2338 S Oliv8 St <br />sanra Ana, cA 92707 <br />(714) 92s-3440 <br />Fee Typo <br />01116002 51604 Furnace <br />01'116002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />61.07 <br />20.56 <br />51.26 <br />Qty <br />1 .00 <br />'1 .00 <br />1 .00 <br />Foe <br />$61.07 <br />$20.56 <br />$51.26 <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone PENMTT <br />a ct.\r< ,.Stale Lic #: 587709 <br />Lic Type: C-36, B, C-10, C-20, HIC <br />Bus. Lic #: 199981 <br />Workers' Compensation lnsurance:Carrier: Zurlch Amerlcan lns Co <br />Policy #: WC03816460 <br />Expires: O7lO1l2O17 <br />r'-- <br />DATE: \_\S_\€\-.la t S""\- <br />INITIAL:cNoru Ah.<tn <br />Occupancy; <br />Constr Type <br />Code: <br />\80 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelllng <br />Miscellaneous <br />Mechanlcal <br />Planning condilions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />web user <br />Date: <br />Date: <br />Date:o5t23t2017 <br />Account# <br />Misc. R€ceipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Ewry permit issued shall bocgme invalid unless the wg* on the site <br />authotized by such pernit is commonced within 1 80 deys after its <br />issua,|ce, or il D wotk authorized on the site by such pefinit is suspended <br />o. abadoned 1gt a podod olr80 days aftet the lrne the work is <br />camnpr@d. <br />$132.89 <br />$132.89 <br />$0.00 <br />lnspector <br />N/A - No Balance Fee Tolal: <br />Paid to Oate: <br />Balancs Due: <br />diln Cig of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAs2loz Mechanicpt <br />Project Address: 2338 S Olive St <br />Phonel <br />lnter-Clty Enorgy Systems, I <br />1175 N DEL PLACE <br />Ontarlo, CA 91764 <br />(5621777-1112 b^- <br />R-3 <br />VB <br />cMc 2013 <br />Noles: Mechanical <br />MID#: 2017-136322