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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: (7 14), 667 -2738 lnspector Section: (714) 647-5853 <br />Mecha n ica I Permit #: 4O132AO9 <br />Pin #: 44489 <br />Project Address: 1220 W Hemlock Way unir: 107 <br />Assesso/sParcel: 410411-21 Lol NA Block NA <br />Bldg: <br />Tract NA <br />Address Range: <br />Historic: No <br />q <br />Owner: <br />Address <br />Phone: <br />Tanant Nam6: <br />Contractor: <br />Address: <br />Karim Markarbhichi, Keystone Builderr <br />4212 E La Palma Ave <br />Anahaim, CA 92807 <br />0't'116002 51604 <br />01116002 5160.4 <br />01 I 16002 51604 <br />01116002 5160C <br />01 1 16002 51604 <br />Amount <br />90.19 <br />30.52 <br />56.80 <br />22.O8 <br />55.04 <br />Fee Type <br />Compressor <br />Balhroom Fan <br />Fan Coil <br />General Plan Update <br />lssuance <br />Qty <br />100 <br />2.00 <br />2.00 <br />1.00 <br />1.00 <br />Feo <br />$90.19 <br />$61.04 <br />$113.6C <br />$22.08 <br />$55.04wtc <br />Owner-Builder <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance; <br />Carrier: <br />Policy #: <br />Expires; <br />Botch;:{66?8 - 10/3t,/2019 I0! LRoffice: CTYH Tronsi: 36 3AcctS! Refi! ,$r.rl32 <br />Rcpt9:02{2{493 - 1(r./31/?018 3134 pt1 <br />Trcnscct ion fotcl lt,175.S3 <br />OSALEof3 <br />909 <br />Kor ir llorkorbh ich i r Keystone ! <br />Building Use; <br />Job Type: <br />Nature of Wort <br />Commercial <br />Alteration <br />TI <br />Occupancy: <br />Constr Type <br />Code:Notes interior comp i <br />ilr 1i <br />Autha ! 03261(Planning conditions <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Every potfiit issued shall become invalid unless the work on the sitg <br />authonzed by such pemtt ts connenced withn 180 days afret ils <br />issuance, ot if lhe wod< authorized oh the site by such permit is suspended <br />or abandoned tgt a penod ol 1 80 ddys aftet the tme the wotu is <br />commencid <br />\d n"."nu"r, x"u,y <br />Date: <br />Date: <br />Date:10/31'2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />lnspector <br />01116002 51600 <br />0't 1'16002 51604 <br />$22.O8 <br />$3'19.87 <br />Fee Total <br />Paid lo Date: <br />Balance Due: <br />Suite Range: '103 <br />Zoning: C2 <br />Phone: <br />B <br />VB <br />circ 2016 <br />$341.95 <br />$0.00 <br />9341 .95 <br />Mto#' 2018-146242