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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit#: 4Ol3{516 <br />Pin #: G6171 <br />l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Pioject Address: 1417 S Main St Unit: <br />Block: NA <br />Bldg: <br />Tract: 245 <br />Address Range: <br />Historic; No <br />Suile Range: <br />Zoning: csM <br />ry <br />Lot: I <br />Owner: <br />Address <br />Medhat Rafael <br />17150 Euclid St. #322 <br />Fountain Valley, CA 92708 <br />(7',1413374747 <br />South Maln Dental Group <br />Foo Typs <br />01116002 51604 Furnace <br />01116002 51604 Compressor <br />01116002 51600 General Plan Updale <br />01116002 51604 lssuance <br />Amount <br />63.14 <br />86.82 <br />21 .25 <br />52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$63.14 <br />$86.82 <br />$21.25 <br />$52.98 <br />Phone: <br />Tenant Namo: <br />Contractor <br />Address: <br />Owner-Builder <br />ntchi:{0631 - LOlz3l?{JL7 l0l <br />I'l'ice: ITYH Troosl: 120c{tl: R.fi: 10 <br />:oLl:02055502 - 10/23/2017 ? <br />rorBoct ion ToUol tllState Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy f: <br />Expires: <br />ienerol Plon updote Fee <br />.r1116002- 51600000- <br />le,:hon i cal,lrl600?- s1604000-iiso <br />i( i:Irrrfi*rrr*IEz93 <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Commercial <br />Miacellaneous <br />Fixtures <br />Occupancy; <br />Constr Type <br />Code: <br />B <br />VB <br />cMc 2016 <br />Notes <br />Planning Conditions: <br />Orozco. lvan Date: <br />Dale: <br />Date: <br />10123t2017 Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy 10t2312017 <br />Account# <br />Evory pemit issued shall become invalid unless the wo* on the site <br />authonzed by such permit is conmenced within 180 days aftat ils <br />issuance, ot il the wo* authonzod on lhe site by such pemit is suspended <br />or abandoned lot a peiod of180 days afrer the time the wod< is <br />cofimencEd. <br />$21.25 <br />$202.94 <br />$224.19 <br />$0.00 <br />1224.19 <br />lnspector MID#: 20'17-'139481 <br />01116002 51600 <br />01 1 16002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Assessor'sParcel: 014-032-36 <br />Phone: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />\h\