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Project Address: 614 S Shelley St <br />Assesso/sParce| 010-045-04 Lot; 14 <br />Unil: <br />Block: NA <br />Bldg: <br />T.ad:2279 <br />Address Range: <br />Historic: No <br />Suile Range: <br />Zoning: Rl <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 civac center Plaza (M-19), santa Ana, c492702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853 <br />Mec hanical Permfl d:e}tgseu <br />Pin #: 46583 <br />Owner: <br />Address: <br />Contractor <br />Address. <br />Amount <br />126.90 <br />22.O8 <br />55.04 <br />Qty Fee <br />1.00 $126.90 <br />1.00 $22.081.00 $s5.04 <br />$204.02 <br />$0.00 <br />$204.02 <br />Phone <br />Tenanl Name: <br />Connie Varga3 <br />614 S Shelley St <br />Santa Ana, CA 92703 <br />(714) 269-3894 <br />Service Champions <br />3150 E Birch Street <br />Brea, CA 92821 <br />17141777.7777 <br />Fee Type <br />01116002 51604 Fumace/Comp Combo <br />01116002 5160C General Plan Update <br />0'1116002 51604 lssuance <br />Bolcht349260 - 1/LO/2O19 I03 ELIZA <br />office: CTYH Tronsi! 25 2 otAcctS: R€fi: ,(013J{11 <br />Rcatt:025883J9 - 1/lO/2019 12!41 PI <br />TronBoct ion Totol t37S.0{ <br />Phone <br />State Lic #: 799170 <br />Lic Type: C.36, B, C-2, C-20 <br />Bus. Lic #i 196430 <br />Workers' Compensation lnsurancel <br />Carrier; PaclficCompensationlnsuranceCompany <br />Poliry #: WA00060705 <br />Expires: 0312212020 <br />5e. v ice Chorp iong <br />Generol Plon ljpdote Fee <br />01u6002- 51600000- <br />llechon ical <br />0r116002- 5160{000- <br />I(:L Ch€ck 010591 <br />Building Use: Single Family Dwelling <br />Job Type: Alteratlon <br />Nalure of Work: FurnacerA/C <br />Planning Conditions: locate at the rear of the property <br />Occupancy: <br />Conslr Type: <br />Code:Notes <br />Planning Approval B!4 <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field; <br />Building Permit #: <br />Gomez, Pedro <br />*\-] <br />Date <br />Oate <br />Oate <br />04110t20't9 Misc. Receipt: <br />Misc. Recoipt: <br />Misc. Receipt: <br />Total <br />Verduzco, Vio <br />Every pemit issued shall becofie invalid unless the wo* on the site <br />autllgtized by such pennia is commenced within 1 80 days afror its <br />issuan@, or il the wod< autttorized on the site by such pemil is suspended <br />ot abendoned fgt a potid ol t 80 days afiet the fme the wo* is <br />cgmmen@d. <br />lnspector MID#: 2019-'150686 <br />0/r/10/2019 <br />Account# <br />011 16002 5'1600 <br />01116002 51604 <br />Fee Total <br />Paid to Date: <br />Balancs Due: <br />s22.08 <br />$181.94 <br />R.3, U <br />VB <br />cMc 2016