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cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 4lJ135247 <br />Pin #: fl5742 <br />ProjectAddress: 941 W Cubbon St <br />Assessor'sParcel: 010-262-21 Lot 49 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 1734 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />01116002 <br />01'116002 <br />01116002 <br />01 1 16002 <br />5160,4 <br />5160C <br />5'1604 <br />5777(. <br />Owner: <br />Address: <br />Contractor: <br />Address: <br />Sandra Hernandez <br />941 W Cubbon St <br />Santa Ana, CA 92703 <br />(714) 318-3664 <br />lnter-City Energy Systems, I <br />1175 N DEL RIO PLACE <br />Ontario, CA 91764 <br />15621777-1112 <br />Feo Type Amount <br />Wafl Healer/Floor Furna 70.64 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Notes: Mechanical <br />Qty <br />'t.00 <br />1.00 <br />'t.00 <br />1.00 <br />Foe <br />$70.64 <br />$23.79 <br />$59.30 <br />$4.05 <br />Phone <br />State Lic #: 587709 <br />Lic Type: C-36, B, C-10, C-20, HIC <br />Bus. Lic #: 199981 <br />Workers' Compensation lnsurance:Carier. Zurlch Amerlcan ln3 Co <br />Policy : 03816,t60 <br />Expires: O7lO1l2O21 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By1 <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Mechanical <br />web user <br />Occupancy: <br />Conslr Type: <br />Code: <br />Date <br />Oate <br />Oale <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />02tost2021 <br />Account# <br />$157.78 <br />$157.78 <br />i0.00 <br />Every perfiit issued shall bccome invalid unless the wo* on the sile <br />authonzed by such pennit $ commencec! wtthh 360 deys aftot ils <br />lssuance. ot if the wod< aulhotized on lhe sile by such petmit is suspehded <br />ot abandoned fot a period of360 days after the time lhe wo* is <br />commenced. <br />lnspector MID#: 2021-164128 <br />N/A - No Balance <br />N/A - No Balance <br />Fee Total <br />Paid to Date: <br />Balance Duo: <br />"a4- <br />Phonel <br />Tenant Name: <br />R-3 <br />VB <br />cMc 2019