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v <br />Project Address: 3512 W Roberts Dr-a <br />Assessor's Parcel: 144-362-10 Lot: 2 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 4227 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #= 4Oi35994 <br />Pin #: 59367 <br />,y'' <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor. <br />Address: <br />James Olson <br />351 2W Roberts Dr <br />Santa Ana, CA 92704 <br />Maravilla Foundation <br />5729 E Union Pacific Ave <br />Commerce, CA 90022 <br />(323) 8694500 <br />01 1 16002 51604 <br />01 1 16002 5160C <br />01 1 16002 51604 <br />01 1 16002 5777C <br />Fee Type <br />Furnace <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />70.66 <br />23.79 <br />59.30 <br />4.05 <br />Qty <br />1 .00 <br />1 .00 <br />1.00 <br />1.00 <br />Fee <br />$70.66 <br />$23.79 <br />$se.30 <br />$4.05 <br />Phone: <br />State Lic #: 622969 ., ' <br />-,LicType:. ...., C-36,F1C-20. . e. o <br />Bus.'Lic#: - 199027' r .'. <br />Workers' Compensation Insurance:Carrier: CYPRESS INSURANCE COMPANY <br />+Policy #: MAWC23592S <br />Expires: 0710112022 <br />llorovilla Fc <br />uoccn; I 6u36, <br />lf f i ce: (:T YH <br />Accbi: <br />icpt*:tt34r-rl6 <br />Tronsoct i on <br />benerol rlorlt1l16[r[?- 5{icrof iI;r & <br />Ul116trr.r2- 5 <br />'lechan ic0l <br />rtl I l6u0?- 5 <br />.:oEh <br />a <br />Building Use: <br />Job Type: <br />Nature of Work. <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Farhity Dwelling <br />Miscellaneous <br />FAU <br />Zuniga, Allissa <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Tota! <br />R.3, U <br />VB <br />cMc 2019 <br />6Ll+Lllll_l- <br />a. <br />Notes. Change out existing furnace. <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />09/01 t2021 <br />Account# <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance , or if the work authorized on the site by such permit ls suspe nded <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />Inspector MrD#' 2021-168582 <br />01 1 16002 51600 <br />01 1 16002 51604 <br />01 1 16002 57770 <br />$23.79 <br />$12e.e6 <br />$4.0s <br />$157.80 <br />$0.00 <br />$157.80 <br />a <br />- +o lot' <br />Ref *: 4(rl 35?94 <br />/ 2tt2l 12 : $4 pH <br />3157.90 <br />o rilor.0 I eE I <br />6tt <br />t?. <br />m, <br />v