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Cify of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa.Ana. C492702 Mechan ica I Permit #: 4O133196 <br />Pin #: 24459lnspection Requesls: (714) 667-2738 lnspector Section: (714\ 647-5853 <br />Project Address: 809 E Catalina Ave Unat: <br />Block: NA <br />Bldg: <br />Tract 1529 <br />pr <br />Assessor'sParcel: 003-221-33 Lot: 113 <br />O\rvner: <br />Address: <br />Gerald E Gould <br />809 E Catalina Ave <br />Santa Ana, CA 927063045 <br />(714) 834-0506 <br />Fee Type <br />01116002 51604 Furnace <br />01116002 5'1600 General Plan Update <br />011'16002 51604 lssuance <br />Amount <br />65.59 <br />22.O8 <br />55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$65.59 <br />$22.08 <br />$55.04 <br />Tenant Name:8otcii.,i5:i7 - 2/ <br />ull lce; Ll rn <br />*ccii: <br />t((Df,; i u.tfl6,| /6 <br />lfon90cl I on r ofqr <br />iiii{rii lit:iiiinilsnsii i4 i o' t <br />ftefit 4ui5J r t6ii iZiiii't 7t ii ;iiiiii.7 t <br />Contractor <br />Addressl <br />Orange County Services dbi <br />3801 Lenawee Avenue <br />Culver City, CA 90232 <br />(310) 838-0408 <br />State Lic #: 765436 <br />Lic Type: C-35, G-20 <br />Bus. Lic #: 1 117 <br />workers' Compensation lnsurance:Carrier: Cypress lns Co <br />Policy #: M1WC022336 <br />Expires: 01lO1l2O2O <br />teoetol rron upooce ree <br />tl.l I t6uul- :r.Louu <br />i 1in.65necnon I col <br />0ii iiiuuz- 5i 60i <br />I(L r:heci( 055662 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Mlscellaneous <br />Furnace <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cMc 2016 <br />Notes: Directchange-out <br />Planning Conditions: <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Amsden. Julie o2t12t2019 <br />Account# <br />Ewry pemit issued shall become invdlid unless the work ol, the slte <br />authoized by such pemit is commenced within 1 80 days after its <br />issuance, or if the ,/to* authoized on the site by such peinit is suspended <br />or abandoned fot d peiod of 1 80 days afiet lhe lime the wo* is <br />commen@d. <br />$22.08 <br />$120.63 <br />$'142.71 <br />$0.00 <br />s't42.71 <br />lnspector MID#: 2019-149418 <br />01 l 16002 51600 <br />01116002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R1 <br />Phone: <br />Phone: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: /1 <br />subiect to Fierd: i )-' // <br />Building Permit #: (7,'