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ProjectAddress: 1125 S Ross St <br />Assessor'sParcel: 013-094-19 Lot: 43 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 648 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />q <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M- 19), Santa Ana, CA927O2 <br />l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Mechan ical Permit #: 4(1132947 <br />Pin #: 3993{ <br />Owner: <br />Address <br />Contractor: <br />Address: <br />Cholce Air <br />3633 Woodpeckor Street <br />Brea, CA 92823 <br />(714) 388-7986 <br />Fee Typo <br />01 1'16002 5'1604 Fumace <br />01'116002 5160C General Plan Update <br />01116002 51604 lssuance <br />Fee <br />$65.59 <br />$22.08 <br />$55.04 <br />Qty <br />1.00 <br />'1.00 <br />'1.00Phone <br />Tenant Name: <br />Edtchi:47274 ' l?16/2019 I0: HGARCIAoffice: CTYH inonsil { I of tAEct+: R.ft: 10152947 <br />Rcat+:02{6{415 - i2/6/m$ l1:28 An <br />Tronsoct ion Totol ll12.7lPhone <br />Generol Plon UDdqte Fee <br />011140tt2- 51609000- <br />llechon i.ol <br />01116002- 51604000- <br />V isoCCi: trrrrrlrr16T23 <br />_ t22.98 <br />_ t120.63 <br />tl4?.71 <br />Autht:081541 <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit #: <br />Slngle Family Dwelling <br />MlBcellaneous <br />Furnace <br />,s <br />Oale <br />Dale <br />Oale <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Ewry pennil issuod shell become invahd unless fho wo* on the sirE <br />authoized by such pennit is commenced within 180 days after its <br />issudn@. ot il tho ,tot* autltoized on tho site by such pemit is suspeNed <br />or abaNoned lot a peiod ot 180 days afret tl'o linl,a lhe ' o* is <br />comfiten@d. <br />lnspector MID#: 2018-148111 <br />12106t2018 <br />Account# <br />$22.08 <br />$120.63 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$142.71 <br />$0.00 <br />$142.71 <br />Marllol Floreg <br />1126 S Ro3s Street <br />Santa Ana, CA 92701 <br />(714) 614-5088 <br />Amount <br />65.59 <br />22.O8 <br />55.04 <br />State Lic #: 855665 <br />Lic Type: B, C-20 <br />Bus. Lic #: 342939 <br />Workers' Compensalion lnsurance:Carrier: SEQUOIA INSURANCE COMPANY <br />Policf #: QWCA52'16706 <br />Expires: 03/0112019 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type: <br />Code; <br />R-3, U <br />VB <br />cMc 2016 Notes: Directchange-out <br />01 1 16002 51600 <br />0 1 '1 1 6002 5't 604