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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechan ica I Permit #: 40{3{OtO <br />Pin #: 365{9lnspeclion Requests: (714\ 667-?738 lnspector Section: (714) 647-5853 <br />Project Address: 522 S Shelley St Unit: <br />Block: NA <br />Bldg: <br />f lact 2279 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl \LAssessor'sParcel. 010-064-06 Lol 22 <br />Owner: <br />Address <br />ELVIA FERNANDEZ <br />522 S. SHELLEY ST <br />Santa Ana, CA 92703 <br />(707) 304-1043 <br />Feo Type <br />01116002 51604 Fumace <br />01'116002 51600 General Plan Update <br />01 116002 51604 lssuance <br />Amount <br />61.07 <br />20.56 <br />51 .26 <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />Feo <br />$61.07 <br />$20.s6 <br />$51.26Phone <br />Tenant Name: <br />Contraclor <br />Address: <br />lnter-City Energy Systems, I <br />1175 N DEL PLACE <br />Ontario, CA 91754 <br />(5621777.1112Phone <br />State Lic #: 587709 <br />Lic Type: C-36, B, C-10, C-20, HIC <br />Bus. Lic #: 199981 <br />Workers' Compensation lnsurance:Carrier: Zurich Amsrican ln8 Co <br />Policy #: WC03816460 <br />Expir6s: 0710112017 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Single Family Dwelling <br />Miscellaneous <br />Mechanical <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cMc 2013 Notes: Mechanical <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />web ,-v <br />Date: <br />Date: <br />Date:0/.118t2017 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemit issued shall become invalid unless the wolk o/'r the sito <br />authotizod by such pemit $ cgnmenced within 1 80 days after ils <br />issuance. or it the wo* aothoized on the site by such is suspended <br />ot abandoned for e peiod ol 1 80 days aflor the time the wo* is <br />commen@d. <br />$132.89 <br />$132.89 <br />E0.00 <br />lnspector MID#: 2017-135608 <br />N/A - No Balance Fee Total: <br />Paid to Date; <br />Balance Du6: