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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Permit #: {O{9{6O9 <br />Pin #: 4{8OO <br />Proiect Address: 1100 W Warner Avea <br />- <br />Lot: NA <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning C2Block: NA Tract: NA Historic. No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Other <br />Signs <br />Monument Sign <br />vacant <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories. <br />N/A <br />N/A <br />cBc 2013 <br />x-0602320259J <br />0 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $5,000.00 <br />Description of Work: Relocate monument sign, "SCPA South Coast Post Acute". Bond posted on M-70232. Alth on file, <br />Planning Conditions: <br />Engineer: SullawayEngi neering <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Orange County Convalescent Hos; Contractor <br />1030 W Warner Ave Address: <br />Santa Ana, CA 927073'|.47 <br />(714)546-64s0 <br />South Coast Post Acute <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />PO Box 28789 <br />San Diego, CA 92198 <br />(858) 312-5150 <br />48588 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd: <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No 01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 16002 53600 <br />08901001 24000 <br />Pezeshkpour, Ali <br />Ahangian, Kathy <br />Zuniga, Allissa <br />Dale: 1110212017 <br />Date:06/19/2017 <br />Dale: 1'|.10212017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />07776002 <br />07776002 <br />08907007 <br />07776002 <br />07776002 <br />07776002 <br />Permit Fee <br />Plan Check Fee <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />57607 <br />53600 <br />24000 <br />57672 <br />57600 <br />57607 <br />$154.26 <br />$213.86 <br />$1.40 <br />$1.00 <br />$21.25 <br />$52.98 <br />No <br />No <br />No <br />No <br />Account#Total <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 180 days after its issuance,or if the work authorized <br />on the site by such permit ts suspended or abandoned for a period of1 80 days after <br />the time the work is commenced. <br />$21.25 <br />$207.24 <br />$1.00 <br />$213.86 <br />$1.40 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$444.75 <br />$0.00 <br />$444.7s <br />lnspector MID#: 2016-133462 <br />Assessor's Parcel: 410.431-05 <br />r-. H