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City of Santa Ana <br />Permit Counter (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana. CA 92702 Building <br />lnspection Requests: (714) 667-2738 lnspeclor Section: (714) 647-5853 <br />Permit#: {O{9{{63 <br />Pin #: 5{{64 <br />Pioject Address: 1170 W Civic Center Dr <br />Assessor's Parcel: 405-082-01 Lol NA <br />Unit Suite Range: <br />Zoning: PBlock: NA Tract NA <br />Building Use: Commercial Occupancyt E 'l st FL Area: <br />Job Type: Conversion Constr Type: V B 2nd FL Area: <br />Nature of Work: Change Of Use Coder CBC 2013 other Areas: <br />Existing Bldg. & Use: Commercial Flood Zone: X-0602320144J Garage Area. <br />Proposed Use Day Care # of Stories <br />Totat: <br />Ooscription of Work: Replaces expirsd p/c 10186853. Change of Use from officss (B) to daycare (E). Letter of auth on fil6 <br />Patio <br />T.l.Area: <br />Yards Req'd <br />Valuation:$s0,000.00 <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Contractor <br />Address: <br />Engineer <br />Address: <br />Enrique Monteg <br />1170 W Civic Center Dr <br />Santa Ana, CA 927032230 <br />(7'.t41 658-2042 <br />Kinderland Day Care <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 />Phone: <br />License # <br />Architect i <br />Desrqner <br />Address <br />Phonel <br />License # <br />Garcia & Associates <br />Jorge R. Garcia <br />10722 Arrow Route #504 <br />Rancho Cucamonga, CA 91730 <br />(909) 987-7673 <br />c-13626 <br />Planning Approval By: <br />Plan Checked By. <br />Permit lssued By / >- <br />NPDES lnsp. Req'o:' / 11e <br />0 77760 0 2 <br />07775002 <br />07776002 <br />07776002 <br />0 777600 2 <br />0 777600 2 <br />$149.25 <br />$206.91 <br />$24.50 <br />$2 00 <br />$20.56 <br />$51.26 <br />Soto, Ricardo <br />Mazarji. Zac <br />Amsden, Julie <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />68728 <br />57607 <br />53 600 <br />57770 <br />57672 <br />s1600 <br />5760 7 <br />Permit Fee <br />Plan Check Fee <br />Microfllm Records <br />Bldg. Slds Revolving <br />General Plan Update <br />lssuancePWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd: <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd No 011 16002 51600 <br />011 16002 5'160'1 <br />01'116002 5'1612 <br />01116002 57770 <br />$20 56 <br />$200.51 <br />$2 00 <br />$24.50 <br />N <br />Account# <br />o <br />Evory perfiil issued shall become invalid unless the wo* on lhe site aulhoized by <br />such perml s cotufienced within 180 dsys aftot ils issuance.or il the wo* aulhonzed <br />on lhe site by such peinil ts suspenclecl ot abandoned fot a petiod of 180 days after <br />lhe lme lhe wo* iscofifianced <br />lnspector MID#: 2O15-124419 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$454.48 <br />$206.91 <br />$247 .57 <br />Yes <br />Bldg: Address Range v <br />Historic. No <br />Planning Conditions: <br />Dale:1212912016 <br />Dare '1212912O16 <br />Dale 0112112017 <br />Subject to Field: <br />Total