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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1lJ192767 <br />Pin #: 65273 <br />Project Address : 1825 3/4 W Ci vic Center Dr <br />Assessor's Parcel 405-121-11 Lot G Block. NA <br />unl, WCC02 Blds <br />Tractr 521 <br />Address Range:Suile Range: <br />Zoning: OHistoric No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing 8ldg. & Use <br />Proposed Use: <br />N/A <br />N/A <br />cBc 2016 <br />x-0602320144J <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $45,000.00 <br />Other <br />Alteration <br />Anten na <br />Monopine <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total:0 <br />Description of Work: Add (3) RRUS to (e) monopine <br />Planning Conditions: All materials to match existing <br />Owner: <br />Address <br />Phone <br />Tenant: <br />Telecom PartneB Group <br />22542 Lambert St <br />Lake Forest, CA 92630 <br />(949) s44-1621 <br />T"Mobile <br />Contractor: R L Clotworthy Constructior <br />Address: 26079 Jefferson Avenue <br />Murrieta, CA 92562 <br />Phone: (951)693-5130 <br />State Lic #: 803626 <br />Lic Type: B <br />Bus. Lic #: 197398 <br />Workers' Compensation lnsurance: <br />Carrier: State Comp lns Fund <br />Policy #: 9073510 <br />Expires: 1010112017 <br />Jacobs Engineering Group, ln <br />Deep M Shah <br />5449 Belli Ferry Road <br />AcwoRlH, GA 30io2 <br />(770) 701.2500 <br />Engineer <br />Addressl <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />75't 00 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Dale 0412512017 Misc. Receipt: 69456 <br />Date: 07/05/2017 Misc. Receipt <br />Oale. O7tO6l2O17 Misc. Receipt <br />Subject to Field: <br />No <br />No Account#Total <br />o7776002 <br />0 7776002 <br />0890700 7 <br />o7176002 <br />07776002 <br />07776002 <br />57607 <br />53600 <br />2400 0 <br />57672 <br />5 7600 <br />57607 <br />$617.04 <br />$427 .72 <br />$ 12.60 <br />$2.00 <br />$21.25 <br />$s2.98 <br />Guevara, Jerry <br />Mazaqi, Zac <br />Amsden, Julie <br />Permit Fee <br />Plan Check Fee <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />'d: .o <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No <br />Every pemil issued shall becone invalid unless the tA/ot* on lho site authorized by <br />such pemit is commenced within 180 days aftet its issuance.ot if the wo* aulhon2ed <br />on the site by such peinit is suspended ot abandoned lor a penod o1180 days aftor <br />tho tne the wo* is commenced <br />$21.25 <br />$670.02 <br />$2.00 <br />$ 13.90 <br />$12.60 <br />$1 ,133.59 <br />$413.82 <br />$719.77 <br />lnspector MID#. 2017-135742 <br />011 16002 5'1600 <br />011 't6002 51601 <br />011 't6002 51612 <br />01116002 53600 <br />08901001 24000 <br />Fee Total: <br />Paid to Date <br />Balance Due: