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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 #: 10192404 <br />Pin #: 33655 <br />Unit \pProject Address: 2000 E Seventeenth St <br />Assessor's Parcel: 400-121-01 Lot: 1 Block: NA <br />Bldg: <br />Tract: MAYBURY <br />Address Range: 2OOO-2274 <br />Historic: No <br />Suite Range: <br />Zoning: Cl <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commsrcial <br />Tenant lmprovement <br />Tl/Kiosk <br />Commercial <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />B,M <br />III B, SPK <br />cBc 2016 <br />x-0602320164J <br />1 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Totali <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />600 <br />3@60 <br />s40,000.00 <br />0 <br />Doscription of Work: lnstall Starbucks kiosk inside existing Albertsons store. <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Ooug Gasperik <br />1421 S Manhattan <br />Fullerton, CA 92831 <br />(714) 300-6483 <br />Albertson's/Starbucks <br />Contractor John M Frank Construction <br />Address: 913 E Fourth Street <br />Santa Ana, CA 92701 <br />Phone: (714) 210-3600 <br />Stale Lic #: 589230 <br />Lic Type: C-36, B <br />Bus. Lic #r 188360 <br />Workers' Compensation lnsurance: <br />Carrier: Arch lnaurance Co <br />Policy #: ZAWCi25l4500 <br />Expires: 01/01/20'18 <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />John M Frank Construclion lnc <br />913 E Fourth Street <br />Santa Ana, CA 92701 <br />(714) 210-3600 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By; <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Pezeshkpour, Ali <br />Heidari, Fred <br />Chavez, Dave<F <br />Oale: 0312112017 <br />Date: O4l2Ol2O17 <br />Dale: 0412612017 <br />Subject to Field <br />07776002 <br />07776002 <br />01776002 <br />01775002 <br />01776002 <br />o7776002 <br />5i607 <br />5i500 <br />57770 <br />5 7572 <br />57600 <br />57507 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />8ldg. Stds. Revolving <br />General PIan Updale <br />lssuance <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipi <br />69324 <br />Total <br />$ 149.25 <br />$396.00 <br />$56.00 <br />$2.00 <br />$20.s6 <br />$51.26Fire lnsp. Req'd. <br />Police lnsp. Req'd ffi Account# <br />Flood Zone Cert. Req'd: No Ot i 16002 5i600 $20.56 <br />$200.51 <br />$2.00 <br />$198.00 <br />$56.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Every pemit issued shall becofie invalid unlessthe wotk on tho sile authonzed by <br />such pemit is commoncod within 180 days afler its issuance,ot if the wotk authoized <br />on lhe sito by such pomit is suspended ot abandoned lot a penod of 180 daysafter <br />the tifie the wo* is commenced <br />lnspector <br />01116002 5160'l <br />01 'r '16002 51612 <br />01116002 53600 <br />01116002 57770 <br />Engineer: <br />$675.07 <br />$198.00 <br />$477 .07 <br />MID#: 20'17-135013