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10191572 - Permit (2)
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10191572 - Permit (2)
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Last modified
11/16/2022 2:42:18 PM
Creation date
11/16/2022 2:42:17 PM
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Permit
Permit Number
10191572
Full Address
201 S Broadway
Permit ID
225583
Master ID Number
2016-132676
Project Name
Amistad Medical TI
Street Number
000201
Street Direction
S
Street Name
Broadway
Building Use Code
Office
Job Types
Tenant Improvement
Permit Type
Building
Applied Date
12/12/2016
Issued Date
5/24/2017
Finalized Date
10/10/2017
Flood Zone
X-0602320276J
Description of Work
TI-Remove and install partition walls and t-bar ceiling on 1st floor only/change out roof mounted equipt
Nature of Work
TI/Roof Mtd Equipt
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Project Address: 201 S Broadwav <br />Assessor's Parcel 398-283-01 <br />Unit t+d\ <br />Lol 2,3 Block: 7 <br />Bldg: Address Range <br />Tract; PALMER'S ADD <br />Suite Range: <br />Zoning: SD40Hrstoric No <br />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 #: 1lJ191572 <br />Pin #: 21915 <br />Building Use: Commercial Occupancy: B I st FL Area: <br />Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area: <br />Nature of Work: Tl/Roof Mtd Equipt Code: CBC 2013 Other Areas: <br />Existing Bldg. & Use: Commercial/Office Flood Zone: X{602320276J Garage Area: <br />Proposed Use: # of Stories: Total: O <br />Description of Work: Tl-Removo and install partition walls and t-bar ceiling on 1st floor onlyrchange out roof Hlountgd€quipt <br />ir'. <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />349 5 <br />$125,470.00 <br />lIt <br />Owner: <br />Address <br />Phone; <br />Tenant: <br />Meka Family Trust <br />29 Sarteano Dr <br />Newport Coast, CA 92657 <br />(7141 7 42-s734 <br />Contractor: A B F Construction <br />Address: 27065 E 5th Street <br />Highland, CA 92346 <br />Phone: (90914254777 <br />State Lic #r 181541 <br />Lic Type: B <br />Bus. Lic #: 365835 <br />Workers' Compensation lnsurance: <br />Cafiier California lns Co <br />Policy #: 460012/1801 <br />Expires: 0411212018 <br />Engineer <br />Address <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License #: <br />Allenbach Architectu re <br />Daniel Allsnbach <br />29333 Via Espada <br />Murrieta, CA 92563 <br />(951) 57710800 <br />c-?4512 <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'dr No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd U Account# <br />Orozco. lvan <br />aza\i, zac <br />Amsden. Julie <br />Dale. 121'1212016 [,'lisc.Receipt. 68933 <br />Oale OSl22l2O17 Misc. Receipt <br />Date OSt24t2O17 lvlisc. Receipt <br />Subject to Field: <br />0 71760 0 2 <br />0 777600 2 <br />0 777600 2 <br />o8907007 <br />0 717600 2 <br />07716002 <br />0 777600 2 <br />$953.10 <br />$1,360.26 <br />$45.50 <br />$35.13 <br />$6.00 <br />$20.56 <br />$s1.26Total <br />s7607 <br />53 600 <br />57770 <br />24 000 <br />57672 <br />s7600 <br />51607 <br />Permil Fee <br />Plan Check Fee <br />l\,licrofilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemil issued shall become invalid unless the wo* on the site authoized by <br />such peflnit is commencod within 180 days aftet its issuance,or if the wo* authoized <br />on lhe sile by such perml 1s suspenclod or abandoned fot a penod o1180 days aflet <br />the tirne lha wo* is cofifienced . <br />lnspector MID#: 2016-132676 <br />$20.56 <br />$1,004.36 <br />$6.00 <br />$45.50 <br />$35.13 <br />$2.471.81 <br />$1,360.26 <br />$1 ,1 1 1.55 <br />Fee Total: <br />Paid to Dale <br />Balance Due: <br />01'1 16002 51600 <br />01 1 16002 51601 <br />011 16002 5'1612 <br />0111600257770 <br />08901001 24000
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