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City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit#: {Of98f 04{ <br />Pin #: 13994 <br />Project Address: 2530 W Warner Ave <br />Assessor's Parcel: 412-311-29 Lot: POR 10 <br />Unil Bldg: <br />Tract: WILLIAMS <br />Address Range Suile Range: <br />Zoningr RlBlock: NA Histonc: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Other <br />MiBcellaneous <br />Light std <br />Church <br />R-3 <br />VB <br />cBc 2016 <br />x-0602320259J <br />2 <br />lst FL Area: 0 <br />2nd FL Area: 0 <br />OtherAreas: 0 <br />Garage Area: <br />Total: 0 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: S6,500.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Oescription of Work: Addition of (1) light standard <br />Owner: <br />Address: <br />Phone <br />Tenant <br />Sikh Temple O, Orange County <br />2530 W. Warner Avenue <br />Santa Ana, CA 92704 <br />(949) 439-5063 <br />Conlractor: Gill Electric lnc <br />Address: 2il2l Brynwood Street <br />Santa Ana, CA 92705 <br />Phone: 17141337-1319 <br />State Lic #: 439104 <br />Lic Type: C-10 <br />Bus. Lic #: 353933 <br />Workers' Compensation lnsurance: <br />Carrier Exempt <br />Policy # <br />Expires: <br />Engineer <br />Address <br />Satish Shah & Assoc. lnc <br />Satish S. Shah <br />3920 E Coronado St, Ste 203 <br />Anaheim, CA 92807 <br />(714) 632-1855 <br />56't 't 2 <br />Phone: <br />License # <br />Archilecl / <br />Desiqner: <br />Address. <br />Phone: <br />License # <br />Planning Approval By Guevara, Jerry <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req <br />So, Anson <br />Amsden. Julie <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Date. 10/2312018 Misc. Receipt <br />Date: 10/23/20'18 Misc. Receipt <br />Date. 1Dt23l2}1g Misc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />01 1 16002 <br />01 1 16002 <br />01 116002 <br />01 116002 <br />01 'r16002 <br />08901001 <br />07776002 <br />07776002 <br />o77760 0 2 <br />08 90 700 7 <br />0777600 2 <br />0777600 2 <br />07776002 <br />57607 <br />53600 <br />57770 <br />2400 0 <br />576 72 <br />57600 <br />57607 <br />$160.25 <br />s222 16 <br />$3.76 <br />$1.82 <br />$1.00 <br />$22.08 <br />$55.04 <br />'d:No <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SlvllP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fire lnsp Req'd: <br />Police lnsp Req'd Total <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every peinit issued shall bacofie hvehd unless the wotk on lha stto eulhottzod by <br />such pemit $ connenced wilhn 180 days aftot ts tssuance.ot if lhe work aulhodzed <br />on the sile by such pennit 6 suspended ot abandoned fot a peiod o1180 doys aftet <br />lho ltme lhe wo* is cofimenced <br />$466.1 1 <br />$0.00 <br />t466.11 <br />lnspector MID#: 2018-146007 <br />s1600 <br />51601 <br />51612 <br />53600 <br />57770 <br />24000 <br />$22.08 <br />$215.29 <br />$1.00 <br />$222.16 <br />$3.76 <br />$1.82 <br />Fee Tolal <br />Paid to Datel <br />Balaflce Oue <br />Planning Conditions: <br />l/2.J/rr"tt., <br />on:+: '.,J <br />RPf+ <br />tit/iJ/ -!\ <br />!'1t,9 <br />l-rtllr <br />J t.rl,ll,r - <br />l luti -