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10197280 - Permit (2)
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1220 W Hemlock Way Unit# 107
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10197280 - Permit (2)
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Last modified
12/13/2022 12:51:46 PM
Creation date
12/13/2022 12:51:45 PM
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Permit
Permit Number
10197280
Full Address
1220 W Hemlock Way Unit# 107
Permit ID
244515
Master ID Number
2018-145222
Project Name
WIC Tenant Improvements
Street Number
001220
Street Direction
W
Street Name
Hemlock
Street Suffix
Way
Unit Number
107
Building Use Code
Medical Office
Job Types
Alteration
Permit Type
Building
Applied Date
8/7/2018
Issued Date
10/31/2018
Finalized Date
1/30/2019
Flood Zone
X-0602320259J
Description of Work
TI to existing medical office including new partition walls, lighting and finishes
Nature of Work
TI
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E <br />Project Address: 1220 W Hemlock Way <br />Assessor's Parcel:41041'l-21 Lot NA Block: NA <br />unit: 107 Blds <br />Tract: NA <br />Suite Range. 103 <br />Zoning: C2Hrslonc No <br />citv of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (7'!.4], 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOl97280 <br />Pin #: 477OG <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing BIdg. & Use <br />Proposed Use. <br />Commercial <br />Alteration <br />TI <br />Commerical <br />B <br />VB <br />cBc 2016 <br />x-0602320259J <br />Occupancy: <br />constr Type: <br />Code: <br />[:lood Zone: <br /># of Stories: <br />'1 st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area <br />Total <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: <br />2398 <br />0@0 <br />s71,940.00 <br />Description ot Work: Tl to existing medical office including new partition walls, lighting and finishes <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant WIC <br />Karim Markarbhichi, Koystone Buil Contractor <br />4212 E La Palma AYe Addressl <br />Anaheim, CA 92807 <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 />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'dr No <br />Planning lnsp. Req'd: No <br />Escamilla, Manny <br />So, Anson <br />Hernandez, Kathy <br />No <br />Dale: l0130/2018 <br />Date: l0/29/2018 <br />Date: 10/31/2018 <br />Subject to Field. <br />Misc. Receipt <br />NIisc. Receipt <br />tvlisc. Receipt <br />71335 <br />Total <br />$s99 s0 <br />$839.30 <br />$3.76 <br />$3 00 <br />$22.08 <br />$55.04 <br />Permit Fee <br />Plan Check Fee <br />lvlicrofilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceFire lnsp. Req'd: <br />Police lnsp. Req'd ffi Account# <br />Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd: No <br />Every peinit issuod shall bocome invalid unless tho work o, lhe s/te authoized by <br />such pemit is commenced within 180 days aftet ils issuance,ot il lhe work aulhoized <br />on the ste by such pemit ts suspendsd ot abendoned lor a peiod of180 days aker <br />lhe tirne the wo* is commenced <br />lnspector <br />01 116002 51600 <br />01 1 16002 5160'l <br />01 116002 51612 <br />01116002 57770 <br />$22.O8 <br />$69.54 <br />$3.00 <br />$3.76 Fee Tolal <br />Paid lo Date: <br />Balance Due <br />$1,522.68 <br />$839 30 <br />$683.38 <br />Address Range: <br />!l tI <br />07776002 57607 <br />o7175002 53500 <br />07776002 57770 <br />07176002 57672 <br />o7716002 57500 <br />07776002 57607 <br />MtD#. 2018-145222
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