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Proiect Address: 1920 E Seventeenth St <br />Assessor'sParcel: 400-011-03 Lot: 3 <br />unir 120 <br />Block: NA <br />Bldg: <br />Tract 6313 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C5 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requestsr (7 1 4) 667-27 38 lnspector Section: (7 1 41 647 -5853 <br />Electrical Permit#:203674/3 <br />Pin #: 196261\ <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Alex G Gladkov Dental Corp <br />6818 S La Cienega Blvd #203 <br />lnglewood, CA 90302 <br />01116002 51603 <br />01116002 5160: <br />01'1 16002 5160( <br />01116002 5160: <br />Amount <br />1 .58 <br />70.22 <br />22.O8 <br />55.04 <br />Fee Type <br />Light Switches, Occ. Se <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Qty <br />2.00 <br />1.00 <br />100 <br />100 <br />Fee <br />$3.16 <br />$70.22 <br />$22.08 <br />$55.04 <br />Phone: <br />Tenant Name: Orthodontic Center ot Orange County <br />vcD&soNStNc <br />526 S Ross Street <br />Santa Ana, CA 92701 <br />(714) 801-7604 <br />r/l?,/201E, l <br />ons+: 116 <br />Eefi I. |t/19 /2itt1 <br />Phone <br />,d8t e F <br />r000- <br />30011- <br />**r6935 <br />e <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type <br />Code: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: zuniga, Allissa <br />Subject to Field: <br />Buildins Permit #: 10396696 <br />B <br />VB <br />cEc 2016 <br />1'1t1912018 <br />Account# <br />01116002 51600 <br />01116002 51603 <br />Fee Tolal <br />Paid to Date: <br />Balance Due: <br />Legalize unpermitted work - new partition walls to <br />create dental rooms, xray, office;(2) new restrooms; <br />new exterior door; demo patio cover. <br />$150.50 <br />$0.00 <br />$150.s0 <br />Notes <br />v Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />NIisc. Receipti <br />Total <br />$22.08 <br />$128.42Every pe.mit issued shall become invalid unless the wo* on the site <br />authoized by such pormit is comnenced withinlS0days after ils <br />issuanca, or if the wotu aulhoized on the site by such pennit is suspended <br />ot abandoned fot a period ofl80 days after the time the work is <br />commonced. <br />lnspector MID#: 20'18-143892 <br />0t <br />State Lic #j 596135 <br />Lic Type: B <br />Bus. Lic #: 3a42 <br />Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund <br />Policy #: 1877843 <br />Expires: 1110112019 <br />l,lI <br />Elr <br />[1 <br />Vir <br />c <br />Planning Conditions: