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ProiectAddress: 1920 E Seventeenth St <br />Assessor'sParcel: 400-011-03 Lot: 3 <br />unlt: 120 <br />Block: NA <br />Btdg: <br />Tract 6313 <br />Address Range: <br />Histoic: No <br />Suite Range: <br />Zoning: C5 <br />city of Santa Ana 20 Civic Center Plaza (l\4-'19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: (714r 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30340299 <br />Pin #: 3896$ <br />Owner: <br />Address <br />Conlractor: <br />Address: <br />Alex G Gladkov Dental Corp <br />6818 S La Cienega Blvd #203 <br />lnglewood, CA 90302 <br />Foe Type <br />01116002 51602 Sink <br />01'116002 5'1602 Min Fee Adj <br />01116002 5160C General Plan Update <br />011'16002 51502 lssuance <br />Amount <br />12.70 <br />47 .98 <br />22.O8 <br />55.04 <br />t.lIi.'':t'.1t <br />Qty <br />2.00 <br />'1.00 <br />1.00 <br />1.00 <br />Fee <br />$25.40 <br />$47.98 <br />$22.08 <br />$5s.04 <br />Phone: <br />Tenant Name: Orthodontic Center of Orange County <br />vcD&soNstNc <br />526 S Ross Street <br />Santa Ana, CA 92701 <br />(714) 80'l "7604 <br />Refir 3U <br />Phone <br />State Lic #: 596135 <br />Lic Type: B <br />Bus. Lic #: 38/2 <br />Workers' Compensalion lnsurance:Carier: State Compensation lnsurance Fund <br />Policy #: 1877843 <br />Expires: 1110112019 <br />nte t <br />toti- <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Sub.iect to Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />VB <br />cPc 2016 <br />Notes: <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Legalize unpermitted work - new partition walls to <br />create dental rooms, xray, office;(2) new restrooms; <br />new exterior door; demo patio cover. <br />$'150.50 <br />$0.00 <br />$1s0.50 <br />11119t2014 <br />Account# <br />10396696 <br />lnspector MID#: 2018-143892 <br />$22.O8 <br />$128.42 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />16935 Auth+ <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />ar",r",^,,.."*4:j:' <br />Ewry pemit issued shall become invalid unless the work orl lhe slle <br />authotized by such permit is connenced within 180 days allet its <br />issuance, or il the wotu authoized on tho site by such peftnit is suspended <br />ot abandoned for a peiod of 180 days aftet the timo the work is <br />commenced. <br />01116002 51600 <br />011'16002 51602