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10199705 - Permit (2)
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10199705 - Permit (2)
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Last modified
12/15/2022 2:29:23 PM
Creation date
12/15/2022 2:29:22 PM
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Permit
Permit Number
10199705
Full Address
1575 N Grand Ave
Permit ID
252530
Master ID Number
2019-150620
Project Name
Western Dental TI
Street Number
001575
Street Direction
N
Street Name
Grand
Street Suffix
Ave
Building Use Code
Medical Office
Job Types
Tenant Improvement
Permit Type
Building
Applied Date
4/8/2019
Issued Date
8/8/2019
Finalized Date
10/25/2019
Flood Zone
X-0602320163J
Description of Work
TI includes new partition walls & ceiling to create (2) new accessible restrooms, exam rooms, sterile rooms, administration rooms, storage room, & break room for dental office.
Nature of Work
TI
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Project Address: 1575 N Grand Ave <br />Assessor's Parcel:400-231-02 Block NA T.act NA <br />Suite Range <br />Zoning <br />Unrt <br />city nf Santa Ana 20 crvrc center Plaza (l/ '19). santa Ana. cA92702 <br />Permit Counter' (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Sectron (714) 647-5853 <br />aA Bu ild ing <br />Building Use: Commsrcial Occupancy B 1st FL Area: Patio: <br />Job Type: Tonant lmprovement Constr Type: V B, SPK 2nd FL Area: T.l.Area: 3G65 <br />Natureof Work. Tl code: cBc 2016 other Areas: yards Req,d: <br />Existing Bldg & use: Qsmmslgisl Flood zone: x-0602320163J Garage Area: Valuation: $131,570.00 <br />Proposed Use: Oental Officos # of Stories: 1 ,o,",, O <br />Ooscription of work: Tl includes new partition walls & ceiling to croate (2) new accessible restrooma, eram rooms, sterile rooms, administration rooms, <br />storagg room, & break roum. <br />Planning Conditions: C of O req'd for Planning approval <br />Owner: <br />Address <br />Phone <br />Tenant <br />RGA Group, LLC/VenturePoint <br />P.O. Box 5384 <br />Newporl Beach, CA 92662 <br />(949) 6734660 <br />Western Dental <br />Contraclor: CBBovenkamplnc <br />Address 9002 SW 152 Street <br />Miami, FL 33157 <br />Phone (305) 2334438 <br />State Lic #. 817464 <br />Lrc Typer B <br />Bus Lic # 315186 <br />Workers' Compensation lnsurance: <br />Carrier: Employee Service Group <br />Policy # 020339323 <br />Expires. 0610112020 <br />Engrneer <br />Address. <br />Architect / <br />Desiqner: <br />Address <br />Phone: <br />License # <br />Phone: <br />License #. <br />Kamus & Kellcr Architects <br />John H Kamus <br />111 West Ocean Blvd., fi750 <br />Long Beach, CA 90802 <br />15621 216-5241 <br />c20397 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd <br />Landscaping lnsp. Req'd <br />Arabe, Jill <br />J Lee Engineering lnc <br />Chauez, Oave <br /><C/, <br />Date: 04/08/2019 <br />Date 05/08/20'19 <br />Dater 08/08/20'19 <br />Subject lo Freld <br />Misc. Receipt <br />Mrsc. Receipt <br />Misc. Receipt <br />12416 <br />Total <br />07776002 <br />0 777600 2 <br />07716002 <br />0 717600 2 <br />0 777600 2 <br />0 777600 2 <br />57607 <br />53600 <br />57770 <br />576 72 <br />5 7600 <br />57607 <br />$952.90 <br />$1 ,319.40 <br />$97.75 <br />$6.00 <br />s22.95 <br />$57.20 <br />Permit Fee <br />Plan Check Fee <br />Microlilm Records <br />Bldg Stds. Revolving <br />General Phn Update <br />lssuanceFire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cerl. Roq'd N0 <br />Evary permit issued shall becomo invohc! unless the wo* on lhe sle authonzed by <br />such pafinl B commonced wtlhtn 3@ days altor s tssuance or I the work authonzed <br />on tho slo by such perm is suspencled ot abancloned lor a ponod ol 360 days after <br />the tifie the work 6 cofimehced <br />lnspector MID#: 2019-150620 <br />s1600 <br />51601 <br />51612 <br />53600 <br />577 70 <br />$22.9s <br />$1,01010 <br />$6.00 <br />$36.6s <br />$97 75 <br />Fee Total: <br />Paid to Date: <br />Balance Oue <br />No <br />No <br />No <br />No <br />ffi Agcgunq <br />01't'16002 <br />01 1'16002 <br />01 116002 <br />01116002 <br />01 1 '16002 <br />$2,456.20 <br />$1 .282 75 <br />$1 ,173.45 <br />!-Permit #: lOl99705 <br />Pin #: 50475 <br />Lot Hisloflc No <br />Bldg: Address Range.
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