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{a <br />City of Santa Ana <br />Permit Counter. (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />lnspection Requests: (7'14) 667-2738 lnspector Section: (714], 647-5853 <br />Permit #: {O193{39 <br />Pin #: 61758 r\\\J <br />Project Address: 4717 W First St <br />Assessor's Parcelr 100-641-14 Lot: NA <br />Unit Suile Range: <br />Zoning: C2Block: NA Tract NA <br />Buildang Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Other <br />Miscellaneous <br />Buddha Statue <br />Temple <br />U <br />VB <br />cBc 2016 <br />A-0602320256J <br />1st 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:$5,000.00 <br />Description of Work: lnstallation of a freestanding buddha statue. <br />Planning Conditions: <br />Owner: <br />Lddress <br />Phone: <br />Tenanl: <br />Bat Nha Meditation lnstltute of Am, Contraclor <br />4717 W. First Street Address: <br />Santa Ana, CA 92703 <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 />Address: <br />Felix Ngan Tram <br />Felir Ngan Tram <br />11574 Faculty Or <br />Norwalk, CA 90650 <br />(714123s-8712 <br />c33642 <br />MVI <br />4540 Campus Dr. Suite 100 <br />Newport Beach, CA 92560 <br />17141425-1467 <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address; <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'd: <br />Planning lnsp. Req'd: No Police lnsp. Req'd <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pefinilissued shallbecgfie invalid unless lhe wo* on the site authonzed by <br />such pemit is connenced within 180 days aftet ils issuance,ot if the wo* aulhotizod <br />on the site by such petmil is suspended or abandoned fot a peiod ol 1 80 days aftet <br />the tifie the wo* is comrnenced <br />Date: 06/13/2017 Misc. Receipt: <br />Oale: 0611212017 Misc. Receipt: <br />Date: 06/13/20i2 lvlisc. Receipt: <br />Subject to Field; <br />No <br />No Account# <br />69629 <br />Total <br />07776002 <br />07776002 <br />07776002 <br />0890 7007 <br />077760 0 2 <br />0777600 2 <br />o111600 2 <br />57607 <br />53 600 <br />57770 <br />24 000 <br />57672 <br />57600 <br />57607 <br />$447.75 <br />$206.91 <br />$3.50 <br />$1.40 <br />$1.00 <br />$20.56 <br />$51.26 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />$732.38 <br />$206 91 <br />$525.47 <br />) <br />lnspector <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />08901001 <br />51600 <br />51601 <br />516'1 2 <br />57770 <br />24000 <br />$20.56 <br />$499.01 <br />$1.00 <br />$3.50 <br />$1.40 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Bldg: Address Range: <br />Historic: No <br />Occupancy: <br />Constr Type: <br />Codel <br />Flood Zone: <br /># of Stories: <br />Engineer <br />iFregoso, <br />Vince <br />. / So. Anson <br />[linr, eatricia <br />d, Fire rnsp. Req'd: <br />MID#: 2017-136508