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<br />Project Address: 220 E Fourth St unit: 101 Bldg: Address Range: 216-260 -
<br />Tract: TOWN OF SANTA ANA Historic: NoAssessois Parcel 398-503-10 Lot: PORS 5,8,9 Block: 9
<br />Suite Range:
<br />Zoning: SO84
<br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o? Building
<br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
<br />Permit #: {Ot8905{
<br />Pin #: 35372
<br />Building Use:
<br />Job Typel
<br />Nature of Work:
<br />Existing Bldg. & Use
<br />Proposed Use:
<br />Commercial
<br />Tenant lmprovement
<br />Tl/walk-ln Cooler/Freezer
<br />Comm
<br />Restaurant
<br />Occupancy:
<br />Constr Type
<br />Code:
<br />Flood Zone:
<br /># of Stories:
<br />A-2
<br />V A, SPK
<br />cBc 2013
<br />x4602320276J
<br />2
<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:
<br />5070
<br />$182,000.00
<br />Doscription of work: Completo rostaurant Tl on 1st floor only. Walk-in cooler, prep kitchen, partition walls, service bar, & new(2) restrooms. (For
<br />upgrades on Typo of construction, ses permit #'10189050). Roof Mtd Equip to be on septrete permlt Groa6atr[t?ceptilF ]oqtCm]h. l:;fited. l:l .", ,- -"',;*ii, _,, , ,,Pl"nning condition"' R.ott, ! ,., iri i !,'il?6ii r- i i iti
<br />Engineer: Shucri "CIrr*'l. Yaghi 'r tr, llf.1?
<br />owner: S & A Properties Contractor. Owner-Builder Shucri l. Yaghi
<br />Address: l2gwwilson Address: Address: 112 E ChrbAri Agarld6,ijo4.
<br />Costa Mesa, CA 92627 Orange, qA 9716-6- r ),,i _/r
<br />Phone: ls4sl722-7400 Phone: Phone: . q!l-!i'Hl?ts]-- ,'1.:r:,0, 6 )rri'1''
<br />Stale Lic#: License # C43205 t,,,"er.: r tc .Lt, '1rrp IEE i-,,.r.-,,Tenant: The Playground ;;i - -
<br />.,. Ir,I,Lic rype: Architecr / gan c n+l{icl,Egot,rClOEr,;i ,, ,.;. ..r
<br />Bus Lic#: Desrqner: DanQtinqji' : ,,:.,-,,r
<br />Workers' Compensation lnsurance: Address: 18572 AvClodoprlVe SqlO_lg&nls .l!. .lCarrier: Yorba LinlFl QAj9288q .7,r'-,r:rir
<br />0
<br />Policy #
<br />Expires;
<br />Phone: (714) 3150fF
<br />License #; C19518 tSt,-,1
<br />tli.n
<br />i1000000-
<br />r50.96
<br />aa.lI1fl t ,
<br />Plan Checked By
<br />Permit lssued By
<br />NPDES lnsp. R
<br />PWA lnsp. Req'd:
<br />Planning lnsp. Req'd:
<br />Landscaping lnsp. Req'd
<br />arvajal,
<br />. Zac
<br />owski,Teri
<br />07776002 57607
<br />07776002 5i600
<br />07776002 57770
<br />08907007 24000
<br />Permrl hee
<br />Plan Check Fee
<br />lvlicrofilm Records
<br />SMIP - Category 2
<br />nrrn, *,lO?dio
<br />$1,608.90
<br />$35 00
<br />$50.96
<br />$8.00
<br />$20.56
<br />$51 26
<br />a
<br />Date: 03/07/2017 Misc. Receipt
<br />Date: 01/19/20'17 Misc. Receipt
<br />Oate. O3lO7l2O17 Misc. Receipt
<br />Subject to Field:
<br />Yes
<br />No Account#
<br />07716002 57672 Bldg. Stds. Revolving
<br />01776002 57600 Cenetal Plan Update
<br />07776002 5160I lssuance
<br />67644
<br />Total
<br />No
<br />No
<br />No
<br />No
<br />Fire lnsp. Req'd:
<br />Police lnsp. Req'd
<br />Flood Zone Cert. Req'd: No 01116002 S1600
<br />Every pemil issued shall bocome invalid unless the wod< on lhe site authonzed by
<br />such peinil is commenced within 180 days aftet its issuance,ot if the wo* authoized
<br />on the site by such pemit is suspended or abandoned for a period o1180 days aftet
<br />lho lfie tho wotk is commencod .
<br />lnspector
<br />01 1 16002 51601
<br />01 1 16002 51612
<br />01116002 57770
<br />08901001 24000
<br />$20.56
<br />$903.45
<br />$8.00
<br />$35.00
<br />$50.96
<br />$2,833.78
<br />$1 .815.81
<br />$1,017.97
<br />t'
<br />Planning Approval By:
<br />Fee Total:
<br />Paid lo Date
<br />Balance Due:
<br />MtD# 2016-126427
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