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Project Address: 211 W Fourth St Unit Bldg: Address Range: 201-211 <br />Tract: TOWN OF SANTA ANA Hisloric: YesAssessor's Parcel 398-257-09 Lot: 5, POR l, POR 4 Block: 13 <br />1V City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714\ 667-2738 lnspector Sectionr (714) 647-5853 <br />Permit #: lOl9t962 <br />Pin #: 2{096rl}a)Y el\ <br />Building Use: Commercial Occupancy: B 'l st FL Areal <br />Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area: <br />Nature of Work: lnterior Tl coder cBc 2016 other Areas: <br />Existing Bldg. & Use: Q666e76i31 Flood Zone: x-0602320276J carage Area: <br />Proposed Use. # of Stories: <br />Total: <br />Oescription of Work: lnterior Tl includes to legalize construction of approx. 74 sq ft area croating employoe roonr. <br />Patio: <br />T.l.Area: 74 <br />Yards Req'd: <br />Valuation: $7,000.00 <br />Owner: <br />Address <br />Phone: <br />Tenanl <br />Joseph Elias <br />209 W Fourth St # B <br />Santa Ana, CA 92701 <br />17141 s43-3124 <br />Dolex Dollar Express <br />Contractor: Rafael A Lopez <br />Address: 14327 Moccasin Street <br />La Puente, CA 91711 <br />Phone: (526) 638-8006 <br />State Lic #: 767288 <br />Lic Type: B <br />Bus. Lic #: 365790 <br />Workers' Compensalion lnsurance: <br />Carrier: EXEMPT <br />Policy #: <br />Expires: <br />Engineer <br />Address <br />Phone: <br />License # <br />Architect / <br />Oesiqner: <br />Addressl <br />Phone: <br />License # <br />Pro Desiqn <br />2438 Nina St fl2 <br />West Covina, CA 91792 <br />(625) 810-r979 <br />Planning Approval By Orozco, lvan <br />Plan Checked By <br />Permit lssued By Amsden, Julie <br />NPDES lnsp. Req'dl <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd: <br />Oale: 0112612017 Misc. Receipt: 69090 <br />Date; 05/15/2017 Misc. Receipt: <br />Date. 0512312017 Misc. Receipl: <br />Subject to Field: <br />Noyes Account#Total <br />son <br />07776002 <br />07776002 <br />0 77 76002 <br />0 77 76002 <br />07776002 <br />0 77 76002 <br />5150 7 <br />53600 <br />s7770 <br />57672 <br />57600 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Updale <br />lssuance <br />$149.25 <br />$100.27 <br />$7.00 <br />$1.00 <br />$20.56 <br />$51 .26 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cerl. Req'd: No 011i6002 51600 <br />Evary pefilit issued shall becomo invalid unless the wo* on the site authoizdd by <br />such pemit is commenced within 180 days after its issuance,ot if the wod aulhoized <br />on lhe sita by such porml is suspendgd ot abandoned fot a penod ol 1 80 days aftor <br />the tifie lhe wo* is confienced <br />lnspector MtD#. 2017-134092 <br />011 16002 5'1601 <br />01116002 51612 <br />01 116002 57770 <br />$20.s6 <br />$200.51 <br />$1.00 <br />$7.00 Fee Total: <br />Paid to Date <br />Balance Due: <br />$329.34 <br />$'100 27 <br />$229.O7 <br />Building <br />Suile Range: <br />Zoning: SD84 <br />0 <br />Planning Conditions: