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40130675 - Permit
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40130675 - Permit
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Last modified
5/27/2021 10:27:10 AM
Creation date
5/27/2021 10:27:09 AM
Metadata
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Template:
Permit
Permit Number
40130675
Full Address
201 S Broadway
Permit ID
225587
Master ID Number
2016-132676
Project Name
Amistad Medical TI
Street Number
000201
Street Direction
S
Street Name
Broadway
Building Use Code
Office
Job Types
Tenant Improvement
Permit Type
Mechanical
Applied Date
12/12/2016
Issued Date
5/24/2017
Finalized Date
10/10/2017
Flood Zone
X-0602320276J
Nature of Work
TI/Roof Mtd Equipt
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City of Santa Ana <br />Permil Counter: (714) &47-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 9270? <br />l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Mec han ical Permit #: 40{30675 <br />Pin #: 38345 <br />Proiect Address: 201 S Broadway:. <br />Assessor'sParcel: 398-283-01 Lot: 2, 3 <br />Unit: <br />Block: 7 <br />Bldg: Address Range: <br />Tract: PALMER'S ADD Historic: No <br />4201q <br />Owner: <br />Address: <br />Contraclor: <br />Address: <br />Phone <br />Tenant Name; <br />Moka Famlly Trust <br />29 Sartoano <br />Nowport Coast, CA 92657 <br />(7141742-5734 <br />A B F Constructlon <br />27065 E 5th Street <br />Hlghland, CA 92346 <br />l9o9l 4254777 <br />01116002 51604 <br />01116002 51604 <br />01116002 53603 <br />01116002 51600 <br />0't 1'16002 51604 <br />Fee Type <br />Compressor <br />Bathroom Fan <br />P/C - 65% <br />General Plan Updale <br />lssuance <br />Amount <br />84.00 <br />28.42 <br />0.65 <br />20.56 <br />51.26 <br />Qty <br />4.00 <br />4.00 <br />450.33 <br />1.00 <br />'1.00 <br />Fee <br />$336.00 <br />$113.68 <br />$292.71 <br />$20.56 <br />$51.26 <br />State Lic #: '181541 <br />Lic Type: B <br />Bus. Lic #: 365835 <br />Workers' Compensation lnsurance:Carrier: Cellfomle lns Co <br />Policy #: 4600124801 <br />Expires: 04,/1?,/2018 <br />Eotchi:38770 - <br />0ff ice! CTYH <br />Accti: <br />Rcet3:01837152 <br />TPonsoct ron To <br />J/21/ZOL7 t0: IPINE0A <br />Tronsi: 49 3 of {Refi! 40130675- 5/2+t70t7 2tO3 Pnol t1r957.02 <br />6en€rol Plon updote Fee <br />CCI: rrrrlrrrrrrr 182i <br />5160000G-I <br />5r60{000- <br />rd <br />t20.56 <br />rscs.l+ <br />2- <br />ao <br />(o <br />Planning Conditions: <br />Commerclal <br />Tenant lmprovement <br />TURoof Mtd Equipt <br />B <br />VB <br />cMc 2013 <br />tl, <br />Auth+:7772 <br />?57.0293 INotes <br />Planning Approva <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Date: <br />Date: 12J2112O16 <br />Date: 0512112017 <br />Account# <br />Misc. Receipt: 68933 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />I Bv: <br />Amsd <br />, Glen <br />en, Julie <br />Buirdins Permit f: 10191572 <br />Ewry pe,?mit issued shall becanl€ invalid unless tho work on the sitt <br />authotized by such pemit is c!.mnenc8d within 1 80 days afiet its <br />issuance, ot il the wo* authoized on the site by such permit is suspondod <br />or abandoned lor a pedod o/,180 days aftet the time the work is <br />cornmenced. <br />01 1 16002 51600 $814.21 <br />$400.51 <br />$413.70 <br />$20.56 <br />$393.14 <br />lnspector MID#: 2016-132676 <br />01 I 16002 51604 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Suite Range: <br />Zoning: SO/+0 <br />Phone: <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />Occupancy; <br />Constr Type: <br />Code:
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