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q <br />Project Address: 409 E Fourth St <br />Assessor's Parcel 398-325-01 Lot: 1-10 <br />Unrt Bldg: Address Range <br />Tract: FRUIT ADD TO SA <br />Suite Range: <br />Zoning: SD84Block: 4 Historic No <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (7'14\ 667-2738 lnspector Section: (714)647-5853 <br />Permit #: 1O189052 <br />Pin #: 42093 <br />Buildang Use: Commsrcial Occupancy: M 1st FL Area: 250 <br />Job Type: Addition Constr Type: V B, SPK 2nd FL Area: <br />Nature of Work: Addition Code: CBC 2013 Other Areas: <br />Existing Bldg. & Use: Commercial,Reteil Flood Zone: X-0602320276J carage Area: <br />Proposed Use: # of Stories: Totat: ZSO <br />Description of Work: Legalize 250 sf. of enclosure to create break room-add roof and flooring, roplace aluminum windows. <br />loading docUsausd t8684 <br />Planning Conditions: <br />Pataol <br />T.l.Area: <br />Yards Req'd; <br />Valuation: $65,000.00 <br />New roof cover for existing <br />Owner: <br />Address <br />Phone. <br />Tenant: <br />Northgate Markets <br />1201 N Magnolia Ave <br />Anaheim, CA 92801 <br />(7141687-7230 <br />Contractor: AJ Padellord & Son lnc <br />Address: POBox 185 <br />Artesia, CA 90702 <br />Phone: (552) 924.3354 <br />State Lic #: 222U0 <br />Lic Type: B <br />Bus. Lic #: 365121 <br />Workers' Compensation lnsurance: <br />Carrier: Hartford lnsurance <br />Policy #: 72WEAlO5,r.r9 <br />Expiresr 0212812018 <br />Engineer <br />Address. <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />JKL Associates <br />Joseph Kristian Leonard <br />106 W. Lime Ave. Ste 2068 <br />Monrovia, CA 91016 <br />(626) 357-5225 <br />s 2969 <br />Artigiana Commercial Design <br />Nayib Chaibun <br />646 Wyclltt <br />lrvine, CA 92602 <br />(714) 396-1213Phone: <br />License # <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Guevara, Jerry <br />Maza4i, Zac <br />Link, Patricia <br />No <br />Oale. 1012512016 <br />Date: l0/2012016 <br />Date: 04/05/2017 <br />Subject to Field: <br />07776002 <br />0 77760 0 2 <br />o 711600 2 <br />07776002 <br />07776002 <br />07776002 <br />57607 <br />si600 <br />s7770 <br />s 7672 <br />5760 0 <br />5760 7 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Misc Receipt <br />Misc Receipt <br />Misc. Receipt <br />67645 <br />Total <br />$200.00 <br />$200.00 <br />$3.50 <br />$3.00 <br />$20.56 <br />$51 .26Fire lnsp. Req'd: <br />Police lnsp. Req'd il: Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Evory pefinit issued shallbecoma tnvalicl unlessthe wo* on the sle aulhonzed by <br />such pemil is commehced within 180 days alter its issuance,ot if the wotu authonzed <br />on lhe site by such permit is suspencled or abandoned fot a peiod of1E0 days after <br />lhe tine the woi< is comrnoncod . <br />lnspector MtD# 2016-128347 <br />$20.56 <br />$251 .26 <br />$3.00 <br />$3.50 Fee Totali <br />Paid to Date. <br />Balance Due <br />$478 32 <br />$200 00 <br />$278.32 <br />01 1 16002 51600 <br />011 16002 51601 <br />o'1116002 51612 <br />01116002 57770