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Project Address: 1302 3/4 S Lyon St <br />Assessoas Parcel 014-162-01 Lot: NA <br />unit, WCC01 Brds <br />Tract; NA <br />Address Range Suite Range: <br />Zoning: Ml <br />\e- <br />Block NA Histonc: 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 #: 1IJ191411 <br />Pin #: 27821 <br />Building Use: <br />Job Typel <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Other <br />Alteration <br />Antennas <br />Cell Site <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />U <br />VB <br />cBc 2013 <br />x-0602320276J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patioi <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />0 <br />Osscription of Work: Add antennas to (e) cell site <br />Planning conditions: <br />$20,000.00 <br />tr(ltchi:38291 - 1/Ls/20t7 I0! Lfi0SAt.Es <br />Owner: <br />Address <br />Phone. <br />Tenant: <br />Southern California Edison <br />4900 Rivergrade #8120 <br />Baldwin Park, CA 91706 <br />(714) 973-5701 <br />Contractor: SuresiteConsultingGroup <br />Address: 3659 creen Road, #214 <br />BEACHWOOD, OH 44122 <br />Phone: (62615214247 <br />State Lic #: '1008263 <br />Lic Type: B, C-7, A <br />Bus. Lic #: 36,1828 <br />Workers' Compensation lnsurance: <br />Carrier: Nat'l Fire lnsur <br />Policy #: 6024567129 <br />Expires: 0610112017 <br />ul I tce: g I Ill lrons?. Jf, I ol rAccti: Ref+r 1019141I <br />Rcp[i:01821881 - 1/19/2u11 lt13 Pn <br />lr(rnsqct ion Totol tbl1.12Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Sirn egite Consult in9 Group <br />Phone; <br />License S: <br />6roerol Plon Updsle Fee <br />r.rt I16002- 5160008tr- <br />Bu i ld int <br />01116002- 5160100U- <br />Blds Stds ftevolv ins <br />rr1I16002- 5161200U- <br />SIII P <br />r.rgtr rlll0l- 2{000(r0tr- <br />t20, t16 <br />t6{8.26 <br />.rl0 <br />t5.6rl <br />Planning Approval Byl <br />Plan Checked By; <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />Orozco, lvan <br />Heidari. Fred <br />Hernandez, Kathy\t <br />Oale: 1111712016 tulisc. Receipt <br />Oate O2lO7l2O17 Misc. Receipt <br />Oate: 0411812017 lllisc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />o77z6odz 5td6r)lr€fi*tFbb6:,2 ALrth+ : 6A50150 <br />07776002 s3500 Plan Check Fee $413.82 <br />08907007 2{000 SMIP - Category 2 $5.60 <br />07776002 57672 Bldg. Stds. Revolving $1.00 <br />01776002 57600 Genetal Plan Update $20.56 <br />07776002 51501 lssuance $51.26 <br />68864 <br />Total <br />No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd; No <br />Every permit issued shall become invalid unless tho wo* on lhe site authonzed by <br />such peftnit is commenced within 180 days aftet its issuance,ot il the wod authotized <br />on tho sita by such peinit is suspended ot abandohed fot a peiod of180 days aftet <br />lhe time the work is commenced <br />lnspector MtD# 2016-132731 <br />01116002 51600 <br />01 1 16002 51601 <br />01 1 16002 516'12 <br />08901001 24000 <br />$20.56 <br />$648.26 <br />$1.00 <br />$s.60 Fee Totall <br />Paid to Date. <br />Balance Due: <br />$'r,089.24 <br />$41 3.82 <br />s675.42 <br />Engineer