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city of Sahta Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 r$Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #:1lJ178,27ll <br />Pin #: { 3769 <br />Proiect Addressi 2121N Grand Ave <br />Assessor's Parcel: 396-201-04 Lot: SEE COMMENTSBIocK: A <br />Bldg: Address Range: <br />Tract: S.A. GRAND AV <br />Unit: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Other <br />Miscellaneous <br />Light standards <br />CHURCH <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />N/A <br />N/A <br />cBc 2010 <br />x-0602320163J <br />1st FL Area: 0 <br />2nd FL Area: 0 <br />Other Areas: 0 <br />Garage Area: <br />Total: 0 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />0@0 <br />$16,604.00 <br />Description of Work: Reptace (2) light standards with (7) new 22' high tight standards <br />Planning Conditions <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Santa Ana United Methodist Churc Contractor: Owner-Builder <br />2121 N Grand Avenue Address: <br />Santa Ana, CA 92705 <br />(7141 542-2219 Phone: <br />santa Ana United Methodist churc State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation I nsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Engineer: <br />Address: <br />Phone: <br />License # <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />(760) 625-7459 <br />c 8343 <br />Dorr <br />Dorr <br />James C <br />James C <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: \ <br />PWA lnsp. Re(d: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Soboleske, Hally <br />Vo, Tung <br />Julie <br />Dale: 0712212013 <br />Date'. 0712212013 <br />Dale: O7l22l2o'13 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />60326 <br />Total <br />01776002 <br />07776002 <br />08907007 <br />07776002 <br />07776002 <br />07776002 <br />57607 <br />53600 <br />24000 <br />57672 <br />57600 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$138.22 <br />$191.62 <br />$3.49 <br />$1.00 <br />$19.04 <br />$47.48 <br />$400.85 <br />$186.58 <br />$214.27 <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />Flood Zone Cert. Req'd 01 1 1 6002 51 600 <br />01116002 51601 <br />01116002 51612 <br />01 1 16002 53600 <br />08901001 24000 <br />No <br />No <br />No <br />Account#No <br />No <br />Every permit issued shall become invalid unless the wofu on the site <br />authoized by such permit is commenced within 180 days after its <br />issuance, or if the wofu authoized on the site by such permit is <br />suspended or abandoned for a period of 180 days after the time the <br />work is commenced. <br />lnspector MID#: 2013-107006 <br />$19.04 <br />$185.70 <br />$1.00 <br />$s.04 <br />$3.49 <br />@