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Proiect Address:1622 3/4 N Main Sta <br />- <br />Assessor's Parcel: 005-153-20 Lot: NA Block: NA <br />untt:WCC02 stos <br />Tract: NA <br />Address Range:Suite Range: <br />Zoning: SP3Historic: No <br />.j I <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853 <br />Building Permit #10196863 <br />Pin #: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Commercial <br />Miscellaneous <br />Cell Site <br />Occupancy: <br />Constr Type: <br />Code. <br />Flood Zone: <br /># of Stories: <br />U <br />N/A <br />cBc 2016 <br />x-0602320163J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas. <br />Garage Area: <br />Total: <br />Patio: <br />T.l.Area. <br />Yards Req'd <br />Valuation:$120,000.00 <br />0 <br />Description of Work: Modifications to (e) cell site-add (2)cabinets, (16) antennas, (16) RRUs <br />Planning Conditions: Screening required <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Santa Ana Arts Collective LP <br />1640 S Sepulveda Blvd 11425 <br />Los Angeles, CA 90025 <br />(310) 575-3s43 <br />Contractor: R L Clotworthy Constructiot <br />Address: 26079 Jefferson Avenue <br />Murrieta, CA 92562 <br />Phone: (951) 693-5130 <br />State Lic #: 803626 <br />Lic Type: B <br />Bus. Lic #: 197398 <br />Workers' Compensation lnsurance: <br />Carrier: Old Republic Genera lnsurance Cc <br />Policy #: A1WC1144170'| <br />Expires: 1010112019 <br />Peyton-Tomita & Associates <br />Mark Tomita <br />28562 Oso Parkway D-407 <br />Rancho Santa Margarita, CA 92688 <br />(e4s) 842-6000 <br />s-3304 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />{'lt:ln <br />llr. <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />No <br />No Account# <br />Pezeshkpour, Ali <br />So, Anson <br />Chavez, Dave <br />47a" <br />Date:06/26/2018 <br />Date:07/09/2018 <br />Date:01/02/2019 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Ivlisc. Receipt: <br />07776002 <br />07776002 <br />07776002 <br />08907007 <br />07776002 <br />07776002 <br />07776002 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />71175 <br />Total <br />57607 <br />si600 <br />57770 <br />24000 <br />57672 <br />57600 <br />57607 <br />$641.00 <br />$88e.64 <br />$90.24 <br />$33.60 <br />$5.00 <br />$22.O8 <br />$55.04 <br />Flood Zone Cert. Req'd: No 01 ,116002 51600 <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 1 80 days after its issuance,or if the work authorized <br />on the site by such permit rs suspended o r abandoned for a period of 180 days after <br />the time the wo* is commenced. <br />lnspector t\IlD#: 2015-124429 <br />01 '1 16002 51601 <br />01 1 't 6002 516'1 2 <br />01 1 16002 53600 <br />01116002 57770 <br />08901001 24000 <br />$22.08 <br />$696.04 <br />$5.00 <br />$33.20 <br />$90.24 <br />$33.60 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$1,735.60 <br />$855.44 <br />$880.16