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City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O4tO3O93 <br />Pin #: 854sii <br />Assessor's Parcel:410-381-03 Lot: NA <br />Bldg: Address Range:Suite Range: <br />Zoning: M1Block: NA <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Exasting Bldg. & Use <br />Proposed Use: <br />lndustrial <br />Tenant lmprovement <br />N/V - Bathroom <br />lndustrial <br />B <br />VB <br />cBc 2019 <br />x-0602320278J <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: $1,500.00 <br />Description of Work: Remove unpermitted bathroom facility and restore back to point of origin <br />Planning Conditions: <br />Engineer <br />Address. <br />6FtiE r rfltIHG <br />Owner: <br />Address <br />Phone: <br />Tenanl: <br />GENE L FELLING <br />2220 S LOARA ST <br />Anaheim, CA 928023914 <br />(7',t4177s-7735 <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Gener0l ['l cn Uptlote F <br />nl 116002- 5l6110rlrl[- <br />P,u i 1d ing <br />ul116r-102- 51601000- <br />Blds Stds Revolv in e <br />01 116r:ltr2- 516t2r10r1- <br />llicrof ilr & Doculents <br />0t t t,4ll0?- 5777ttDttD- <br />V i!.o <br />CC+ : Ix*r*rr*r r*x961'9 <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address; <br />Phone: <br />License #: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Graham, Jeffery <br />Chavez, Da <br />Dale. 02/l'112020 <br />Dale: <br />Dale 0211112020 <br />Subject to Field: <br />Nrisc. Receipt <br />l\ilisc. Receipt <br />NIisc. Receipt <br />No <br />No <br />No <br />No <br />*oo' <br />0 77760 0 2 <br />07776002 <br />0 77 7600 2 <br />0 77760 0 2 <br />07776002 <br />0 77 7600 2 <br />0 77760 0 2 <br />5760 7 <br />57770 <br />5760 7 <br />5760 7 <br />57672 <br />s7600 <br />5760 7 <br />$166.53 <br />$3.91 <br />$100.57 <br />$252.69 <br />$1.00 <br />$22.95 <br />$s7 .20 <br />No <br />No Account# <br />Permit Fee <br />Microfilm Records <br />lnvestigation <br />Penalty <br />Bldg Stds. Revolving <br />General Plan Update <br />lssuance <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cerl. Req'd: No <br />Every permit issued shall become invalid unless the work on lhe site aulhonzed by <br />such parmit iscommenced withtn 360 days aftet its issuance.or il the wofu authorized <br />on the sile by such pemit is suspended ot abandoned fot a period of 360 daysafter <br />the time the work is commenced <br />$604 85 <br />$0.00 <br />$604.85 <br />MID#: 2020-157688 <br />01 1 16002 51600 <br />011't6002 51601 <br />01 1 16002 51612 <br />01116002 57770 <br />$22.95 <br />$576.99 <br />$1.00 <br />$3.91 <br />Project Address: 2434 S Broadwav Unit: <br />Tract: NA Historicr No <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Bstchi:54335 - 2/ll/2t1?0 l0r qnorol <br />office: CTYI'I Trftns+! 121 1 ol <br />A,:ctf : Rel+: 10(1r:liiL'l?J <br />firl,t+: (t?89?tr,l7 - 2/ll/?ttz(t l?357 Pll <br />Tronsoct ion Totql l97t:t. {g <br />Contraclor: <br />Address: <br />iii76, 99 <br />t1 , t[r <br />19?0. ig <br />AuLhi i|li].i7 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Total <br />lnspector