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City of Santa Ana 20 Civic C ente r Plaz a (M-1 9), Sc:' .. !;.i A n a , C A 92702 Building Permit#: 10190394 <br />P e rmit Counter: (7 14) 6 4 7-5800 In spec tio n R e 9 u e sis.-!7 14) 667-2738 ln:,.;;.;ctor S e ct ion: (714) 6 4 7-5 8 5 3 Pin#: 64374 <br />Project Address: 126 E Dyer Rd Unit: C Bld g: Addr ess Range: 126-132 Su ite Ra nge: <br />411-011-16 Lot: PORS 3, 4 , 5 Block : NA Tra ct: SO SANTA ANA PL <br />Buildin g U se: <br />J o b T y pe: <br />N ature o f W ork: <br />Commercial <br />Tenant Improvement <br />Tl/Storage Rack <br />O ccupa n cy: B <br />Constr T y pe: VB <br />Cod e : CBC 2013 <br />E x is ting Bldg. & Us e : Commercial <br />Propo se d U se : <br />Fl ood Zon e: X-0602320278J <br /># o f St o ri es: <br />Description of Work: New s uspended ceiling <br />Planning Conditions: <br />Owner : Teresa Le <br />Address: 4641 Oceanknoll Dr. <br />Huntington Beach, CA 92649 <br />Phone: (71 4 ) 656-5702 <br />Tenant: Repro Express <br />Pla nni ng Ap proval By : Guevara, Jerry <br />Pl a n Checked By: g ~arji , Zac <br />Permit Iss ued By: Am sden, Julie <br />NP DES lnsp . Req'd : No <br />Co ntractor: Owner-Builder <br />Ad dress: <br />Ph on e: <br />St at e Lie #: <br />Li e Type: <br />Bus. Li e #: <br />Worke rs' Co mpe n sa tion Insura nce: <br />Carrier: <br />Po li cy #: <br />Expires: <br />Da te: 08/16/2016 <br />Da te: 12/21/2016 <br />Dat e: 12/21 /20 16 <br />Subj ect to Field: <br />Mi sc. Receipt: <br />Mi sc. Receipt: <br />Mi sc. Receipt: <br />PWA lnsp. Req'd : No Fire lnsp. Req'd : No <br />Planning lnsp . Req'd : No Poli ce ln sp. Req'd : No Account# <br />Landscaping ln sp. Req'd: No Flood Zone Cert . Req'd : No <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 180 days a fter its issuance,or if the work authorized <br />on the site by such permit is suspended or abandoned for a period of180 days after <br />the time the work is commenced. <br />011 16002 5 1600 <br />0 111 6002 5 1601 <br />0 111 6002 51612 <br />0111 6002 57770 <br />Inspector MID#: 2016-13 1258 <br />Engin eer: <br />A ddress: <br />Pho ne: <br />Lice nse #: <br />Architect / <br />Des iq ner: <br />Ad dress: <br />Ph o ne: <br />Li ce nse #: <br />68411 <br />T o ta l <br />$20 .56 <br />$28 1.26 <br />$1.00 <br />$63.00 <br />Hi storic: No Zoning : M1 <br />1st FL A rea: P atio : <br />2 nd FL A rea: Tl.A r e a: <br />Othe r A reas: Yards Req 'd: <br />Gara g e A r ea: Valuation: <br />T o ta l: 0 <br />8at.:ht:3 o7~::; · l 2/'..::1."20L <br />Of f1c2: C7Yi. -r~ns~: _: <br />1000 <br />O@O <br />$10 ,000.00 <br />Ac ct.-v.. 1,er Y 1 u _ .· .. ~- <br />Rc Pt~:01693t36 ~21211·: 16 ·JQ:l <br />Tr ansact:o~ Total $365.3: <br />Ter 2sa : .. J:! <br />General Pl~(,: LPdc~te Fee <br />01 1160((" · '.::10000 ,)0- <br />P,u i ld ins <br />01 116002· ~:601)0(- <br />Bl ds 3~~s :e~□!, ng <br />01 116002-~]612000- <br />lii crof:iltit i.s )o::..ments. <br />01 11600: :/770 000- <br />\J i SC\ <br />01116002 51601 Perm it Fee <br />01116002 5360 0 Pla n Check Fee <br />01116002 57770 Microfilm Records <br />01116002 5161 2 Bldg . St ds. Revo lvi ng <br />01116002 51600 Ge neral Plan Upda te <br />011 1 6002 51601 Iss uance <br />Fee Tota l: <br />Paid to Dat e: <br />Balance Due: <br />$230.00 <br />$330.0 0 <br />$63.00 <br />$1.0 0 <br />$2 0.56 <br />$51 .2 6 <br />$6 95.8 2 <br />$330.0 0 <br />$365.82