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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building <br />PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 <br />Permit #: { O{ 9599{ <br />Pin #: 40223 <br />sr <br />Project Address: 1817 3/4 W Twenty-First St <br />Assessor'sParcel: 001-091-13 Lot: 192 Block: NA <br />unit, WCC01 Brds <br />ftact1724 <br />Address Rangel <br />Histonc: No <br />Commercial <br />Miscellaneous <br />Antennas <br />Cell Site <br />U <br />N/A <br />cBc 2016 <br />x-o602320144J <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: $20,OOO.O0 <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: Remove and install antennas and ejglElgsbitrete_ <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />City of Santa Ana <br />20 Civic Ctr Plz <br />Santa Ana, CA 92701 <br />Contractor: C lK Power Oistributors LL( <br />Address: 240 West Grove Av(.nue <br />Orange, CA 92865 <br />Phone: (714) 938-0297 <br />State Lic #: 969729 <br />Lic Type: B <br />Bus. Lic #: 351347 <br />Workers' Compensation lnsurance: <br />Carrier: HartfordlnsuranceCompany <br />Policy #: 72WEQI05'18 <br />Expires: 10112120'18 <br />Engineer: <br />Address <br />Tower Engineering <br />Adam Amortnont <br />325 Tryon Road <br />RALEIGH, NC ?7603 <br />(919) 661-6351 <br />8't495 <br />i1,11?LrLr-r-I Dor::ulten <br />;1'/'1{tft{[ t- <br />Architect i <br />Desiqner: <br />Address: <br />Phone: <br />License # <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 />Guevara, Jerry <br />---r Chehade, Nabil <br />Zuniga, Allissa <br />Date: 03/2912018 <br />Date: 05/09/2018 <br />Date; 05/1412018 <br />Subject to Field: <br />Misc Receipt <br />Misc. Receipt <br />Misc Receipt <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />0 777600 2 <br />07776002 <br />077760 0 2 <br />08907007 <br />077760 0 2 <br />077760 0 2 <br />077760 0 2 <br />5160 7 <br />53600 <br />57770 <br />24000 <br />s 7612 <br />5 7600 <br />5 7607 <br />$617.04 <br />$427 .72 <br />$36.20 <br />$5.60 <br />$1.00 <br />$21.25 <br />$52.98 <br />Permit Fee <br />Plan Check Fee <br />MicroJllm Records <br />SlrIlP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Flood Zone Cert. Req'dr No <br />Every pemit issued shall become invalid unless lhe work on the slle authorized by <br />such permit is comfienced within 180 days after its issuance,ot if the work aulhoized <br />oh the sile by such permit is suspended or abandoned for a peiod of180 days aftet <br />the time the wo* is commenced. <br />01 '1 '16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 't6002 <br />0890100'1 <br />51600 <br />51601 <br />51612 <br />57770 <br />24000 <br />$1 ,161 .79 <br />$427 .72 <br />s734.07 <br />lnspector MID#: 20'lB-142360 <br />$z',t.25 <br />$670.02 <br />$1.00 <br />$36.20 <br />$5.60 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Suite Range; <br />Zoning: O <br />Building Use: <br />Job Typel <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />1st FL Area <br />2nd FL Area <br />Other Area$ ,, i , , <br />carage FVea <br />Total q: <br />,crl rif0l l lnr <br />) lstr lbL,t(] <br />llodnt ': Fr, <br />all 1 IAi <br />lliII I <br />70770