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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests (7'l4l667-2738 lnspector Sectionr (714) 647-5853 <br />Permit #: {O <br />Pin #: <br />ftooou, <br />75063 <br />Project Address: 200 W Santa Ana Blvd <br />Assessor's Parcel.398-253-06 Lot l -'10 <br />unit: 100 Bldg Address Range <br />Tract: TOWN OF SANTA ANABlock 20 Hrsloncr No <br />Suite Range: <br />Zoning: SD84 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />3600 <br />$'180,000.00 <br />Planning Conditions: <br />Owner <br />Address <br />Phone. <br />Tenant: <br />Ocean West <br />200 W Santa Ana Blvd, #200 <br />Santa Ana, CA 92701 <br />(7141245-9455 <br />Orange County Healthcare Agency <br />Contraclor: CoastlineDevelopment <br />Address 13911 Enterprise Dr <br />Garden Grove, CA 92843 <br />Phone (71lr) 265-0250 <br />State Lic #: 485187 <br />Lic Type. B <br />Bus. Lic # 1510,f4 <br />Workers' Compensation lnsurance <br />Carrier: Benchmark <br />Polcy # CST5014784 <br />Expires. 01lO1l2O2O <br />Engrneer <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 />Heidari, Fred <br />Verduzco, Violet <br />Pezeshkpour, Ala Date 06/10/20'19 <br />Date 06/06/2019 <br />Dale 06/10/2019 <br />Subject to Field <br />No <br />0 77 76002 <br />0 7776002 <br />0 77 76002 <br />07775002 <br />0777600 2 <br />017 7 600 2 <br />57607 <br />5 3600 <br />57770 <br />57572 <br />57600 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bidg Stds. Revolving <br />General Plan Updale <br />lssuance <br />$900.00 <br />$1.260.00 <br />$37.60 <br />$8.00 <br />$22.08 <br />$55.04 <br />$2.282.72 <br />$1.260 00 <br />s1,022.72 <br />J <br />Total <br />No <br />No <br />No <br />No <br />Fire lnsp Req'd: <br />Police lnsp. Req'd No Account# <br />Flood Zone Cert. Req'd No <br />Every permtt issued shall becofie nvahcl unless lhe worr< on lhe s,le authortzed by <br />such pefin 6 commenced wilhn 360 days alter ls $suance ot t the work authon2ed <br />on the sle by such pem is suspended ot abandoned lo, a penod of36o days after <br />the time the wo* ts commenced <br />MID#: 20'19-151382 <br />01 1 16002 51600 <br />01116002 51601 <br />01 1 16002 51612 <br />011'16002 57770 <br />$22.08 <br />$955 04 <br />$8 00 <br />$37 60 Fee Total. <br />Pard lo Date <br />Balance Oue: <br />Building Use: High-Rise Commercial Occupancy: B 1st FL Area: <br />Job Type: Tenant lmprovsment Constr Type: lA, SPK 2nd FL Area: <br />Nature of Work: Tl code CBC 2016 other Areas: <br />Existing Bldg. & Use: Comm/Offices Flood Zone: X-0602320276J carage Area: <br />Proposed Use. # of Storaes: <br />Total <br />Description of Work: lnterior ti - demo/now partition walls & ceilings to croate storage rooms & (2) brsak rooms. <br />Architect / <br />Desiqnerl <br />Address: <br />Frasier McClellan & Associates <br />8302 Madison Avenue <br />Midway City, CA 92555 <br />(714) 897-3382 <br />J <br />Misc Recerpl: <br />Misc Receipt: <br />Misc Recerpt: <br />72569 <br />lnspector