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101100239 - Permit
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101100239 - Permit
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Last modified
6/2/2021 2:43:11 PM
Creation date
6/2/2021 2:43:10 PM
Metadata
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Permit
Permit Number
101100239
Full Address
1717 N Old Tustin Ave Unit# A
Permit ID
254239
Master ID Number
2018-145363
Project Name
Orange Coast Dental TI
Street Number
001717
Street Direction
N
Street Name
Old Tustin
Street Suffix
Ave
Unit Number
A
Building Use Code
Office
Job Types
Tenant Improvement
Permit Type
Building
Applied Date
11/13/2018
Issued Date
5/28/2019
Finalized Date
9/1/2020
Flood Zone
X-0602320164J
Description of Work
Change of Contractor/Fees transferred/Letter on file. Interior remodel includes new restrooms, reception counter, interior demo and new partitions
Nature of Work
TI-CHANGE OF CONTRACTOR
Document Relationships
101100239 - Plan
(Plan)
Path:
\Building\Plans\O\Old Tustin Ave\1717 N Old Tustin Ave Unit# A
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ifi)City nf Santa Ana 20 Cr.ic Center Plaza (M-19), Santa Ana, CAI27O2 Building <br />Permit Counter (714) 04i-5800 lnspectron Requests 1714) 667-2738 lnspector Section: (714)647-5853 <br />Project Address: 1717 N Old Tustin Ave Unt A 8tdg. Address Range <br />Tracl: A.B. Chapman <br />s <br />Permit#: lOllOO239 <br />Pin #: 30365 <br />Assessor's Parcel 395-311-04 Lol NA Block B <br />Suite Range: <br />Zoning: C'l <br />Phone <br />Tenant <br />Maryam Nazeri <br />1717 Old Tustin Ave <br />Santa Ana, CA 92705 <br />(949) 300-3841 <br />Orange Coast Dental <br />Contractor. Pacafic Landmark Creation I <br />Address: 258 Via Matador <br />Mission Viero, CA 92691 <br />Phone (714) 981-0003 <br />State Lic #: 1028746 <br />Lic Type: C-6 <br />Bus. Lic #: 372939 <br />Workers' Compensataon lnsurance: <br />Carrier: exempt <br />Policy f <br />Expires: <br />Engineer <br />Address <br />Phone <br />License #. <br />Architect / <br />Desiqner: <br />Address: <br />Phone <br />License # <br />Oldham Architects <br />Ryan Oldham <br />550 S Brea Blvd <br />Brea, CA 92821 <br />(714) 482-8296 <br />c-29715 <br />Planr J Approval By: <br />Plan ecked By <br />Permit lssued By. <br />NPDES lnsp. Req'd <br />PWA lnsp. Req'd. <br />Plannrng lnsp. Req'd. <br />Landscaping lnsp. Req'd <br />Pezeshkpolr, Ali Date: 08r1,u2018 Misc Receipt <br />-Scott Fazekas & Assoc. Dale. 1111312018 Misc. Receipt <br />\ Brodowski, Teri Date: 05/28/2019 Misc. Receipt <br />Subject to Faeld: <br />Fire lnsp. Req'd: No <br />Porice rnsp Req'd No 19"9',IL , <br />Flood Zone Cert. Req'd: No 01116002Si601 <br />077760o2 51601 Change Owner/Contr <br />07776002 s7672 Bldg. Stds. Revolving <br />07776002 57600 Gene.al Plan Update <br />$66.1 1 <br />$0 00 <br />$0.00 <br />No <br />No <br />No <br />No <br />Total <br />$66 11 <br />Every pemit issuod shall becomo tnvahd unless the work on lhe site authon2ed by <br />such pertn $ cofifienced wlthn 360 clays after its issuance.ot I lhe wotl< aulhonzed <br />on the site by such pemit ts suspencled ot abandoned fot a penod of360 days aftet <br />lha ttme the wotk ts commenced <br />lnspector t",1rD# 2018-145363 <br />Fee Total. <br />Paid to Date: <br />Balance Due <br />$66 11 <br />$0.00 <br />i66.11 <br />Histonc No <br />Buildrng Use: Commercial Occupancy B 1st FL Area: Patio: <br />Job Type: Tonant lmprovsment Constr Typer V B 2nd FL Area: T.l.Area: Z24O <br />Nature of work T|-CHANGE oF coNTRAcroR Code cBc 2016 other Areas: yards Req'd: <br />Existing Bldg' & Use: commercial Flood zone: x-0602320164J Garage Area: varuation: ,go,oo0.oo <br />Proposed Use: Chiropractic Office # of Storiesr <br />Total: <br />Doscription of Work: Chang6 of Contractor/Fsgs transferred/Lstter on file. lnterior remodel includes nsw restrooms, reception countor, interior demo and <br />new partitions <br />Planning Conditions: <br />Owi'cr: <br />Address. <br />\(
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