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Assessor's Parcel 400-011-03 Lot: 3 Block: NA <br />unit: 120 Brds <br />Tract: 6313 <br />Address Range Suite Range: <br />Zoning: C5Historic: No <br />city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 10396696 <br />Pin #: 87999 $ <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Tenant lmprovement <br />TI <br />Commercial office bldg <br />Orthodontic/Dental Officc <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />B <br />VB <br />cBc 2016 <br />x-0602320164J <br />Patio: <br />T.l.Area <br />Yards Req'd <br />Valuation: <br />1934 <br />0@0 <br />$69,430.00 <br />Description of Work: Legalize unpermitted work - new partition walls to create dental rooms, xray, office;(2) new restrooms; new e xterior door; demo <br />patio cover <br />Planning Conditions: <br />Contraclor: V C D & SONS INC <br />Address: 526 S Ross Street <br />Santa Ana, CA 92701 <br />Phone: (714) 801-7604 <br />State Lic #: 596135 <br />Lic Type: B <br />Bus. Lic #: 3842 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 1877843 <br />Expires: 11l0'll20'19 <br />Engineer <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Eir <br />rl <br />EI <br />Mitchell Design <br />Frank Mitchell <br />P.O. Box 29131 <br />Santa Ana, CA 92799 <br />1714l.760-2397 <br />Planning Approval By: <br />Plan Checked By: <br />Permat lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Pezeshkpour, Ali <br />So, Anson <br />Zuniga, Allissa <br />Date: 09/18/2018 <br />Date: 11/06/2018 <br />Date:1111912018 <br />Subject to Field. <br />[iisc. Receipt <br />Misc. Receipt <br />[/]isc. Receipt <br />077760 0 2 <br />0777600 2 <br />0777600 2 <br />0777600 2 <br />0771600 2 <br />0717600 2 <br />57607 <br />53 600 <br />57770 <br />57672 <br />57600 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />l\4icrofilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />N <br />71098 <br />Total <br />$483.50 <br />$676.90 <br />$18.80 <br />$3.00 <br />$22.08 <br />$ss.04 <br />$1.259.32 <br />$657.56 <br />$601.76 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Noyes Account# <br />Flood Zone Cert. Req'd: No <br />Every permit issued shall becorne invalid unlessthe wo* on the sito authoized by <br />such pennit is commencod within 180 days aftet its issuance,ot if the wo* authoized <br />on the site by such permit is susponded ot abandoned for a peiod of180 days after <br />the time lhe wotu iscommenced <br />lnspector MID#: 2018-143892 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 116002 <br />01 1 16002 <br />51600 <br />s't601 <br />51612 <br />53600 <br />57770 <br />$22.08 <br />$538.54 <br />$3.00 <br />$19.34 <br />$18.80 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Project Address: 1920 E Seventeenth St <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area: <br />Totat 0 <br />lri <br />Owne. Alex G Gladkov Dental Corp <br />Address: 5818 S La Cienega Blvd #203 <br />lnglewood, CA 90302 <br />Phone: <br />Tenant Orthodontic Center of Orange Cou <br />flt.€ Fee <br />nlfr* <br />{-ll-ll.r- <br />I it13 <br />llritl- <br />i_lllrJr_r - <br />: U,le rr I <br />ur:tUr.r'-