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CitY of Santa Ana 2o Civic cen <br />Permit Counter: (714) 647-5800 lnspecti <br />Project Address: <br />Assessor's Parcel:198-011-05 <br />Other <br />Miscellaneous <br />Antennas <br />Cell Site <br />Planning Conditions: <br />OMD LODGING INC <br />1108 3r4 N Harbor Blvd Unit# <br />m693, cA 927031607 <br />J <br />Phone: <br />Tenant <br />Phone: <br />Slate Lic #l <br />Lic Type: <br />Bus. Lic #: <br />Workers'Com <br />Carrier: <br />Policy #: <br />Expires: <br />9 <br />B <br />P <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 />Kelaher, Selena <br />Le, Tung <br />Zuniga, Allissa <br />Dat€ <br />Dats: <br />Date: <br />SubjeNo <br />No <br />No <br />No <br />Fire lnsp. Req'dl <br />Police lnsp. Req'd: <br />Flood Zone Cert. Req'd <br />Every peintt issugd shall become nvahd unless the work on lhe sile authorized <br />such pemit B commanced wthn i60 dsys aftet its issuanc'.or if lhe wo a <br />on the site by such pemit ts suspended or abandoned lot a peflod ot360 days <br />the tlme lhe wotk ts comfienced. <br />lnspector MID#: 2020-160586 <br />Plaza (M-19), Santa Ana, CAb27O2 Building <br />I <br />Requests t714) 667-2738 trlspector Section. (714) 647-5853 <br />unir WCC02 Brds <br />Block NA Tract: NA <br />N/A <br />N/A <br />cBc 2019 <br />A-0602320143J <br />Address Range: 1102-l108 <br />Historic: No <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat 0 <br />Suite Range. <br />Zoning: SP2 <br />Patio <br />T.l.Area: <br />Yards Req'd <br />Valuation:s20,000.00 <br />Rus <br />ess Cellular lnc dba Pr( <br />20 W Harvard St <br />ta Ana, CA 92704 <br />4) 617-9921 <br />819 <br />c-10, c-20 <br />65 <br />tion lnsurance <br />ress lnsurance Co <br />c127440 <br />7 t2021 <br />Account# <br />Engineer <br />Address. <br />Total <br />$690.56 <br />$478.68 <br />$44.55 <br />$2 60 <br />$1.00 <br />$23.79 <br />$59 30 <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />11o3t2020 <br />21o1t2020 <br />510d,t2021 <br />to Field: <br />0777600 2 <br />0777600 2 <br />07775002 <br />08907007 <br />0777600 2 <br />01716002 <br />0777600 2 <br />57607 <br />5i 600 <br />57770 <br />24000 <br />576 72 <br />57600 <br />51601 <br />o <br />o <br />o 01 116002 <br />0'1 116002 <br />01 116002 <br />0'1 116002 <br />08901001 <br />$ 1,300 48 <br />$478.68 <br />$821.80 <br />51600 <br />51601 <br />51612 <br />577 70 <br />24000 <br />923.79 <br />$749.86 <br />$1 .00 <br />$44.55 <br />$2 60 <br />Fee Tolal <br />Paid to Date: <br />Balance Oue <br />Lot NA <br />Permit #: 101105124 <br />Pin #: 52954 <br />Bualding Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Storiesl <br />Description of Work: Remove and replace antennas and gotch+:59r-r14 - <br />0fl tce: (:1YH <br />R.pta: t32g18ttI <br />Geo Slructural <br />Donald William George <br />P.O Box 2621 <br />Boise, lO 83701 <br />(530) s394787 <br />c62222 <br />1 ol <br />.tv.lJ6 <br />Owner: <br />Address: <br />Contractor: <br />Address <br />Phone: <br />License #: <br />44 <br />Misc. Receipt: I 74909 <br />Misc Receipt I <br />Misc. Receipt: I <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />I