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city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{96763 <br />Pin #: 46808 <br />E <br />Proiect Address: 1500 E Seventeenth St <br />Assessor's Parcel 4OO-24'|-O1 Lot: NA <br />Unit Bldg: Address Range:Suite Rangei <br />Zoningr C'lBlockr NA Tract: NA Historic: No <br />Building Use: Other Occupancy: E 'lst FL Area: Patio: <br />Job Type: Alteration Consk Type: V B 2nd FL Area: T.l.Area: <br />Nature of Work: Change of Use - Temporary Code: CBC 2016 other Areas: yards Req,d: <br />Existing Bldg & use: church Flood zone: x-0602320163J <br />Garage Area: varuation: $,r5o,ooo.oo <br />Proposed Use: # of Stories: , _or",, O <br />Oescription of Work: Temporary for (1) year maximum. Change of Use from Church Education bldg to Charter School for portion of (e) building. Scope of <br />work also includes (1) new temporary modular classroom, (1) new temporary modular restroom, disabled accessibilty <br />I <br />Planning Conditions:. <br />mprovements & assessible parking. (Maximum 405 students, 333 occ in (e) building + 72 in (n) modular class) <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />CHURCH FIRST OF <br />15OO E 17TH ST <br />Santa Ana, CA 927058502 <br />Address 1n sq <br />Archilect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Phone: <br />License # <br />MGPA Architacture <br />Fred H. Gualda, AIA <br />6965 El Camino Real, #105-278 <br />Carlsbadi cA 92009 <br />l':ot In: <br />olt(11 <br />,Jpdote <br />6l-{-r{IrJ - <br />)r.r1r:[-ll-r <br />fl-lllt_l <br />jlril-fllur-r- <br />Fe€ <br />(760) 929-1 <br />c20789 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. R <br />PWA lnsp. Req' <br />Date: 0612712018 <br />Dale. 06127l2O'18 <br />Date: 07/30/2018 <br />Subject to Field; <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc Receipt: <br />07776042 57607 <br />07776002 53600 <br />07776002 57 770 <br />07776002 57672 <br />01775002 57600 <br />07776002 57607 <br />Permit Fee <br />Plan Check Fee <br />lvlicrofilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />egoso, <br />$22.08 <br />$s35.79 <br />$6.00 <br />$238.76 <br />$90.24 <br />$480.75 <br />$666.48 <br />$90.24 <br />$6.00 <br />$22.08 <br />$s5.04 <br />$1.320.59 <br />$427 .72 <br />$892.87 <br />71 136 <br />Total <br />Jason <br />ki, Teri <br />o <br />No Fire lnsp. Req'd Yes <br />No Account#Planning lnsp. Req'd: No Police lnsp. Req'd <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every peftnil issued shall become invalid unless lhe wo* on the site authorized by <br />such pemit is commenced wilhin 180 days after its issuance,or il the wo* authorized <br />on the sile by such pe.mit is suspended ot abandoned for a period of180 days after <br />lhe lime the wo* is comnenced. <br />lnspector MID#: 2018-144081 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />5'1 600 <br />5'1601 <br />51612 <br />53600 <br />57770 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Contractor: Racing Green Ltd <br />Address: 3873 BERRY DRIVE <br />Studio City, CA 91604 <br />Phone: (310) 951-4080 <br />State Lic #: 992205 <br />Lic Type: B, c-'10 <br />Bus. Lic #: 369902 <br />Workers' Compensation lnsurance: <br />Carrier: All American <br />Policy #: C48817646 <br />Expires: 06/01/2019 <br />7 / tit/')i.tl <br />Engineer:ill1