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Permit #: tOl96660 <br />Pin #: 82{65 <br />q <br />Project Address: 1971 E Seventeenth St <br />Assessor's Parcel: 396"321-21 Lot:Block: A Historic. No <br />Suite Range <br />Zoning <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/Retail <br />M <br />III B, SPK <br />cBc 2016 <br />x-0602320164J <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: <br />1070 <br />$38,413.00 <br />i <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total 0 <br />Description of Work: First time Tl-lnstall partition wall, counters <br />Planning Conditions: <br />Address <br />rf![t 05 <br />bcnerq <br />LJ'- t i on <br />i,lpdote I e€ <br />iu[l:lu - <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Hoblob '17 LLc <br />1234 E rTrh St <br />Santa Ana, CA 92705 <br />(7',t41245-74O0 <br />Batteries + <br />Contractor; BotrosConstruction <br />Address: 31831 Paseo Tarazona <br />San Juan Capistrano, CA 9i <br />Phone: (949) 632-7715 <br />State Lic #: 716566 <br />Lic Type: B, C-33 <br />Bus. Lic #r 370071 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 9029788 <br />Expiresr 11lO1l2O1A <br />Jetf S. Coftman, Architect <br />Jeff S. Coffman <br />2OOO E Chapman Avenue, #202 <br />Fullerton, CA 92831 <br />1714l.738-7O45 <br />c-25115 <br />,1t I l6r.[.r , <br />i l-ri 1(i ln.l <br />Ul l 15ut-l:/ <br />rr I d! :il, rir <br />irl l16r_[]:j <br />l16u luur-r- <br />.:i Vot v irrg <br />r:,I61:21:lIU- <br />Phone: <br />License # <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd; No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Orozco, lvan <br />Chehade, Nabil <br />Chavez Dave sz?' <br />Dale: 0712312018 <br />Date: OGl22l2O'18 <br />Dale: 0712312018 <br />Subject to Field: <br />Fire lnsp. Req'dr No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />0771600 2 <br />0777600 2 <br />0777600 2 <br />017760 0 2 <br />017760 0 2 <br />01116002 <br />$267.50 <br />$374.50 <br />$3.76 <br />$2.00 <br />$22.08 <br />$55.04 <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />71074 <br />Total <br />51601 <br />5i600 <br />57770 <br />576 72 <br />51600 <br />51607 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Account# <br />Every pemit issued shall become invalid unless tho work on the site authorized by <br />such pemit is commenced within 180 days aflet its issuance,or if the work authotizod <br />on the site by such pemil is suspended ot abandoned for a peiod of 180 daysaftet <br />the tine the wotk is commenced. <br />$22.08 <br />$322.54 <br />$2.00 <br />$10.70 <br />$3.76 <br />$724.88 <br />$363.80 <br />$361 .08 <br />lnspector MID#: 2018-143818 <br />01116002 <br />01 1 16002 <br />01116002 <br />01 '1 16002 <br />01 1 16002 <br />s1600 <br />s1601 <br />51612 <br />53600 <br />57770 <br />Fee Total <br />Pard to Date: <br />Balance Due: <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 />Unit: B Bldg: Address Range: <br />Tract: A.B. CHAPMAN <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Engineer: