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101105672 - Permit
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101105672 - Permit
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Last modified
7/26/2021 9:42:28 AM
Creation date
7/26/2021 9:42:27 AM
Metadata
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Template:
Permit
Permit Number
101105672
Full Address
1010 N Tustin Ave
Permit ID
271614
Master ID Number
2021-163785
Project Name
Calvary Church Shade Structure
Street Number
001010
Street Direction
N
Street Name
Tustin
Street Suffix
Ave
Building Use Code
Church/Temple
Job Types
Miscellaneous
Permit Type
Building
Applied Date
1/19/2021
Issued Date
6/21/2021
Finalized Date
7/21/2021
Flood Zone
X-0602320164J
Description of Work
New 200 sq ft attached shade structure in playground area
Nature of Work
Shade Structure
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Project Address: 1010 N Tustin Ave <br />Loi POR 5 Block NA Histoflc No <br />Suite Range: <br />Zoning. P <br />Bldg <br />Tracl. MAYBURYAssessor's Parcel 400-154-10 <br />CiQ <rf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspectron Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Occupancy: <br />Constr Type: <br />Code <br />Flood Zone: <br /># of Stories <br />U <br />VB <br />cBc 2019 <br />x-0602320164J <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Total <br />Patio <br />T I Area: <br />Yards Req'd <br />Valuation:$13,000.00 <br />0 <br />Description of Work: New 200 sq ft attached shade structure in playground area <br />Planning Conditions: <br />Owner <br />Address <br />Phonel <br />Tenant <br />CHURCH CALVARY OF SANTA <br />lOtO N TUSTIN AVE <br />Santa Ana, CA 927053503 <br />(714) s50-2313 <br />Contractor Matlock Design Build, lnc. <br />Addressr 1514 E. Holt Blvd. Suite 106 <br />Ontario, CA 91761 <br />Phone (909) 983-7777 <br />State Lic #: 1031038 <br />Lic Type B <br />Bus. Lrc #: 368347 <br />Workers' Compensation lnsuranceCarner Arch lnsurance Company <br />Policy #: ZAWCl1804701 <br />Exprres OTlOll2O2l <br />E ngrneer <br />Address <br />R.M. Byrd & Associates <br />Rick M. Byrd <br />1047 W Sixth Stleet, #A <br />Ontario, CA 91762 <br />(909) 983-5s99 <br />s3350 <br />Architect / <br />Desaqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Planning Approval By <br />Plan Checked By: <br />Permit issued By <br />NPDES lnsp Req'd. <br />Orozco. lvan <br />Le, Tung <br />Hernandez, Kathy <br />Dale. OGIO2J2O2'| <br />Dale. 0610912021 <br />Dale 0612112021 <br />Subject to Field: <br />Masc Receipt <br />Misc Receipt <br />Misc Receiptfl <br />75134 <br />$200.00 <br />$94.00 <br />$16.20 <br />$3 64 <br />$1 .00 <br />$23 79 <br />$59 30 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP ' Category 2 <br />Bldg Slds. Revolving <br />General Plan Update <br />lssuance <br />PWA lnsp Req'dr No Fire lnsp. Req'd: No <br />Planning lnsp. Req'd No Police lnsp. Req'd: No <br />Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd: No <br />Every peftnit tssued shall became invaltd unless the wo* on the site authonzed by <br />such permil is commanced wtthn360 days after ls issuance or t the wo* authonzed <br />on the ste by such pemit is suspended ot abandoned lot a penod ot360 days aft6r <br />the lfie the wotl< ts commenced <br />lnspector MID#: 2021-'163785 <br />Ac9:y1t# <br />01 1 16002 51600 <br />01 1 16002 51601 <br />011 16002 51612 <br />01116002 57770 <br />08901001 24000 <br />$23 79 <br />$2s9.30 <br />$1.00 <br />$ 16.20 <br />$3 54 <br />Fee Total <br />Pard to Date <br />Balance Due <br />$397 93 <br />$94 00 <br />$303.93 <br />Permit #: 101105672 <br />Pin #: 98014 <br />Unrt.Address Range <br />Burlding Use: Commercial <br />Job Type: Miscellaneous <br />Nature of Work Shade Structure <br />Existing Bldg. & Use: Qemmslgi6; <br />Proposed Use <br />0 77 76002 <br />07776002 <br />0 77 7600 2 <br />0I90700 7 <br />017 7600 2 <br />07776002 <br />0 7 7 76002 <br />57607 <br />5i600 <br />57770 <br />24000 <br />57672 <br />57600 <br />57607Total
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