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w <br />Project Address: 102 W Fourth St <br />Assessor's Parcel.398-264-07 Lot. POR 8, POR I Block '11 <br />Unil Bldg Address Range <br />Tract: TOWN OF SANTA ANA <br />Suite Range: <br />Zoningr SO84 <br />102-106 <br />Historic: Yes <br />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 #: 1fJ194157 <br />Pin #: 65273 <br />Burlding Use: <br />Job Type <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Tenant lmprovement <br />TI <br />Com me rc ia l/Reta il <br />M <br />B <br />cBc 2016 <br />x-0602320276J <br />Patio: <br />T.lArea: 5847 <br />Yards Req'd: <br />Valuation: $209,907.00 <br />Occupancy <br />Constr Type <br />Code <br />Flood Zone <br /># of Stories: <br />1 st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total:0 <br />Description of Work: Tl-Remove and install partition walls and t-bar ceiling, install storage racks and roof mounted equipt <br />Planning Conditions <br />Owner <br />Address <br />Phone <br />Tenant <br />Ted Tapfer <br />105 W Fourth <br />Santa Ana, CA 92701 <br />Shoe Palace <br />Contraclor: Hanna Design Group, lnc. <br />Address. 650 E. Algonquin Road Suitl <br />SCHAUMBURG, IL 60173 <br />Phone: (847) 719-0370 <br />State Lac # 872509 <br />Lic Type. B <br />Bus. Lic # 358407 <br />Workers' Compensation lnsurance: <br />Carrier Amerisure Mulual lnsurance ComI <br />Policy #: WC20923300 <br />Expires. 05/01/2018 <br />MCG Architecture <br />250 Sutter Street Suite 500 <br />San Francisco, CA 94108 <br />(4'r 5) 974-8002 <br />c-22118 <br />Engineer <br />Address: <br />Architect / <br />Desiqner <br />Address: <br />Phone: <br />Lrcense # <br />Phone: <br />License # <br />"< <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 />lvlar, Escarlel <br />So, Anson <br />Chavez. Dave <br />Dale: 0211512018 <br />Oale: '10126120'17 <br />Date 0211512018 <br />Subject to Field: <br />No <br />No <br />Misc Receipl <br />lvlisc Receipt <br />[.4isc. Receipt <br />0 7176002 <br />0 7 776002 <br />07776002 <br />0I90700 7 <br />0 77 7600 2 <br />07776002 <br />07176002 <br />3760L <br />5 i600 <br />s7770 <br />24000 <br />57 572 <br />5150 0 <br />5160 7 <br />Permit Fee <br />Plan Check Fee <br />Microtilm Records <br />6MlP - Category 't <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />No <br />No <br />No <br />70050 <br />s1 ,372.84 <br />$2,304 88 <br />$3.62 <br />t27 .29 <br />$9.00 <br />$21 25 <br />$52.98 <br />No Flood Zone Cert. Req'd: No <br />Every pefint issued shall become invalid unless the work on the sile authoized by <br />such pem is cofimenced wtlhin 180 days aker its tssuance.or il lhe wod< authgnzec! <br />on the site by such pefin ts suspended ot abandoned lor a penoc! ol 180 days atter <br />the lime tho work is comfienced. <br />lnspector MID#: 2017-138687 <br />a?' <br />Fare lnsp Req'd: <br />Police lnsp. Req'd Account# <br />5'1600 <br />51601 <br />516't 2 <br />57770 <br />24000 <br />otl I l,ocz ,r@c> <br />01 1 16002 <br />01 '116002 <br />0'l '1 't6002 <br />01 1 't6002 <br />08901001 <br />s'''','/ <br />Y Azsaz / <br />$9.00 --'- <br />sl az z' <br />Ezt.zg -/2t3.so <br />Fee Tolal <br />Paid to Dale: <br />Balance Due <br />$3,791 86 <br />$2,091 02 <br />$1,700.84 <br />Total