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q <br />Project Address :2721tN Ed inqer Ave <br />Assessor's Parcel 407-01444 Lol NA <br />U nit Bldg: Address Range Suate Range <br />Zoning ClBlock NA Tract: NA <br />city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOt94450 <br />Pin #: 17ATA <br />Building Use: Commercial Occupancy: M 1st FL Area: Palio: <br />Job Type: Tonant lmprovement Constr Type: V B 2nd FL Area: T I Areat 23OO <br />Nature of Work: Tl code: CBG 2016 other Areas: yards Req,d: o@o <br />Existing Bldg. & Use: Gas Station Flood Zone: X-0602320257J Garage Area: Valuation: $82,600.00 <br />Proposed Use: # of Stories: Total: O <br />Description of Work: Upgrade (1) restroom, removdreplace existing counters/cabineta. New partition wall & fill-in wall opening between counters & <br />storago arga. <br />Planning Conditiona: lnterior work only. <br />Owner. <br />Address <br />Phone <br />Tenant: <br />Mr. Hanns <br />2721 W Edinger Avenue <br />Santa Ana, CA 92704 <br />(714) 920-9643 <br />Arco Service Station <br />Contractor: T L M Petro Labor Force lnc <br />Address: 909 N Alameda St <br />Compton, CA 90220 <br />Phone: l310l639-2227 <br />State Lic #: 761755 <br />Lrc Type B, A, HAZ, C-'10 <br />Bus. Lic #: 364698 <br />Workers' Compensation lnsurancer <br />Carrier: State Fund <br />Policy #: 1541'150 <br />Expires: 0312312018 <br />Engineer <br />Address: <br />CJC Design lnc. <br />Wael S. lbrahim <br />22485 La Palma Avenue, #2O2 <br />Yorba Linda, CA 92887 <br />(714) 920-9643 <br />48336 <br />CJC Design, lnc <br />22485 LaPalma Avenue, *2O2 <br />Yorba Linda, CA 92887 <br />(714) 920-9643 <br />Phone. <br />License # <br />Architect / <br />Desiqner <br />Address: <br />Phonel <br />License # <br />Planning Approval By: Orozco, lvan <br />Pian Checked By. _ Mazary. Zac/.\ <br />Permrt lssued By: ' / Amsden. Julie <br />NPDES lnsp Req'd: / No <br />Dale:1011112017 <br />Dater 01/25/2018 <br />Dale: O2l'1512018 <br />Subject to Field: <br />lvlisc. Receipt <br />l\ilisc. Recerpt <br />[ilisc Receipt <br />70151 <br />Total <br />$552.00 <br />$782.00 <br />$25.34 <br />$4 00 <br />$21 25 <br />$52 98 <br />$1 .437 .57 <br />$782 00 <br />$655.57 <br />PWA lnsp. Req'd: No <br />Planning lnsp Req'd. No <br />Fire lnsp Req'd. <br />Police lnsp Req'd <br />No <br />No Account# <br />Landscaping lnsp Req'd: No Flood Zone Cert. Req'd: No <br />Every pemt issued shall bocofio invalid unless the u/ork on l/,e site authoized by <br />such peflni $ comfienced wilhn 180 days after its tssuance o( t the wo* authorized <br />on the sile by such parmit ts suspended ot abendoned fot a period 01180 days after <br />lhe ttme the work ts commenced <br />lnspector MID#: 20'17-139293 <br />01 1 16002 51600 <br />01 1 16002 s1601 <br />01 1 16002 51612 <br />01116002 57770 <br />$21.25 <br />$604.98 <br />$4.00 <br />$25.34 Fee Total: <br />Paid lo Dale <br />Ealance Due <br />Hisloricr No <br />07776002 515o-r Permil Fee <br />07776002 5i6OO Plan Check Fee <br />07776002 57770 Microfilm Records <br />01776002 57672 Bldg. Stds. Revolving <br />07776002 51600 General Plan update <br />07776002 5160I lssuance