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City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA g27oz Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853 <br />Permit #: {O192433 <br />Pin #: 20471 <br />q <br />Project Address: 1301 E Wilshire Ave <br />Assessor's Parcel: 014451-20 Lot: 9. 10, 11, 12,13 Block NA <br />Unit Bldg: Address Range Suite Range: <br />Zoningr M'lTract 6630 Hrslonc No <br />Building Use: <br />Job Type: <br />Nature of Workl <br />Existing Bldg. & Use <br />Proposed Use: <br />lndustrial <br />Parking Lots <br />Parking Lot <br />lndustrial <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />U <br />N/A <br />cBc 2016 <br />x-0602320276J <br />1 st FL Area <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio <br />T.l.Area: <br />Yards Req'd <br />Valuation:$20,000.00 <br />0 <br />Description of Work: Restripe parking lot <br />Planning conditions:|i,1, <br />Owner: <br />Addressl <br />Phone <br />Tenant: <br />Ted Ripley <br />1368 E Nevada St <br />Ashland, OR 97520 <br />(5621 397 -0727 <br />Contractor: JCHGeneralConstruclion <br />Address: 3004 Orange Street <br />Santa Ana, CA 92704 <br />Phone: (71416124149 <br />State Lic #: 997410 <br />Lic Type: B <br />Bus Lic #: 347573 <br />Workers' Compensalion lnsurance: <br />Carrier Norguard <br />Policy #: JCWC846785 <br />Expires: 05/16/2018 <br />Engineer <br />Address <br />Phone: <br />License # <br />Archilect / <br />Desiener. <br />Address: <br />Planning Approval By <br />Plan Checked By. <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: No <br />Planning lnsp Req'd: Yes <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemil issued shall become invahd unless the wo* on lhe stte authoized by <br />such pemit 6 commenced within 180 days altet its issuanco.or if the work authonzed <br />on the site by such permit 1s suspended ot abandoned fot a period o1180 days aftor <br />the lime the work is commenced <br />07776002 <br />o 7776002 <br />0 777600 2 <br />0 7716002 <br />07776002 <br />57507 <br />53500 <br />57572 <br />57600 <br />57507 <br />$260 00 <br />$300.00 <br />$1 00 <br />$21 .2s <br />$52.98 <br />Mar, Escarlet <br />Heidari, Fred <br />Zuniga, Allissa <br />No <br />Oale: 0811112017 Misc. Receipt <br />Dale: 07127120'17 Misc. Receipt <br />Oate. Ogt26t2},l7 Misc. Receipt <br />Subject to Field: <br />Noyes Account# <br />69337 <br />Total <br />Permit Fee <br />Plan Check Fee <br />BIdg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fire lnsp. Req'dl <br />Police lnsp Req'd <br />$635 23 <br />$300 00 <br />$33s.23 <br />lnspector <br />01 1 16002 51600 <br />01 't 16002 51601 <br />01 1 16002 51612 <br />$21 .25 <br />$312.98 <br />$1.00 <br />Fee Total <br />Paid to Date. <br />Balance Due <br />Phone: <br />License # <br />MtD#. 2017-135073