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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 Sectionr (7'14) 647-5853 <br />Permit #: 1O194786 <br />Pin #: 40605 <br />Proj ect Address:. 122 S Oranqe Ave <br />Assessor's Parcel 398-514-05 Lot: 7&8 <br />Bldg. Address Range <br />Tract: BLEE'S SEC. ADD Historic No <br />Suite Range: <br />Zoning C2Block: B <br />Building Use. Commercial Occupancy: B 1st FL Area: <br />Job Type: New Constr Type V B 2nd FL Area: <br />Nature of Work: Change of Contractor-New commer Code: CBC 2016 other Areasl <br />Existing Bldg. & Use: Vacant Flood Zone: X-060232O276J <br />proposed use: commercial building # of'ttories: , oarage Area: <br />Total: <br />Oescription of Work: Chang€ to contractor-New commercial building, including A./C unit (scresned). SAUSD #3654 <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $0.01 <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Abraham Foroudi <br />8537 Courageous Ct. <br />Fountain Valley, CA 92708 <br />Contractor: JasonGolsonConstruction <br />Address: 20352 Kline Dr <br />Newport Beach, CA 92660 <br />Phone: (?141723-U99 <br />State Lic #: 993270 <br />Lic Type: B <br />Bus. Lic #: 367582 <br />Workers' Compensalion lnsurance: <br />Carrier: Exempt <br />Policy #: <br />Expires: <br />Engineer <br />Address <br />Shucri "Chuck" l. Yaghi <br />Shucri l. Yaghi <br />ll2 E Chapman Avenue, D <br />Orange, CA 92866 <br />(7't4) 997-9'r20 <br />c43205 <br />lndesenq, lnc. <br />P.O. Box 4365 <br />Orange, CA 92867 <br />(714) 420-0060 <br />PA !D <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />Lrcense # <br />NOV 14 ZU]i <br />Hernandez, Kathy <br />Dale: <br />Date: <br />Date:1111412017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />07776002 57672 gldg. Stds. Revolving <br />07776002 57600 Cenercl Plan Updale <br />$0 00 <br />$0.00 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Account#Total <br />Evory peinil issued shall become invalid unless the wo* on the sile authoizad by <br />such pemit is commonced within 180 days aftot its issuance,ot if lhe wod aulhoized <br />on the sile by such pemit is suspended ot abahdoned for a peiod of180 days after <br />the tifie the wotk iscommonced <br />$0 00 <br />$0 00 <br />$0.00 <br />lnspector lMlD#: 2015-125905 <br />Fee Total: <br />Paid to Dalel <br />Balance Due: <br />Unit: <br />w <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'di <br />Landscaping lnsp. Req'd