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I <br />I <br />City of Santa Ana 20 Civlc Center Plaza (M-19), Santa Ana, CA127O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 10194724 <br />Pin #: 79027 .\l-{ <br />Project Address: 3621 S Harbor Blvd un 150 Brds: <br />Tract: WILLIAMS <br />Range: 3601-363'l <br />Historic: No <br />Suite Range: <br />Zoning; SD58 <br />nooreJ <br />Assessor's Parcel 414-261-07 Lot POR 3 Block NA <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing BIdg & Use <br />Proposed Use: <br />Commercial <br />Tenant lmprovement <br />TI <br />Comm€rcial/Offices <br />B <br />V B, SPK <br />cBc 2016 <br />x-0602320258J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Areal <br />Total: Eirt,lr il416 <br />,r1 f i, e: ( TYH <br />Patio: <br />T.l.Area: ZS0 <br />Yards Req'd: <br />Valuation: $9,225.00 <br />t?/t9/2017 I0: C(:UELLAR <br />Tronsi: 71 5 of 6 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: Minor interior Tl to create interior offices within existing unit <br />Planning Conditions <br />li,:.:ti: Ref;: 1t1194724 <br />I,'' pti:02110363 - 12/19/2n17 l1:46 An <br />Tr nrrsqct ion Totcl 11r216.15 <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Arden Realy (Dyana Elam) <br />3621 S Harbor Blvd Unit# 150 <br />Santa Ana, CA 927047909 <br />(310) 966-2655 <br />Training Consultants <br />Contracior: Tl's By Oesign <br />Address: 3595 Cadillac Avenue, #'103 <br />Costa Mesa, CA 92625 <br />Phone: (714) 434-0596 <br />State Lic #: 565438 <br />Lic Type: B <br />Bus. Lic #: 351149 <br />Workers' Compensation lnsurance: <br />Carrier: National Liability and Fire lnsuran( <br />Policy #: V9WC857904 <br />Expires: 05/05/2018 <br />,ienero I FIon l.redote Fee <br />ul I l6tr02- il600tr00- <br />Pl' i ld ins <br />ul11600?- 516010([:r- <br />Blds Stds Revolvins <br />0l116002- 51612000- <br />llicrof ilr & Docurents <br />':r1t16002- 577700(rtr- <br />!,, iso <br />r. : i *r*rr*r*r*rri635 <br />- t21.25 <br />t2(12,23 <br />l1 - rlrt <br />t32.58 <br />tlr2l6.15 <br />:x26336 <br />Engineer <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Auttri <br />Guevara, Jerry <br />So, Anson <br />zunisa. A issav <br />Date: I l/06/2017 <br />Oate. 12112120'17 <br />Oale: 1211912017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />70240 <br />Total <br />0 77 76002 <br />0 77760 0 2 <br />07776002 <br />07776002 <br />01776002 <br />077 760 0 2 <br />57607 <br />53600 <br />57770 <br />5 7672 <br />57500 <br />57 601 <br />$149.2s <br />$100.27 <br />$32.s8 <br />$1.00 <br />$21 .25 <br />$52.98 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceFire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Flood Zone Cert. Req'd: No <br />Every perrntt tssued shall become invalid unless the wot* on lhe sile authonzed by <br />such pe(tnit is commenced within180 days aftot its issuance.or if the wotk aulhonzod <br />on the site by such peinit is suspended ot abandoned tor a peiod ot180 days aftet <br />the time the wo* is cofimencod <br />$357 33 <br />$100.27 <br />$257.06 <br />lnspector MtD# 2017-139744 <br />01116002 51600 <br />011 16002 51601 <br />01116002 51612 <br />0'1'1 16002 57770 <br />$21 .25 <br />$202.23 <br />$1.00 <br />$32.58 Fee Total: <br />Paid to Date: <br />Balance Due: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPOES lnsp. Req'd: No <br />PWA lnsp. Req'dr No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No