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Project Address: 628 E Washinoton Ave <br />Assessor's Parcel 398-19't-02 Lot NA <br />Bldg: Address Range <br />Tract; SANTA ANA EAST <br />628-536 <br />Historic: No <br />Suite Range: <br />Zoning: SD84Block: 55 <br />city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853 <br />\Permit #: {O{9{585 <br />Pin #: 33576 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />New <br />Block Wall <br />lndustrial <br />Occupancyl <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />U <br />VB <br />cBc 2013 <br />x-0602320163J <br />2 <br />'l st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />58'15 <br />1391 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $110,000.00 <br />Description of Work: 580 LF x 8"High CMU freestanding block wall <br />Planning Conditions: <br />7206 <br />80tch+:41342 - 12/13/2ttl7 I0: C(:UELLAR <br />tllf i(:e! (:TYH lrans+l 123 7 ul 1-:i <br />Accti: Ref+: till9l6gi <br />Rcpt+:(210669t:r - !?/13/?1117 2t46 tn <br />Trunsact ion Totol tlir l9S.lJ <br />Ownerl <br />Address: <br />Phone: <br />Tenant <br />Address _ 12t.2:; <br />tl r392.1Ii <br />ti.l:lri- <br />t46.40 <br />- t3lJ .8rl <br />l15 r 188.53 <br />(Z h i] ler (:onstruct ionGG&GPropLlc <br />IO38 N CUSTER ST <br />Santa Ana, CA 927013915 <br />Contractor: KZMillerConstruction <br />Address: 3180 Unive6ity Avenue Ste. <br />San Diego, CA 92104 <br />Phone: (519) 584-2858 <br />State Lic #: 1011565 <br />Lic Type: B <br />Bus. Lic #: 367851 <br />Workers' Compensation lnsurance. <br />Carrier: Everest National lnsurance Co <br />Policy #: 7600018043 <br />Expires: 09/01/2018 <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />John Potocki <br />8635 Frazier Dr. <br />San Diego, CA 92119 <br />(619) 933.349J <br />c16801 <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Dale 1211112017 <br />Date OBl29l2O17 <br />Oale: '12J1312O17 <br />Subject to Field: <br />[4isc. Receipt <br />l isc. Receipt <br />Misc. Receipt <br />68984 <br />Total <br />57607 <br />5 3600 <br />24000 <br />57672 <br />s7600 <br />57607 <br />07776002 <br />07776002 <br />08901007 <br />0 77 7600 2 <br />07776002 <br />07776002 <br />$1,299.20 <br />$1,716.80 <br />$30.80 <br />$5.00 <br />$21.25 <br />$52.98 <br />Permit Fee <br />Plan Check Fee <br />SMIP - Category 2 <br />Bldg. Slds. Revolving <br />General Plan Update <br />lssuance <br />No <br />No <br />Yes <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cerl. Req'd: No <br />Account# <br />Every pennit issued shallbecome invalid unlesstho work on the site authorized by <br />such pemil is conmenced wlhin 180 days aftet ils issuance,or il the wo* aulhodzed <br />on the site by such permil is suspended or abandoned lor a period of 180 daysafter <br />lhe ltne lhe wo* is commenced <br />lnspector MID#: 2016-133593 <br />01116002 <br />01116002 <br />01116002 <br />01 1 '16002 <br />0890100'1 <br />51600 <br />5160'1 <br />516',12 <br />53600 <br />24000 <br />s21.25 <br />$1,3s2.18 <br />$5.00 <br />$46.40 <br />$30.80 <br />Fee Total: <br />Paid to Date <br />Balance Due: <br />$3,126.03 <br />$1,670.40 <br />$1,455.63 <br />Unit <br />Engineer: <br />Carvajal. Verny <br />Scott Fazekas E Assoc <br />Link, Patricia