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/t/ <br />cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853 <br />Permit #: 10197532 <br />Pin #: 24495 <br />Project Address: 628 E Washington Ave <br />Assessor's Parcel 398-191-02 Lot NA <br />Bldg: Address Range: 628-636 <br />Tract SANTA ANA EAST Historic: No <br />Unil Suite Range: <br />Zoning: SO84Block: 55 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Supplemental <br />Supplemental <br />Commercial/lndustrial <br />Occupancy: <br />Constr Typei <br />Code: <br />Flood Zole. <br /># of Storrft; <br />I <br />B, S-1 <br />V B, SPK <br />cBc 2016 <br />x-0602320163J <br />2 <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat <br />Patio: <br />T.l.Area <br />Yards Req'd <br />Valuation: t0.01 <br />U <br />Description of Work: Supplemental - Deferred submittal for truss delign and calculations. Reference permit #10191680 <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />GG&GPropLlc <br />1038 N Custer St <br />Santa Ana, CA 927013915 <br />Contraclor: KZMillerConstruction <br />Address: 3180 University Avenue Ste. <br />San Diego, CA 92104 <br />Phone: (619) 584-2858 <br />State Lic #: 1011565 <br />Lic Type: B <br />Bus. Lic #: 367851 <br />Workers' Compensalion lnsurance: <br />Carrier: Everest National lnsurance Co. <br />Policy #: 7600018043 <br />Expires: 09/01/2018 <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Phone. <br />License # <br />John Potocki <br />8636 Frazier Dr. <br />San Diego, CA 921 '19 <br />(619) 933-3491 <br />c16801 <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'd: <br />Landscaping lnsp. Req'd <br />Scott Fazekas & Assoc <br />Hernandez, Kathy <br />Date: <br />Dale. '1211012018 <br />Dale:1A12J2018 <br />Subject to Fieldl <br />71450 <br />71940 <br />Total <br />ID <br />DEC 12 2UIE <br />lvlisc. Receipt <br />Misc. Receipt <br />l\,lisc. Receipt <br />07776002 535OO Revision <br />01776002 57612 Bldg. Stds. Revolving <br />07776002 51600 General Plan Update <br />$444.32 <br />$0.00 <br />$0.00 <br />No <br />No <br />No <br />No <br />Fire lnsp Req'd: <br />Police lnsp. Req'd il: Account# <br />Flood Zone Cert. Req'd: No N/A _ No Batance <br />Every pennit issued shell become invahd unless the wolr( on the sile authonzed by <br />such petmil is cofifienced wlhin 180 days aftet ils issuance.or if the wo authoized <br />on lhe sile by such pomtt is suspended ot abandoned fot a penod of180 days after <br />the tifie lhe wo* is commenced <br />s444 32 <br />$444.32 <br />$0.00 <br />lnspector MID#: 2016-"133593 <br />City of Santa Ana <br />Fee Iotal <br />Paid to Date: <br />Balance Due