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101103991 - Permit
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101103991 - Permit
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Last modified
7/29/2021 10:09:09 AM
Creation date
7/29/2021 10:09:08 AM
Metadata
Fields
Template:
Permit
Permit Number
101103991
Full Address
501 E Memory Ln
Permit ID
266351
Master ID Number
2017-134648
Project Name
Town and Country Manor
Street Number
000501
Street Direction
E
Street Name
Memory
Street Suffix
Ln
Building Use Code
Care Facility
Job Types
Supplemental
Permit Type
Building
Applied Date
7/7/2020
Issued Date
8/24/2020
Finalized Date
6/29/2021
Flood Zone
X-0602320163J
Description of Work
Truss drawings
Nature of Work
Trusses
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Project Address: 501 E Memory Ln <br />Assessor's Parcel. 041-21344 Lot. <br />Brdg Address Range: 501-555 <br />Historic: No <br />Suite Range <br />ZoningBlock NA Tract NA <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 Section: (714\ 647-5853 <br />Permit#: {O{lO399l <br />Pin #: EGE76 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Supplomental <br />Trusses <br />Assisted Living Facility <br />A-2, A-3, B, R-2.1, S-2 <br />IA,VA,SPK <br />cBc 2019 <br />x-0602320163J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T I Area: <br />Yards Req'd: <br />Valuation: <br />0 <br />Dsscription of Work: Truss drawings <br />Planning Conditions: <br />TOWN & COUNTRY MANOR OF <br />555 E MEMORY LN <br />Santa Ana, CA 927061705 <br />Phone. <br />Tenant <br />Contractor: CW Driver LLC <br />Address: 468 N. Rosemead Blvd. <br />Pasadena, CA 91107 <br />Phone: (626) 35r4800 <br />State Lic #: 1009002 <br />Lic Type: B <br />Bus. Lic #: 373580 <br />Workers' Compensation lnsurance <br />Carrier: Old Republic Genoral lnsurance C, <br />Policy #: AlCW9893l <br />Expires: 1012112020 <br />Engineer <br />Address: <br />Phone: <br />License # <br />Architect / <br />Oesaqner: <br />Address: <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />. -1 <br />Permit lssued By. *- <br />NPDES lnsp Req'd: 1/ <br />"oPWA lnsp. Req'd: - <br />"oPlanning lnsp. Req'd; No <br />Landscaping lnsp. Req'd: No <br />Date: <br />Daler 08118/2020 <br />Dale: OBl24l2O2O <br />Subject to Field: <br />Account# <br />74539 <br />Total <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />$506.25 <br />$478.68 <br />$23.79 <br />07776002 57770 Microfilm Records <br />07776002 53600 Revision <br />07776002 51500 General Plan UpdateCSG Consullants <br />Amsden Julie <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No 011 16002 51600 <br />011 16002 53600 <br />01116002 57770 <br />$23 79 <br />$478.68 <br />$s06 25Every pemit 6sued sha becorne invald unless lhe wo* on tho yte authonzed by <br />such pem is commenced wlhin360 days aftor ls $suance,ot tf the wo* aulhonzed <br />on the site by such paml ts suspetfrad ot abandoned for a panocl of360 days after <br />the line the v/otk is cofifiencecl <br />lnspector MtD#. 2017-134648 <br />Unit a\/ <br />Occupancyl <br />Constr Type <br />Code <br />Flood Zone: <br /># of Stories: <br />Botch+:56279 - 8/21/2 <br />0f l'icer CTYH TPon5+ <br />Acct+: <br />IJ <br />Owner: <br />Address: <br />California TrusFramo <br />Kevin Chae Kim <br />23665 Cajalco Road <br />Perris, CA 92570 <br />(951) 657-749'l <br />5382'l <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />$1 ,008.72 <br />$478.68 <br />t530.04
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