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Assessor's Parcel 041-213-04 Lot <br />Unit Bldg Address Range: 501-555 <br />Historic: No <br /><\,o.l <br />Block. NA Tract NA <br />City of Santa Ana 20 Crvic center Plaza (M-19), Santa Ana, cAg?702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1lJ11o2173 <br />Pin #: 13472 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Existing Bldg. & Use <br />Proposed Use. <br />Commsrcial <br />New <br />Parking Lot <br />I - Bldg/Assisted Living Facility <br />Assisted Living Facility <br />1 st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patro. <br />T.l.Area <br />Yards Req'd: <br />Valuation:$167,625.00 <br />0 <br />Description of Work: Replaced #10197635. Parking lot for new Assisted living facility <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenanl <br />Town & Country Manor <br />555 E MEMORY LN <br />Santa Ana, cA 927061705 <br />Contractor: CW Driver LLC <br />Address: 468 N. Rosemead Blvd. <br />Pasadena, CA 91107 <br />Phone: (626) 351-8800 <br />State Lic #: 1009002 <br />Lic Type B <br />Bus. Lic #: 373580 <br />Workers' Compensation lnsurance <br />Carrier: Old Republic General lnsurance C, <br />Policy #. AlCW98931 <br />Expires: 1012112020 <br />Ashley & Vance Engineering, I <br />Truitt Vance <br />1413 Monterey Street <br />San Luis Oblspo, CA 93401 <br />(805) 545-0010 <br />Hochhau6er Blatter <br />Jay Blatter <br />122 E. Arrell8ga <br />Santa Barbara, CA 93101 <br />(805) 962-2746 <br />c-229A4 <br />Address <br />Phone: <br />License f <br />Phone: <br />License # <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd; <br />PWA lnsp. Req'd. Yes <br />Planning lnsp. Req'd: Yes <br />07776002 <br />017760 0 2 <br />017160 0 2 <br />0 71750 02 <br />0 71160 0 2 <br />o171500 2 <br />$260.00 <br />$230.87 <br />$3.91 <br />$7.00 <br />$22.95 <br />$57.20 <br />Fregoso, Vince <br />CSG Consultants <br />Chavez, Dave <br />No <br />Date 07118/2019 <br />Oate: 11/18/2019 <br />Date: 12l19/2019 <br />Subject to Field: <br />Permit Fee <br />Plan Check Fee <br />Microtilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceFire lnsp Req'd: <br />Police lnsp. Req'd <br />Yes <br />No Account# <br />Landscaping lnsp Req'd No Flood Zone Cert. Req'd: No <br />Every pefinit issued shall become tnvahd unloss lhe work o, lhe s/'le aulhonzed by <br />such po n 6 commenced w hn 360 days after ls issuance.or if lhe wo* euthorized <br />on lhe sile by such pofintl $ suspendec! ot abandoned for a penod ol 3@ daysaflet <br />tho tme tha wo* ts commenced <br />lnspector MID#: 2017-134648 <br />$22 95 <br />$317.20 <br />$7.00 <br />$230 87 <br />$3.91 <br />Fee Total: <br />Pard to Date: <br />Balance Oue <br />01116002 <br />01'116002 <br />01 1 16002 <br />01116002 <br />01116002 <br />5'1600 <br />51601 <br />5161 2 <br />53600 <br />57770 <br />Proiect Address: 501 E Memory Ln Suite Rangel <br />Zoning: <br />Occupancy <br />Constr Type <br />Code <br />Flood Zone <br /># oI Stories <br />A-2, A-3, B, R-2.1, S-2 <br />IA,VA,SPK <br />cBc 2016 <br />x-0602320163J <br />Engrneer <br />Archilect / <br />Desiqner: <br />Address: <br />57607 <br />53500 <br />57770 <br />57672 <br />5 7600 <br />57607 <br />Misc Receipl: <br />Misc. Receipl: <br />Misc. Receipt <br />Total <br />$581 93 <br />$0.00 <br />ts8'r.93