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Project Address: 501 E Memory Ln <br />Assessor's Parcel:041-213-04 <br />Brdg Address Range: 501-555 <br />Historic: No <br />Suite Range <br />ZoningBlock NA Tracl NA <br />City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />PermitCounter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1ll11o2175 <br />Pin #: 41126 <br />Occupancy: <br />Consk Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />N/A <br />N/A <br />cBc 2016 <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:$80,187.00 <br />Description of Work: Replaces #'10'197637. Light Standards for new assisted living facility. <br />Phone <br />Tenant: <br />Town & Country Manor <br />555 E MEMORY LN <br />Santa Ana, CA 927061705 <br />Contractor: CW Oriver LLC <br />Address: 468 N. Rosemead Blvd. <br />Pasadena, CA 91'107 <br />Phone: (625) 351-8800 <br />Slate Lic #. 1009002 <br />Lic Typer 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 Enganeering, I <br />Truitt Vance <br />'14'13 Monterey Street <br />San Luis ObBpo, CA 93101 <br />(805) 545-0010 <br />Hochhauser Blatter <br />Jay Blatter <br />122 E. Arrellaga <br />Santa Barbara, CA 93101 <br />(805) 962.2746 <br />c-22984 <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <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: No Flood Zone Cert. Req'd: No <br />Evary perm tssued shall become nvalid unless the wotl< on the site authonzed by <br />such permil is commenced wlhin 360 days aftet ils issuance,or if the wotu authorized <br />on the sile by such perml,5 suspended ot abandoned lor a penod of 3@ daysafler <br />the lme tho wo* ts commenced. <br />lnspector l\AlD# 2017-134648 <br />Fregoso, Vince Date. 07/1812019 <br />CSG Consultants Dale: 12/1912019 <br />Chavez. Dave Date: 12119/2019 <br />No Subjecl to Field: <br />No Fire lnsp. Req'd: No <br />Yes Police lnsp. Req'd: No Ac <br />0 717500 2 <br />011160 0 2 <br />017760 0 2 <br />0 77760 0 2 <br />0177600 2 <br />57607 <br />53600 <br />57770 <br />5 7672 <br />s7600 <br />$166.53 <br />$230.87 <br />$3.91 <br />$4.00 <br />$22.95 <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />cou nt# <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />01116002 <br />01 1 16002 <br />01116002 <br />01 1 16002 <br />01116002 <br />51600 <br />51601 <br />51612 <br />53600 <br />57770 <br />Total <br />$22.95 <br />$166 53 <br />$4.00 <br />$230 87 <br />$3.91 <br />$428.26 <br />$0 00 <br />942A.26 <br />Lol <br />Unil <br />Building Use: Commercial <br />Job Type New <br />Nature of Work: Light Standards <br />Existing Bldg & Use: 'l - Bldg/Assisted Living Facility <br />Proposed Use: Aseisted Living Facility <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />License #: <br />Fee Total: <br />Pard to Date: <br />Balance Due: