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Project Address: 1628 S Grand Ave <br />Assessor's Parcel 403-111-08 Lot: NA <br />Unit Bldg Address Range: 1628-16/f0 <br />Historic: No <br />Suite Range: <br />Zoning: MlBlock: NA Tract: NA <br />Building Permit #: tO199344 <br />Pin #: 96369 <br />Building Use: <br />Job Type; <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Commercial <br />Revision <br />Revision <br />Comm/Retail <br />Cannibus Oispensary <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />B <br />VB <br />cBc 2016 <br />x-0602320276J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T LArea: <br />Yards Req'd: <br />Valuation: <br />Description of Work: Revision to 10197730-relocate janitor's closet and partition wall <br />Planning conditions: <br />Contractor <br />Address: <br />Engineer <br />Addressl <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />PAC Design <br />Paul A. Collins <br />'1213 E Warner Avenue <br />Santa Ana, CA 92705 <br />(552) 437-6311 <br />22,733 <br />Phone <br />License # <br />Architect / <br />Desiqner: <br />Addressi <br />Phone: <br />License #: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd <br />So, Anson <br />sden, Julie <br />No <br />No <br />No <br />No <br />Fare lnsp. Req'd: <br />Police lnsp. Req'd <br />Date: Misc. Receipt <br />Date: 04/1512019 Misc. Receipt <br />Dale: 04/23/2019 Misc. Receipt <br />Subject to Fieldi <br />No <br />No Account# <br />07776002 53600 Revision <br />07776002 57500 Genetal Plan Update72277 <br />Total <br />$222.16 <br />$0.00 <br />Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No N/A _ No Batance <br />Every pemit issued shall become invalid unless lhe wo* oh the site authonzed by <br />such pennit is commenced within 360 days aftet ils issuance.ot il lhe wod< authotized <br />on the site by such pennit is suspended ot abandoned for a peiod of 360 days after <br />lhe time lhe wo is conrnenced <br />lnspector MID#: 2018-141908 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$222 16 <br />$222 16 <br />$0.00 <br />City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, C492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714])667-2738 lnspector Section: (714) 647-5853 <1 <br />Ken Okamoto & Associates <br />Sivaram Nagaraian <br />3186-F Airway Avenue <br />Costa Mesa, CA 92526 <br />(7141 444-2422 <br />s6349 <br />Owner. Rick D Kagsoff <br />Address: 2420 Cape Cod Way <br />Santa Ana, CA 92703 <br />Phone (323) 893-7269 <br />Tenant: WCW Organization lnc. <br />Owner-Builder <br />Planning Approval By: