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@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />Permil Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Secnon (714) 647-5853 <br />Permit #: lO{98219 <br />Pin #: 27749 <br />Project Address: 14'17 S Main St <br />Assessor's Parcel 014-032-36 <br />Unit Bldg Address Range Suite Range <br />Zoning CSMBlock NA Tract 245 Historic No <br />Buildrng Use Commercial Occupancy: B 1st FL Area: Patiol <br />Job Type Tenant lmprovemsnt Constr Type: V B 2nd FL Areat T.l.Area: 1200 <br />Nature of Work: Tl Code: cBc 2016 other Areas yards Req,d: <br />Existing Bldg. & Use: Flood Zone X-0602320276J GarageArea: Valuation: t43,080.00 <br />Proposed User Dental Offico # of Stories Totat: O <br />Doscription of Work: Tl - per inspsctor's correction notice-Legalize change of use from rosidontial to commerciauinstall partition walls, t-bar ceiling and <br />countors/('t) parking space. Owner-Builder form on file. <br />Planning Conditions: <br />Planning Approval By Gomez, Pedro Date: 06110/2019 Misc Receipt <br />Plan Checked By: Scott Fazekas & Assoc. Dale: 06105/2019 Misc Receipt <br />Permit lssued By. Chavez, Dave Date: 06110/2019 Misc Receipt <br />NpDES tnsp. Req'dr No <7' subtect to Fietd: <br />PWA lnsp. Req'dr No Fire lnsp. Req'd: No <br />Ptanning tnsp Req'd: No Police lnsp Req'd: No Account# -- <br />Landscaping lnsp. Req'd: No Flood Zone Cerl. Req'd: No 01116002 5t6OO <br />Every pennit Bsued shatt bocoare ,lrvahct unless the wo* on the stte authonzecl by 01 1 16002 51601 <br />such pemit B ctlmmoncod wtthh 3N days after its issuance o, i the work authonzect 91 1 ]999? :191? <br />on the ste by such ponti ts suspended or abandoned {o/ a pedod ot 3@ days aner 01 I '16002 57770 <br />the tifie the wod< ts commencecl <br />0 77 76002 <br />077760 0 2 <br />017760 0 2 <br />071160 02 <br />0 777600 2 <br />o777600 2 <br />57607 <br />5i600 <br />57770 <br />57672 <br />57600 <br />57507 <br />$300.00 <br />$420.00 <br />$7 s2 <br />$2.00 <br />$22 08 <br />$s5 04 <br />71744 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />L. <br />lnspector MID#: 2018-147351 <br />$22.O8 <br />$355.04 <br />$2.00 <br />$7.52 Fee Total <br />Paid to Date. <br />Balance Due: <br />$806 64 <br />$420 00 <br />s386.64 <br />Building <br />n <br />Lot: 9 <br />Eot'rh+:'i!'?i1 <br />Engineer. : " : <br />Owner: Medhat Ratael Contractor: Owner-Builder : r' <br />Address: 17150 Euclid St #322 Address. Address: <br />Fountain Valley, CA 92708 <br />Phone: l7't4l337-0747 Phone: Phone: <br />Slate Lic #: License #:Tenant: <br />Lic Type: Arch.ecr / <br />Workers' Compensation lnsurance Address. .: I <br />- Carrier: <br />Polrcy # Phone <br />Expires: License #: <br />Total