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@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
<br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
<br />Permit #: 1o4106720
<br />Pin #: 24331
<br />Project Address: 305 W Fourth St
<br />Assessor's Parcel: 398-255-20 Lot: NA
<br />Unit
<br />Zoning: SD84Block NA Tract: NA
<br />Building Use: Commercial Occupancy: B 1st FL Area: Patio:
<br />Job Type: Altoration Constr Type: V B, SPK 2nd FL Area: T.t.Area: 120
<br />Nature of Work: Altor _ n/v Code: CBC 20,19 Other Areas: yards Req,d:
<br />Existing Bldg. & Use: Q6mmsTs;31 Flood Zone: X-0602320276J Garage Area: Valuation: $10,000.00Proposed Use: # of Stories: Total: O
<br />Doscription of Work: Oemo unpermitted room on 'lat floor & screen wall at rear of basement - all walls are noGrated, noFload bearing partition walls.
<br />Roturn to original condition. Remove tomporary board up storo front and r€turn to original condition. Lstter of auth on file.
<br />Planning conditions: lnterior ti only riLlL,.rri;'i.,,r1c .,.r .lln.',r',ri,.ir
<br />Contractor: Owner-Builder
<br />urr rce. ttln lrqnsii .l 1 0t tAccti: Rel+: 1041[r672tr
<br />Rcat+:03312r:ti7 - 6/1/2i21 A231 AnOwner Chaae Holding3 LP
<br />Planning Approval By
<br />Plan Checked By:
<br />Permit lssued By:
<br />NPDES lnsp. Req'
<br />PWA lnsp. Req'd:
<br />Address: 129wwll3onst,ll00 Address: Address: L.ons(l,:tron lotol t1,r-r6r,r.+i,,
<br />Corta Mosa, CA 92627
<br />;::::, :::'"'"'"';11J"1,""", ill*,o' NoTrcE oF vloliAtloN ilil;- ;:,-. -,1:
<br />:,
<br />Bus. Lic#: o"iion"r, (t€-rrerol- ilolr t.lp6(te Fee i)i'19
<br />workers' compensation tnsurance: loor""., ,:''.'#:li';'; ;"'""J-llH;- gl . r.rr,Carrier: Ul1l6l-n-rl_ !16l.ttrutr_
<br />Policy #: Phone: l /(. Furldroe $li'r.6/Erpir"., Li""n." #, iJ.l].u"i.,,,1,' t:,'i.il.:.I,,,11;i _ , , .,.,
<br />Date OSl17l2O21
<br />Date: 06103/2021
<br />Date: 06103/2021
<br />fi1,19aQ,1+g
<br />r,r? y3SO5
<br />$'104.26
<br />$261.96
<br />$1.00
<br />$23.79
<br />$59.30
<br />Kelaher, Selena
<br />Ahangian, Kathy
<br />Amsden, Julie
<br />Misc. Receipt
<br />Misc. Receipt
<br />Misc. Receipt
<br />Engineer
<br />Total
<br />o u rc ffi ,fr'tl/o" ddr /Clt}dt r""
<br />077760o2 3|AxtL W,rdrxtloqfds Ai.rrn+
<br />O7776002 51501 lnvestigation
<br />07776002 51601 Penatty
<br />07776002 57672 Btdg. stds. Revolving
<br />07776002 51500 General Plan Update
<br />07776002 51501 lssuance
<br />o
<br />No
<br />No
<br />No
<br />Fire lnsp. Req'd:
<br />Police lnsp. Req'd
<br />Subject to Field:
<br />NoNo Account#Planning lnsp. Req'd:
<br />Landscaping lnsp. Req'd Flood Zone Cerl. Req'd: No 01116002 51600
<br />Ewry pernil issued shall become invalid unless tho wo* on the site authonzed by
<br />such pemit is cgfimenc4d within 3@ days aftet its issuance,or if the worl< authorized
<br />on the site by such pomit is suspended ot ebandonod for 6 peiod ol 360 days Efter
<br />the time the wo* is commenced .
<br />$23.79
<br />$425.52
<br />$1.00
<br />$1 19.67
<br />$4.0s
<br />$574.03
<br />$0.00
<br />$574.03
<br />lnspector MID#: 202'1-'166165
<br />011 16002 51601
<br />01116002 5't 612
<br />01116002 53600
<br />01116002 57770
<br />Fee Total:
<br />Paid to Date:
<br />Balance Due:
<br />Bldg:Suite nange: /Address Range: 301-309
<br />Historic: Yea
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