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E <br />Project Address: 1920 E Seventeenth St <br />Assessor'sParcel: 400-0'11-03 Lol 3 Block: NA <br />unit: 120 Blds <br />Tract: 6313 <br />Address Range:Suite Range: <br />Zoning: C5Historic No <br />city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspeclor Section: (714) 647-5853 <br />Permit #: {O39894O <br />Pin #: 3EO6{ <br />Building Use: Commercial Occupancy: B l st FL Area: Patio: <br />Job Type: Rsvision Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature of work: Revision code: cBc2016 olher Areas: yards Req'd <br />Existing Bldg. & Use: 66mmsTcial office bldg Flood Zoner X-O60232016IU carage Area: Valuation: <br />Proposed Use: Orthodontic/Dental Ofrice # of Storiesi <br />Total: <br />Description of Work: Revision to #10396596. Changes: eliminated proposed restrooms and repurposing two areasa as storage. <br />Planning Conditions: <br />0@0 <br />Owner: <br />Address: <br />Phone. <br />Tenant <br />Alex G Gladkov Dental corp <br />6818 S La Cienega Blvd #203 <br />lnglewood, CA 90302 <br />Orthodontic Center of Orange Cou <br />Phone: <br />State Lic #: <br />Lic Type: <br />8us. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Explres: <br />Engineer <br />Address <br />Phone: <br />License #: <br />Architect / <br />Oesiqner: <br />Address: <br />Phone: <br />License # <br />Mitchell Desiqn <br />Frank Mitchell <br />P.O. Box 29131 <br />Santa Ana, CA 92799 <br />(7141760-2397 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req' <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Carvajal, Verny <br />So, Anson <br />Amsden, Julie <br />Date: 01/17120'19 Misc. Receipt <br />Date: 0'l/2812019 [risc. Receipt <br />Date: 01/3112019 Misc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />07776002 53600 Revision <br />07776002 51600 General Plan Update <br />Total <br />d No <br />No <br />No <br />No Flood Zone Cert. Req'd: No N/A _ No Batance <br />Every perfiit issuod sha becorno invalid unless lho wori( or lhe slle aulhonzed by <br />such poml is conmenced trithin 180 doys attet its issuance.or it the wod< aulhonzed <br />on lhe site by such pefinit is suspended or abandoned fot a period o1180 days after <br />the time tho wo* ts cofimenced <br />lnspector MID#: 2018-143892 <br />Contractor: <br />Address: <br />Owner-Builder <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />72082 <br />$222.16 <br />$0.00 <br />$222 16 <br />$222.16 <br />$0.00