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Project Address: 123 W Seventeenth St <br />Assessor's Parcel oo2-164-24 Lot: 13,14,15 & POR lBlock E <br />Bldg Address Range: 123-201 <br />Tract: MCILWAIN'S SUB Historic: No <br />Unit Suite Ranger <br />Zoning: Cl <br />Permit #: { Oi 105879 <br />Pin #: 62360 <br />Building Use: Commercial Occupancy: B I st FL Area <br />Job Type: Parking Lots Constr Type: V B 2nd FL Area <br />Nature of Work Parking lot lmprovements Code: cBC 2019 Other Areas: <br />Existing Bldg. & Use: Commerical Flood Zonet X-0602320'163J Garage Area <br />Proposed User # of Stories: Total O <br />Deacription of Work: Parking lot improvements includs ADA ugrades, remove barriers, new path of travel and re-stripe. <br />Patio: <br />T.l.Area <br />Yards Req'd <br />Valuation:$29,000.00 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Guevara, Jerry <br />BCS Consultants / <br />Zuniga, Allrssa (V <br />l\ <br />Fire lnsp. Req'dl <br />Police lnsp Req'd <br />Date 0410612021 <br />Date: 03/31/2021 <br />Date: 04/09/2021 <br />Sub,ect to Field: <br />0 777600 2 <br />077760 0 2 <br />077760 0 2 <br />0777600 2 <br />0771600 2 <br />07776002 <br />57607 <br />53600 <br />57770 <br />576 72 <br />57600 <br />57607 <br />$260.00 <br />$300.00 <br />$20.2s <br />$2.00 <br />$23.79 <br />$59.30 <br />75230 <br />Total <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />No <br />No <br />No <br />No <br />No <br />No Account# <br />Flood Zone Cert. Req'd No <br />Every pemi issued shall becoma nvahd unlass the wo* on the sile aulhorized by <br />such pemit is commenced wthin 360 days aftet ils issuance.o( I lhe wo* authonzed <br />on the sie by such pamit 6 suspenclec! gt abandoned for a penod o1360 days aftor <br />the timo lhe wo* is commenced <br />lnspector <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 116002 57770 <br />$23 79 <br />$319.30 <br />$2.00 <br />$20.25 Fee Total <br />Paid to Date <br />Balance Due <br />$665.34 <br />$300 00 <br />$365.34 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building <br />Permit Counter: (714|,647-5800 lnspection Requests (714\ 667-2738 lnspector Seclion. (714)647-5853 -w?- <br />Planning Conditions: Parking stalls to be doublo striped. <br />-Engrneer <br />Owner: Liese Rego Conlractor J & E Asphalt Maintenance <br />Address: 1080 Longview Ave Address. PO Box 222 Address: <br />Pismo Beach, CA 934492433 Pico Rivera, CA 90650 <br />Phone: Phone: (9511277-0764 Phone: <br />state Lic # 8to58o Lrcense #. <br />Tenant <br />Lic Type. B Archttect / <br />Bus Lic #: 377319 Desrqner <br />Workers' Compensation lnsurance: Address:Carrier: STARSTONENATIONALINSURANI <br />Polrcy #: T80210052855 Phone <br />Expiresr 01/01/2022 Lrcense #i <br />Misc Receipt: <br />Misc. Receipti <br />Misc. Receipt: <br />MtD# 2021-164260