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Proiect Address: 1327 E St Gertrude Pl <br />Assessor's Parcel:0'l4-33t-15 Lot NA <br />Bldg Address Range Suite Ranger <br />Zoning: MlBlock NA T,acl 726 Hrstoflc No <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 Section: (714) 647-5853 <br />Permit#: lOl{06120 <br />Pin #: 35075 <br />Building Use: lndustrial Occupancy: N/A 'l st FL Area <br />Job Type: Signs Constr Type: N/A 2nd FL Area <br />Nature of Work: Signs-illuminated Code CBC 2019 Other Areas. <br />Existing Bldg. & use. Industrial Flood zone: x-o6o232o276J carage Area: <br />Proposed Use: CANNABTS RETATL SALES # of Stories: <br />Totat <br />Description of Work: lnstall {1) wall sign & (1) illuminated, doubla-sided blade sign for "Farmacy, Santa Ana", bond <br />Planning Conditions: <br />Patio: <br />T I Area: <br />Yards Req'd <br />Valuation: <br />0 <br />included. <br />$12,000.00 <br />Phone <br />Tenant <br />East Saint Gertrude 1327 LLC <br />3645 Long Beach Bl <br />Long Beach, CA 90807 <br />(562) 264-5078 <br />Bud & Bloom OC dba Farmacy Sal <br />Contraclor: Fathom and Form LLC <br />Address l218 E Washington Blvd <br />Los Angeles, CA 90021 <br />Phone (323) 805-7/149 <br />State Lic # '1071897 <br />Lic Type B <br />Ac8-Lrc]+- _ 377345 <br />Workers' Compensation lnsurance: <br />Canier SIRIUS AMERICA INSURANCE COI <br />Policy # WC71952 <br />Expires. O4lOSl2O22 <br />Clark Reder Engineering <br />Jetfrey Reder <br />'1009'l Mosteller Ln <br />WEST CHESTER, OH 45069 <br />(513) 85r-r223 <br />70581 <br />Engineer <br />Addressr <br />Phone <br />License # <br />Archilect / <br />Desiqner: <br />Address. <br />Phone <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp Req'd: <br />Landscaping lnsp. Req'd <br />Orozco, lvan <br />lfl:ll;[I$Z <br />Dale: 0311112021 <br />Date: 05/06/2021 <br />Date: 05/06/202'l <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipl <br />Misc Receipt <br />51600 <br />51601 <br />51612 <br />53600 <br />57770 <br />53636 <br />24000 <br />07776002 <br />07776002 <br />077760 02 <br />08 90 700 7 <br />01776001 <br />0 7776002 <br />0 7 7 76002 <br />0 5 3 75002 <br />57 507 <br />s 3600 <br />57770 <br />24000 <br />57672 <br />5 7600 <br />57607 <br />536i6 <br />Permit Fee <br />Plao Check Fee <br />Mlcrofikn Rocords <br />SMIP - Calegory 2 <br />Bldg Stds Revolving <br />General Plan Update <br />lssuance <br />Bond <br />No <br />No <br />No <br />No <br />U Account# <br />$172.64 <br />$239.34 <br />$89 10 <br />$3.36 <br />$1.00 <br />$23 79 <br />$59.30 <br />$200.00 <br />Fire lnsp. Req'dr <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd. No <br />Every pemil Bsuad shall bocofie hvahd unless lhe wo* on lhe ste aulhonzed by <br />such peftnil 6 commenced w htn 360 days after ls ssuance ot if the work aulhonzed <br />on the site by such perml is suspencled or abandonod for a period 01360 days after <br />the time lhe wo* ts commenced <br />lnspector MtD#. 2021-164807 <br />Fee Total <br />Pard lo Date: <br />Balance Due <br />s788 53 <br />$0 00 <br />t788.53 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />01116002 <br />05316002 <br />08901001 <br />Total <br />$23.79 <br />$231 94 <br />$1.00 <br />$239 34 <br />$89 10 <br />$200 00 <br />$3.36 <br />Unil <br />Owner. <br />Address <br />U1116Lrrl!- :,16r-r1!L