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Project Address: 115 W Fourth St unit: 200 Bldg: Address Range: <br />Tract: TOWN OF SANTA ANAAssessor's Parcel:398-258-04 Lot POR 2 Block 14 <br />Suite Range <br />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: (7',14) 647-5853 <br />Permit #: 1041f)7239 <br />Pin #: 754J,0 <br />Building Usel <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Miscellan6ous <br />N/V-Demo <br />Commerical <br />B <br />VB <br />cBc 2019 <br />x-0602320276J <br />Occupancy: <br />constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: $1,000.00 <br />Description of Work: Demo unpermitted shower. Auth on file. <br />Planning Conditions: <br />Plannang Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd ffi Account# <br />Date 0711512021 <br />Date: <br />Oale 0711912021 <br />Subject to Field: <br />0 7 7 76002 <br />0 77 76002 <br />0 77 7600 2 <br />0 7776002 <br />o1776002 <br />0 77760 02 <br />o777600 2 <br />Permit Fee <br />Microfilm Records <br />lnvestigation <br />Penally <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceTotal <br />57607 <br />57770 <br />57607 <br />57607 <br />576 72 <br />5760 0 <br />5760 7 <br />Flood Zone Cert Req'd: No <br />lnspector MtD# 2021-167455 <br />01116002 51600 <br />011 16002 51601 <br />01116002 51612 <br />01116002 57770 <br />$23.79 <br />$598.'16 <br />$1.00 <br />$4.05 <br />Hisloric No Zonrng SD84 <br />Engineer <br />Ci*ner, CDHFPROPERTYMANAGEMENT Contractor: Owner-Builder <br />Address: 23016 Lake Forost Dr #145 Address: Address: <br />' Laguna Hills, CA 92653 <br />Phone: O14l7g7-2OOg Phone: Phone: <br />State Lic #: License #: <br />Tenant <br />Lic Type: Architect / <br />Bus Lic #. Desiqner <br />Workers' Compensation lnsurance: Address: <br />Carrier. <br />Policy #: Phone: <br />Expires: License #: <br />Machado, MiriamJ <br />Zuniga, eflrssa \ <br />Fee Total <br />Paid to Date <br />Balance Due: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Recerptl <br />$172.U <br />$4.05 <br />$ 104.26 <br />$261.96 <br />$1.00 <br />$23.79 <br />$59.30 <br />Every pamit issued shall becone invaltd unless the wotk on the stte authorized by <br />such pennit is cofimenced wlhin 360 days aftor ts tssuance,ot if the wort authonzed <br />on lhe sito by such poftnit $ suspended or abandoned for e penod 01360 days after <br />ths time the wo* is commencod <br />$627.00 <br />$0.00 <br />$527.00