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Project Address: 1570 E Seventeenth St unit: <br />Assessor's Parcel: 4OO-251-O7 Lot: NA Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C5 <br /><2 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA)27O2 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 4A{33943 <br />Pin #: 50250 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone: <br />Easter Seals of Southern Calif <br />1063 McGaw <br />lrvine, CA 92614 <br />(7141 724-91s7 <br />Easterseals Southern Callfornla <br />JLC Associates lnc. <br />3198-A Airpod Loop Drive <br />Costa Mesa, CA 92626 <br />(7141 2414430 <br />01116002 51604 <br />01 1 16002 51604 <br />01 1 16002 53603 <br />01 1 16002 5160C <br />01 1 16002 51604 <br />01 1 16002 5777C <br />Fee Type <br />Air Handling <br />Alter Vent Sys <br />P/C - 650/o <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />46.25 <br />45 33 <br />065 <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />3.00 <br />18.00 <br />gil.69 <br />1.00 <br />1.00 <br />100 <br />Fee <br />$138.75 <br />$81 5 94 <br />$620 ss <br />$22.e5 <br />$57.20 <br />$3.9 t <br />I <br />State Llc # 645576 <br />Lic Type: B <br />Bus. Lic #: 177A48 <br />Workers' Cornpensation I nsurance: <br />Carrier: INSURANCE COMPANY OF THE WEST <br />Policy #: WSD5045216 <br />Expires: 0110112021 <br />Building Use <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: CSG <br />Perrnit lssued By: Zuniga, Allissa <br />Subject to Field: <br />Building Perrnit #: 10199148 <br />Commerclal Occupanc}. <br />Tenant lmprovelnent Constr TYPe: <br />Chg of Use/Tl/Card ReaderslCode: <br />Date: <br />Date: <br />Date <br />A-3, l4 <br />V B, SPK <br />cMC 2016 <br />Notes: Mechanical for-Change of use from offlce to an adult <br />day care. <br />12t18/2019 <br />04141t2020 <br />Account# <br />Misc. Receipt' 73454 <br />Misc. Receipt: <br />Misc. Receipt: <br />fotal <br />Every permitissued shall bxome invatidunless the worton the site 01116002 51604 <br />auhoiized by such permit B cornmenced within 360 days afler its 01 1 16002 57770 <br />issuance, or if the work authorized on the site by such permit is suspended <br />or abandoned for a pertod of 360 days after the time the wort is <br />commerrced. <br />lnspector MtD# " 2019- 1493s2 <br />01 1 16002 51600 $22.e5 <br />$1,01 1.89 <br />$3 91 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$ 1 ,659.30 <br />$620.55 <br />$1,038.75 <br />I <br />t