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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: 1O{ {05998 <br />{F, <br />Project Address: 104 E Fourth St <br />Assessor's Parcel: 398-501-02 Lot: POR 7 & POR 10 Block: 10 <br />Bldg: Address Range: <br />Tract: TOWN OF SANTA ANA <br />Pin #: <br />Suite Range: <br />Zoning: SD84 <br />Unit: <br />Historic: Yes <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing BIdg. & Use: <br />Proposed Use. <br />Commercial <br />Tenant lmprovement <br />TI <br />Com m erc i a l/Resta u rant <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone'. <br /># of Stories. <br />A-2, B <br />V B, SPK <br />cBc 2019 <br />x-0602320276J <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: $e,500.00 <br />0 <br />DGcrlption of Wo.k Tl-lnst.ll serylce lrar on 2nd floor-no giease lnterceptoa roq'd .. <br />Planning Conditiona: <br />Engineer: Langaton & Arlociatea <br />Owner: Noften Foigl.m.n Contracior: D J Z Con3tructlon Jim L Lan$ton <br />Addrsss: 86 H.rtorRldge Dr Addrsss: 23806 Elyce Court Addrcss: 603 N Partc.nter Drlve, Sulte r0S <br />l{ewpdrt Be.ch, cA 92660 t oreno V.lley, cA 92553 santr anal cA 9rr05 <br />Phone: (949) 230{988 Phone; (e,le} s36-2631 ll-", gl1}jf+tJi , . . <br />Ten.nt Er Rincon Msxicano state Lic#: 1029251 Liceme #: c29373 <br />Lic Typ€: B Architect / daal {Dr.itingiorA i <br />Bus. Lic *: 37a364 Desiqner: Jalme U.jil, ,, , <br />Workers' Compensation lnsurance: Addrsss: '18455 Yucca 6!,Canier: St te Fund H$peri.icA92345 <br />Policy #: 9266253 <br />Expires: 1212112021 <br />Phone: (909) 534-33t0 <br />License #: I :'i <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 />Lee, Wayne <br />Amsden, Julie <br />Date: O7lO1l2O21 <br />Date: 0312512021 <br />Date: 0710G12021 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />No <br />,NO <br />No <br />No <br />Account# <br />75282 <br />Total <br />077760 02 <br />07776002 <br />07776002 <br />08907007 <br />07776002 <br />07776002 <br />077750 0 2 <br />57607 <br />53600 <br />s7770 <br />24000 <br />57672 <br />5760 0 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 2 <br />BIdg. Stds. Revolving <br />General Plan Update <br />I ssuance <br />$345 28 <br />$478.68 <br />$48 60 <br />$1 82 <br />$1 00 <br />$23.79 <br />$59 30 <br />a6fire lnsp. Req'd: Yes <br />Police Insp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 days after <br />the time the work is commenced. <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01116002 57770 <br />08901 001 24000 <br />$23.79 <br />$404 58 <br />$1 00 <br />$48 60 <br />$1 82 <br />Fee Totat <br />Paid to Date: <br />Balance Due: <br />$958 47 <br />$478.68 <br />$479.79 <br />lnspector MrD#' 2021-164238