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101100053 - Permit
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests (7'l4l667-2738 lnspector Sectionr (714) 647-5853 Permit #: {O Pin #: ftooou, 75063 Project Address: 200 W Santa Ana Blvd Assessor's Parcel.398-253-06 Lot l -'10 unit: 100 Bldg Address Range Tract: TOWN OF SANTA ANABlock 20 Hrsloncr No Suite Range: Zoning: SD84 Patio: T.l.Area: Yards Req'd: Valuation: 3600 $'180,000.00 Planning Conditions: Owner Address Phone. Tenant: Ocean West 200 W Santa Ana Blvd, #200 Santa Ana, CA 92701 (7141245-9455 Orange County Healthcare Agency Contraclor: CoastlineDevelopment Address 13911 Enterprise Dr Garden Grove, CA 92843 Phone (71lr) 265-0250 State Lic #: 485187 Lic Type. B Bus. Lic # 1510,f4 Workers' Compensation lnsurance Carrier: Benchmark Polcy # CST5014784 Expires. 01lO1l2O2O Engrneer Address: Phone. License # Phone: License * Planning Approval By. Plan Checked By Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp Req'd Heidari, Fred Verduzco, Violet Pezeshkpour, Ala Date 06/10/20'19 Date 06/06/2019 Dale 06/10/2019 Subject to Field No 0 77 76002 0 7776002 0 77 76002 07775002 0777600 2 017 7 600 2 57607 5 3600 57770 57572 57600 57607 Permit Fee Plan Check Fee Microfilm Records Bidg Stds. Revolving General Plan Updale lssuance $900.00 $1.260.00 $37.60 $8.00 $22.08 $55.04 $2.282.72 $1.260 00 s1,022.72 J Total No No No No Fire lnsp Req'd: Police lnsp. Req'd No Account# Flood Zone Cert. Req'd No Every permtt issued shall becofie nvahcl unless lhe worr< on lhe s,le authortzed by such pefin 6 commenced wilhn 360 days alter ls $suance ot t the work authon2ed on the sle by such pem is suspended ot abandoned lo, a penod of36o days after the time the wo* ts commenced MID#: 20'19-151382 01 1 16002 51600 01116002 51601 01 1 16002 51612 011'16002 57770 $22.08 $955 04 $8 00 $37 60 Fee Total. Pard lo Date Balance Oue: Building Use: High-Rise Commercial Occupancy: B 1st FL Area: Job Type: Tenant lmprovsment Constr Type: lA, SPK 2nd FL Area: Nature of Work: Tl code CBC 2016 other Areas: Existing Bldg. & Use: Comm/Offices Flood Zone: X-0602320276J carage Area: Proposed Use. # of Storaes: Total Description of Work: lnterior ti - demo/now partition walls & ceilings to croate storage rooms & (2) brsak rooms. Architect / Desiqnerl Address: Frasier McClellan & Associates 8302 Madison Avenue Midway City, CA 92555 (714) 897-3382 J Misc Recerpl: Misc Receipt: Misc Recerpt: 72569 lnspector BUILDING. INSPECTOB RECORD SITE.WORK DATE ID/SIG.COMMENTS rn\\tIr llr rl l, k lrl I r \R\rro\ it'flkrrr l'tr r Frtr,( {rhr(h rl( !mltrrtrrrtr$'lNrrlrv!,lNrnxtr.rhxnlrvthui.lBlLl"ll.tr\iS5r()J I r\ ',*tr{ trlr tfuF y.r nty.nIloy..\ $rrh *rI.\rsrh. !)1. 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