HomeMy WebLinkAbout101103069 - PermitAssessor's Parcel 398-516-'t2 Lot: '1, 2, & POR ABAlBlock G
unit: 2-A Bldg'
Tract: BLEE'S ADD
s
Zoning: SO84
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: I Ol { 03069
Pin #: 49873
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
Tl-Storefront
Commercial/Denist Office
B
VB
cBc 2019
x-0602320276J
Patio:
T.l.Area: 2865
Yards Req'd:
Valuation: $140,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
1 st FL Area.
2nd FL Area:
Other Areas:
Garage Area
Total:0
Description of Work: lnterior Tl improvements and minor storefront alterations for new dental office
Plann ing Cond itions
Phone:
Tenant
Address
Phone:
License #
Archilect /
Oesiqner:
Address:
Phone:
License #
tsrooke Behnam
12021 Wilshire Blvd #282
Los Angeles, CA 90025
'2131924-0024
Planning Approval By: Enriquez, Gissel
Plan Checked By: Scott Fazekas & Assoc
Permit lssued By: Chavez, Dave
NPDES lnsp. Req'd: No
Date: 06/04/2020
Date: 05105/2020
Date; 06/05/2020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc Receipt
0 777600 2
07776002
0 777600 2
0 777 600 2
0 77 76002
0 77 76002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Updale
lssuance
Total
57607
s360 0
57770
57672
57600
57607
$744.90
$1,031.40
$3.91
$6.00
$57.20PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every petnit issued shall becomo tnvalid unless the M/ork on the srte authoized by
such permit is comfienced wilhin 360 days aner ils issuanco,ot il the wo* authonzed
on the sile by such perntt is suspended or abandoned fot a pe.iod ol 360 daysafter
the llme the wo* is commenced.
lnspector
01 1 16002 51600
01 'r '16002 51601
01 1'16002 51612
01116002 57770
$802.10
$6.00
$3.91 Fee Total:
Pard to Date:
Balance Due:
$1,866.36
$'r,031.40
$834.96
Proiect Address: 407 E First St Address Range: 401-407
Hisloric: No
Suite Range:
Owner
Address:
ROIC Santa Ana LLC
11250 El Camino Real #200
San Oiego, CA 92'130
(858) 255{903
Dental Office
Contractor: JR Oevelopment dba Mercur
Address; 7525 Ethel Avenue Unit K
North Hollywood, CA 91505
Phone: (818) 764-1288
State Lic #r 561978
Lic Type: B
Bus. Lic #: 375522
Workers' Compensalion lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: 760000'1257201
Expires: 0210412021
Engineer:
7 4109
MID#: 2020-157621
BUILDING. INSPECTOR RECORD
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COMMENTSSITE-WORK DATE ID/SIG.
Set Backs
FormsiSteel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathinq
Shear Wall
Framino g-rp6.a,ub hLfr)v754-loflEiio-ryEnersy 7/2r/vo1
Dryw-ll '7'9.-7j ka-I
vExt./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
/}{FINAL t\-\.7-a
Certilicate of Occupancy
Notes, Flemarks, Etc.
Rev. 08'07-2015
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