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Proj ect Address: 1717 N Old Tustin Ave <br />Assessor'sParcel: 396-311-04 Lotr NA <br />unit B <br />BIock. B <br />Bldg: Address Range: <br />Tract: A.B. Chapman Historic: No <br />Suite Range: <br />Zoning: Cl <br />City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA g27oz Plumbing <br />Permit Counter: (714) 047-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 fr? <br />Permit #: 3Ot4{ 546 <br />Pin #: 90615 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name <br />Contractor <br />Address: <br />Maryum Nazeri <br />l7'17 Old Tustin Ave <br />Santa Ana, CA 92705 <br />(949) 300-3841 <br />Orange Coast Dental <br />Golden Oak3 Kitchen Bath . <br />5952 Chinook Drive <br />Huntington Beach, CA 9264 <br />(714) 473-5041 <br />51602 <br />51602 <br />51602 <br />51600 <br />57770 <br />Foe Type <br />Water Closet <br />Sink <br />Chg OwnedConlr <br />General Plan Update <br />Microfilm Records <br />01116002 <br />01r 16002 <br />01116002 <br />01116002 <br />01 1 16002 <br />Fee <br />$0.00 <br />$0.00 <br />$68.70 <br />$0.00 <br />$3.91 <br />Phone <br />State Lic *: 838971 <br />Lic Type: B, C-5{, C-15 <br />Bus. Lic *: l9,f36l <br />Worksrs' Compensalion lnsurance:Canier: State Componsation lnaul.ncs Fund <br />Policy l: 9234000 <br />Expiresl OSl27l2O2O <br />Botch+:53031 - lL/11/2819 I0r l.l6ARCIoflice: CTYH Tronsi3 114 7 olAccti: E€l+: 30111546 <br />Rcpti:02807208 - L|/11/20tq 3123 f'fi <br />Tronsoct ion Totol t953.7S <br />Golden ooks (itchen Both ond t <br />Plurb ins <br />ru116002- 51602000- <br />ll icnof i lr & Docurents <br />01116002- 57770000- <br />ICL Check 001{10 <br />I <br />Building Use: <br />Job Type: <br />Nature o, Work: <br />Planning Conditions: <br />Planning Apploval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit f: <br />Commercial <br />Tenant lmprovement <br />Tl - Change in Contractor <br />Occupancy: <br />Const, Type <br />Code: <br />B <br />VB <br />cPc 2016 <br />Notes '.Change in Contractor." Replaces #30140543. <br />lnterior remodel includes new restrooms, reception <br />counter, interior demo and new partitions <br />Chavez, Dave <br />10'197341 <br />Date; <br />Date: <br />Date;9?11114t2019 <br />Accountf <br />Misc. Receipl: <br />Misc. Receipl: <br />Misc. Recelpt: <br />Total <br />011 16002 5'1602 <br />01116002 57770 <br />Fee Total: <br />Paid to Datel <br />Balance Due: <br />$72.61 <br />$0.00 <br />$72.61 <br />Every pormit issued sha bec!.''a invelid unless lhe woarr or, llre era <br />aulhoized by such pem is comfionced wilhio 3@ days aftet it$ <br />issuoncls. or il lhe wo* authotized on the sito by such ponnit is suspgnded <br />o. abandoied tot a pedod ot 3@ days altet the ti,rre the wo is <br />commfncecl <br />lnspector MID#: 2018-145364 <br />Amount <br />0.00 <br />0.00 <br />68.70 <br />22.95 <br />3.91 <br />Qty <br />'1.00 <br />1 .00 <br />1.00 <br />0.00 <br />1.00 <br />I <br />$68.70 <br />$3.91