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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: i714) 667-2738 lnspector S <br />Proiect Address: 2525 W Westminster Ave Un(: G <br />7-5853 <br />Bu ild ing <br />Hisloric No <br />q <br />Lot NA Block NA Tract: NA <br />Bldg: Address Range Suite Range: <br />Zoning: Cl <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg & Use <br />Proposed Use: <br />M <br />VB <br />cBc 2016 <br />x-06023201/t4J <br />1 st 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: <br />0@0 <br />$3,000.00 <br />Description of Work: Upgrade exisitng bathroom <br />Planning Conditions: <br />Botch+:46376 - <br />0f f i,:e: CTYH <br />Ac.t+ ! <br />RcDta:0?{l1r:r94 <br />tl/ 1t /2t)18 <br />nons+3 32 <br />Ref+:- tct/11/20 <br />IO: NGA <br />1, <br />1Q 1t7.1 <br />3 11:2rl <br />I rqnsca! ton to(,nl I:,:.il.r. { <br />Owner: <br />Address <br />Phone. <br />Tenant <br />Rosemarie Reisch <br />1575 Shenadoah <br />Santa Ana, CA 92701 <br />Conlractor: Design Concept and Constr <br />Address: 14371 Starsia St <br />Westminster, CA 92683 <br />Phone: (7111612-7112 <br />State Lic #. 593686 <br />Lic Type: B <br />Bus Lic #r 187798 <br />Workers' Compensation lnsurance: <br />Carrier: SouthernlnsuranceCompany <br />Policy #: PWC008454 <br />Expires: 0911512019 <br />Generol PIon ljpdote Fee <br />01116002- 51600000- <br />Buildins <br />01116002- 51601000- <br />EIde Stds Reyol v ine <br />011160tr2- 516120|:10- <br />I'licrof ilr & Oocu.ents <br />01116002- !7770000- <br />V iso <br />CC+: rrrrrrr**rI*9889 <br />Engineer <br />Address <br />Archilect / <br />Desiqner: <br />Address <br />Phone: <br />License # <br />Phone. <br />License #: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPOES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Dale: 09/10/2018 <br />Date: 10/08/2018 <br />Dale: 10/11/2018 <br />Subject to Field <br />Misc. Receipt <br />Misc. Receipt <br />Misc Receipt <br />71503 <br />Total <br />0777500 2 <br />0 777600 2 <br />0 71760 0 2 <br />0771600 2 <br />o7776002 <br />0 777600 2 <br />57607 <br />53 600 <br />57770 <br />576 72 <br />57500 <br />57607 <br />$160.25 <br />$222.16 <br />$1 1.28 <br />$1 00 <br />$22 08 <br />$55.04 <br />Permit Fee <br />Plan Check Fee <br />lvlicrofilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Flood Zone Cert Req'd No <br />Every permit issuod shall becgfie nvalid unless lhe work on the site authoized by <br />such pennit is commencod within180 days aller its issuance,or ifthe wo* aulhorizod <br />on tho site by such permit is suspanded or abandoned fot a pehod of 180 days after <br />lhe lme lha wot* ts commenced <br />lnspector MID#: 2018-'145990 <br />$22.08 <br />$215.29 <br />$1.00 <br />$1 '1.28 Fee Total <br />Paid to Date: <br />Balance Due <br />$47'1 81 <br />$222 16 <br />$249.65 <br />Permit #: lOl97650 <br />Pin #: 58396 <br />Assessor's Parcel 101-132-29 <br />Commercial <br />Tsnant lmprovement <br />TI <br />Commercial <br />Occupancy. <br />Constr Type: <br />Code <br />Flood Zone <br /># of Stories. <br />oeg i9n Con{ept ond Constnurtio <br />ticl-r,6 <br />Auth+: U29:j4Li <br />a <br />. ril <br />tr 1 , r-lrl <br />?9 <br />a <br />rihii::v( <br />011 16002 51600 <br />011 16002 51601 <br />01'116002 51612 <br />01116002 57770