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6\*9, <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 tr <br />Permit#: {Ol{OO239 <br />Pin #: 30365 <br />Assessor's Parcel 395-31 1-04 Lol NA <br />Unit: A Bldg: Address Range <br />Tract: A.B. ChapmanBlock: B Historic No <br />Suite Range: <br />Zoning: C1 <br />Building Use: Commercial Occupancy: B 1st FL Area: Patiol <br />Job Type: Tenant lmprovomont Constr Type: V B 2nd FL Area: T.l.Area: 2Z4O <br />Natureof work: T|-CHANGE oF coNTRAcroR code; cBc 2016 other Areas: yards Req,d: <br />Existing Bldg. & Use: Commercial Flood Zone: X-0602320164J Garage Area: Valuation: $80,000.00 <br />Proposed User Chiropractic Offico # of Stories: <br />Totat: <br />Description of Work: Change of Contractor,/Fees transferrsdrLetter on file. lnterior remodel includes now rsstrooms, reception counter, interior demo and <br />new partitions <br />Planning Conditions: <br />Phone: <br />Tenant <br />Maryam Nazeri <br />1717 Old Tustin Ave <br />Santa Ana, CA 92705 <br />(949) 300-3E41 <br />Orange Coast Dental <br />Contractor: Golden Oaks Kitchen Bath a <br />Address: 5952 Chinook Drive <br />Huntinqton Beach, CA 9264 <br />Phoner (714) 473.5041 <br />State Lic #: 838971 <br />Lic Type: B, C-54, C"ls <br />Bus. Lic f: 19436'l <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnaurance Fut <br />Policy #: 9234000 <br />Expires: 0612712020 <br />Engineer <br />Address <br />Archilect / <br />Desiqner. <br />Address: <br />Phone: <br />Lrcense f <br />Phone; <br />License #: <br />Oldham Architects <br />Ryan Oldham <br />550 S Brea Blvd <br />Brea, CA 92821 <br />(7141482-8296 <br />c-29715 <br />Planning Approval By. <br />Plan Checked By: <br />Permit lssued 8y: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Pezeshkpour, Ali <br />Scott Fazekas & Assoc <br />Brodowski, Teri.\ ,, <br />Date: 08/14/2018 <br />Date: 1'l113/2018 <br />Date: 05/28/2019 <br />Subject to Field: <br />07716002 51601 Change Owner/Contr <br />07776002 s7672 81d9. Stds. Revolving <br />07776002 57600 General Plan Update <br />$66.1 1 <br />$0.00 <br />$0.00 <br />Account# <br />Flood Zone Cerl. Req'd No 01116002 51601 <br />Every permtl issued shall become nvalid unless lhe wod on lhe sile aulhonzed by <br />such pemit is commenced wihn 3fu days attor its tssuance.or itthe work authonzed <br />on the site by such porm 6 suspenclecl or abandoned fot a peiod of 3N daysafter <br />lhe time lhe wotk lscommenced <br />Fire lnsp Req'd: <br />Police lnsp. Req'd <br />No <br />No Total <br />566.1 1 <br />$0.00 <br />$66.11 <br />lnspector MID#: 20'18-145363 <br />$66.1 1 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Project Address: 1717 N Old Tustin Ave <br />Owner; <br />Address: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: