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@ 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 <br />Permit #: lOl92l88 <br />Pin #: 14291 <br />EProject Address: 202 W Fifteenth St <br />Assessor's Parcel 398-523-0'l Lot: l, 12 <br />Unil Bldg: Address Ranger 202.206 <br />Tract: SWANNER.S ADO Historic: yor <br />Suite Range: <br />Zoning: SP3Block. A <br />Building Use: Commercial Occupancy: A-3, B, 14 'l st FL Area: Patio: <br />Job Type: Tonant lmprovement Constr Type: V B, SPK 2nd FL Area: T.l.Area ,llOO <br />Nature of Work: T.l. code: CBC 2016 other Areas: yards Req,d: <br />Existing Bldg. & Use: Q6mmglgi31 Flood zone: x-0602320'163J <br />Garage Area: Valuation: $75,000.00 <br />Proposed use: Adult day care facility #of stories: Total: ir,rii ir,.. _r .. ii,: .r.ll <br />Description of Work: 1st floor only, adult day care facility (New H occupancy) .lnterior tenant improvemsnt, mi9{ipartition walls to crod. nowtoll€( <br />rooms, misc ceiling repairs; install new entry door (at existing window opening); sito adcdsdYtity . tq8triping, 6igaage,'. .. <br />Planning Conditions: ;"'1,.,., ,:., <br />Contractor: V T Construction <br />Address: 14542 Harper Street <br />Midway City, CA 92655 <br />Phone: (21313214125 <br />Stale Lic #: 590997 <br />Lic Type: B, A, C-10 <br />Bus. Lic #r 324659 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 1955371 <br />Expires: 0AlO1l2O17 <br />Francis P. Ong <br />Francis P. Ong <br />201 E Chapman Avenu6 <br />Placentia, CAg2l70 <br />(7141296.3844 <br />Datum Architects <br />Engineer <br />Address <br />Architect / <br />Desiqner; <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />150 Paularlnc AY?nu., D'193 <br />Costa Mesa, CA 92626 <br />(949) 58r-2255 <br />c-19789 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPOES lnsp. Req'd <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Date: 06/25/2017 Misc. Receipt: 69220 <br />OaIe: 0612612017 Misc. Receipt: <br />Oatet 06t212017 lvlisc. Receipt; <br />Subject to Field; <br />0 77760 0 2 <br />07716002 <br />0 77760 0 2 <br />0 71160 0 2 <br />07776002 <br />07176002 <br />5760 7 <br />5i600 <br />57770 <br />57672 <br />57600 <br />5760 7 <br />$467.00 <br />$513.00 <br />$21.00 <br />$3.00 <br />$20.56 <br />$51.26 <br />Guevara, Jerry <br />azarji, Zac <br />Amsden. Julie <br />Permit Fee <br />PIan Check Fee <br />iilicrolilm Records <br />Bldg. Stds. Revolving <br />General Plan Updaie <br />lssuance <br />o <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Yaayes Account#Total <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemil issued shall become invalid unless the wort on he site authoized by <br />such pemit is commenced within 180 days aftet ils issuance,ot il lho wot* aulhorized <br />on the site by such pemil is suspended or abandoned fot a pedod o1180 days aftet <br />lhe time the work is cgmmenced <br />$1,07s.82 <br />$513 00 <br />$562.82 <br />lnspector MID#: 2O17-134574 <br />01 1 16002 <br />0'1 I 16002 <br />0'1 1 16002 <br />01 1 16002 <br />5't600 <br />51601 <br />51612 <br />57770 <br />$20.56 <br />$518.26 <br />$3.00 <br />$21.00 Fee Total: <br />Paid to Date: <br />Balance Due <br />Owner. ABC Oay Health Center <br />Address: 202 W. Fifteenth St. <br />Santa Ana, CA 92706 <br />Phone: (714) 894-5880 <br />Tenant: ABC Day Health Center