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Project Address: 191 1 N Broadway <br />Assessor's Parcel 002-162-27 Lot. PORS 7,8; PORSBlock: A <br />Bldg: Address Range: '1911-1917' <br />Tracl: GEOPPERS/OR.6R. Historic: No <br />Suite Range: <br />Zoning: P <br />{2 <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOl93O2O <br />Pin #: 66469 <br />Building Use: Commercial Occupancy: B 'l st FL Area: Patio: <br />Job Type: Miscellaneous Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature of Work: O/T lnspection Code: CBC 20'16 Other Areas: yards Req,d: <br />Existing Bldg. & Use: QqmmsTg;a| Flood zone: x-0602320163J carage Area: Valuation: So.oi <br />Proposed Use: # of Stories: <br />Totat: <br />Description of Work: After-hours pre-roof inspoction for Wednesday pm, May 17,2017. Contact = Antonio Carbayo 714-403-9801. lnspector = Jose Do <br />Soto 714-240-3581. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Antonio Carboyo <br />l9'l I N Broadway <br />Santa Ana, CA 92706 <br />(7 t4) 403-9801 <br />Full Health Unlversity Medical <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier; <br />Policy #: <br />Expires: <br />Conlraclor <br />Address: <br />Owner-Builder <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Planning Approval <br />Plan Checked By <br />Permit lssued By: <br />NPDES lnsp. Req' <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Brodowski, Teri <br />Date: <br />Dale: <br />Oale: OSl17l2O17 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipl <br />Misc. Receipt <br />07776002 57607 Ofi lnspection <br />07776002 57672 Bldq. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />$298.50 <br />$0.00 <br />$0.00 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd U Account#Total <br />Flood Zone Cerl. Req'd: No 01.116002 5.!601 $298 50 <br />Evory pemit issued shall becorne inv4lid unless the wo* on the sito authorizad by <br />such peinil is commenced wlhh 180 days aftet ils issuance.ot il the wo* authorized <br />on the sito by such pemil is suspended or abandoned fot a penod ol 180 days aftet <br />lhe lime lhe wod< is corfifiehced <br />lnspector MID#: 2017-136189 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$298.50 <br />$0.00 <br />$298.50 <br />lD)2. SI <br />Unit <br />(