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Project Address: 3110 W Lake Center Dr <br />Assessor's Parcel: 414-272-10 Lot: NA <br />Unit:Bldg Address Range: 3100-3120 <br />Historic: No <br />Suite Range: <br />Zoning: SD58Block: NA Tract: NA <br />city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2 N Building <br />Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Permit #:101103142 <br />Pin #: 42547 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Demolition <br />Demo <br />Commercial/Offices <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />B <br />lilB <br />cBc 2019 <br />x-0502320258J <br />1st 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 />Description of Work: lnterior soft demo only-non structural <br />Planning Conditions: <br />$30,000.00 <br />Btrtch*:54402 - 2/L+/?t7?lt ID: NfiAR(:Iri <br />Off ice: CIYH Transi; S I cii'lAcct*: Rel*: 1r:rlll:r.jt41: <br />Ficpt+;1f2893571 -- 2/t4/2lt2lt g:59 i'rl <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />C J Segerstrom <br />3110 W Lake Center Dr, <br />Santa Ana, CA 92704 <br />(714) 438-32s0 <br />Optum Health <br />Contractor: Deb Construction <br />Address: 2230 E Winston Road <br />Anaheim, CA 92806 <br />Phone: (714) 632-6680 <br />State Lic #: 372419 <br />Lic Type: B <br />Bus. Lic #: 159001 <br />Workers' Compensation I nsurance:Carrier: OLD REPUBLIC INSURANCE COM <br />Policy #: MWC31521819 <br />Expires: 0513112020 <br />lteb i:onstru,-t ion <br />Gener'nl Plcrn Updctter Fee <br />r:r1 I l6ttt-r2.. l:il 6tj[il:rutl- <br />lru i 1d ins <br />r_r1 I I Sr-]U?- l:il 6r:l I l:lt:tit- <br />trlds St dE fievolv ing <br />RSP Arcl$fqqh:rr_r:Z- I I 6 I trr:ruu-.Joseph 4ilttqd4l, i D'cur,enrr. <br />r:11 1 I 6r:[:r2- 57;/7r:lLrLrJ- <br />I (:[- i:hricl( itg?.{ 4,r <br />(480) 889-2000 <br />c-27560 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #; <br />{?? <br />$??i <br />.Ii4 6 <br />s.: 7 .-l <br />95 <br />r:ilJ <br />6fr <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <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 />Soto, Ricardo Dale: 0211412020 <br />Date: <br />Dale: 021'1412020 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />07776002 <br />07776002 <br />07776002 <br />07776002 <br />07776002 <br />57607 <br />57770 <br />57672 <br />57600 <br />57607 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$166.53 <br />$46.92 <br />$2.00 <br />$22.9s <br />$s7.20 <br />$29s.60 <br />$0.00 <br />$295.60 <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Ce(. Req'd: No 01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01116002 57770 <br />Account#Total <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days after its issuance,or if the work authorized <br />on the site by such permit ls susperded or abandoned for a period of360 days after <br />the time the work is commenced. <br />lnspector MID#: 2019-156548 <br />$22.95 <br />$223.73 <br />$2.00 <br />$46.92 <br />Zuniga, nffirr"Nj