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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAT27O2 Building <br />Permit Counter (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 <br />7l'Permit#: {O{tOO{46 <br />Pin #: 96217 <br />Project Address: 200 E Sandpointe Ave <br />Assessor's Parcel 4'.11-111-07 <br />Unrl Bldg Address Range Surte Range <br />Zoning SD76Tracl NA Hisloric No <br />Burlding Use <br />Job Type: <br />Nature of Work. <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Medical Gas Systems <br />EV Charging Station <br />Commercial <br />U <br />N/A <br />cBc 2016 <br />x-0602320278J <br />Patro <br />T I Area <br />Yards Req'd <br />Valuation: 015,000.00 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage ffqp <br />rotat ll ,l <br />Planning Conditions <br />Engineer <br />Address: <br />Phone: <br />License # <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Sandpoine Owner LLC <br />200 E Sandpointe <br />Santa Ana, CA 92707 <br />(949) 390-5504 <br />Planning Approval By <br />Plan Checked Byl <br />Permil lssued By: <br />NPDES lnsp. Req'd: <br />Orozco, lvan <br />So, Anson <br />Verduzco, Violel $l <br />Date 05/16/2019 <br />Date: 05/28/2019 <br />Dale 06/03/2019 <br />Sublect to FieldNo <br />57607 <br />53600 <br />57770 <br />57672 <br />57600 <br />57507 <br />72601 <br />Total <br />07776002 <br />0 77 76002 <br />o7776002 <br />07776002 <br />07776002 <br />o7776002 <br />$160 25 <br />$222 16 <br />$15.04 <br />$1.00 <br />$22 08 <br />$55.04 <br />Permil Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds Revolving <br />General Plan updale <br />lssuancePWA lnsp. Req'd: No Fire lnsp. Req'd: No <br />Planning lnsp. Req'd: No Police lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Ev6ry pemil $sued shall bocotno invahd unless lhe wotk on lhe site aulhoized by <br />such permit is cofimenced wthin360 days aftor its issuance or I the work aulhonzed <br />on tho s a by such p6mil ts suspended or abandoned for a period of360 days after <br />tho ltme the wo* tscommenced <br />Account# <br />0't 1 't 6002 5't 600 <br />01 1 16002 51601 <br />01't 16002 516'12 <br />01'116002 57770 <br />s22 08 <br />s215 29 <br />$1 00 <br />$15 04 $475.57 <br />$222 16 <br />$253.41 <br />lnspector <br />Loi NA Block NA <br />Occupancy. <br />Consk Type: <br />Code: <br />Flood Zonel <br /># of Stories: <br />tu:. <br />t45rOescription of Work: lnstall (1) EV charging station <br />V V 0 ( i,:st ion: <br />Contractor: V V D Communications <br />Addressr 12681 Pala Drive <br />Garden Grove, CA 92841 <br />Phone. (714) 206-1048 <br />State Lic #: 821598 <br />Lic Type: C-7, A, c-10 <br />Bus. Lic #. 351998 <br />Workers' Compensatron lnsurance <br />Carrier Old Republic <br />Policy # AI CW'12781700 <br />Expires: 1111412019 <br />Archilecl / <br />Desrqner: <br />Address: <br />Phone <br />Lrcense #: <br />Generol Plon l,hdote Fee <br />011160(12- Sl6001100- <br />8u i ]d ine <br />01116002- 51601000- <br />Blds Stds Revol v ing <br />ut116002- 51612000- <br />ll icrof i lr A Docurents <br />01116002- 57770000- <br />V iso <br />CC+ : r rrr*r t*r r{r 3 716 AUL <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Misc. Receiptl <br />Misc. Receipt <br />Misc. Receapt <br />MID#: 2019-151557