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Proiect Address: 200 W Santa Ana BIvd-a- <br />Assessor's Parcel: 398-253-06 Lot: 1-10 <br />Unit: 100 Bldg: Address Range: <br />Tract: TOWN OF SANTA ANABlock'. 20 Historic: No <br />Suite Range: <br />Zoning: SD84 <br />i City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: {O1103752 <br />Pin #: 66469 <br />Building Use: High-Rise Commercial <br />Job Type: Tenant lmprovement <br />Nature of Work: T! - Partion Walls <br />Existing Bldg. & Use: Commerical/Offices <br />Proposed Use: <br />Occupancy: <br />Constr Type: <br />Code. <br />Flood Zone'. <br /># of Stories: <br />B <br />I A, SPK <br />cBc 2019 <br />x-0602320276J <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area <br />Totat <br />Patio: <br />T !.Area: 1100 <br />Yards Req'd <br />Valuation: $S0,000.00 <br />0 <br />Description of Work: Remove/add non-bearing walls/doors to create offices and conference room. <br />Planning Conditions: lnterior Tl only. No exterior alterations/modifications. <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Santa Ana CA Ii Sgf LLC <br />1 N Wacker Dr /i4;O25 <br />Chicago, lL 60606 <br />(800) 91^4887 <br />HCA <br />Contractor: H LMillerlnc <br />Address: 2201 E Winston Road <br />Anaheim, CA 92806 <br />Phone. (7141 998-8699 <br />State Lic #: 385912 <br />Lic Type: B, C-33, C-6, C-39 <br />Bus. Lic #: 2631 <br />Workers' Compensation I nsurance: <br />Carrier: Falls Lake Fire & Casualty Compal <br />Policy #: FLA008988 <br />Expires: 0410112021 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />3JK Design <br />1907 N Woodside Street <br />Orange, CA 92865 <br />(7141 709-7934 <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 />Arechiga, Liana <br />Ahangian, Kat ^\r/Zuniga, Allissa $ <br />Date: 1010612020 <br />Date. 09/1 512020 <br />Date: 1010T12020 <br />Subject to Field: <br />Permit Fee <br />Plan Check Fee <br />Accelerated (per hr <br />Microfilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />Genera! Plan Update <br />lssuance <br />Account# <br />74446 <br />Total <br />07776002 <br />07776002 <br />05376002 <br />07776002 <br />08907007 <br />07776002 <br />07775002 <br />07776002 <br />57607 <br />53500 <br />53537 <br />57770 <br />24000 <br />57672 <br />s7500 <br />51607 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />$297.00 <br />$407 00 <br />$1s3.39 <br />$32.40 <br />$14 00 <br />$2.00 <br />$23.79 <br />$59 30 <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within360 days after ifs issuance,or if the work authorized <br />on the site by such permit is suspe nded or abandoned for a period of 360 days after <br />the time the work is commenced. <br />lnspector MID#: 2020-1 59 112 <br />Fire Insp. Req'd. No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No 01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 1 16002 s3600 <br />01 1 16002 57770 <br />05316002 53637 <br />08901001 24000 <br />$23.7e <br />$3s6.30 <br />$2.00 <br />$11 00 <br />$32 40 <br />$153.39 <br />$ 14.00 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$e88.88 <br />$3e6 00 <br />$592.88 <br />tI