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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 #: {O{9{608 <br />Pin #: 64599 <br />q <br />Project Address: 1100 W Warner Ave <br />Assessor's Parcel 410431-06 Lot NA <br />Unil Bldg: Address Range Suile Range: <br />Zoning. C2Block: NA Tracl NA Hisloric No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Other <br />Miscellansous <br />Light Standards <br />Vacant <br />N/A <br />N/A <br />cBc 2013 <br />x-0602320259J <br />0 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $35,000.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />'l st FL Area: <br />2nd FL Area: <br />Olher Areas: <br />Garage Area <br />Total: <br />Description of Work: New (3) light poles. Per contract price. Auth on file. <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Orange County Royale <br />1030 W Warner Ave <br />Santa Ana, CA 927073147 <br />(714) 546-6450 <br />Contractor <br />Address: <br />Owner-Builder <br />Hazen Talbott, P.E <br />Hazen J.M. Talbott <br />Address: <br />Phone: <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />79264 <br />Civil Works Engineers <br />Marie Marston <br />315'l Airway Avsnue, T-1 <br />Costa Mesa, CA 92626 <br />(714) 966-9060 <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval By: <br />Plan Checked By. <br />Permit lssued By: <br />NPDES lnsp. Req'd. <br />PWA lnsp. Req'dl <br />Planning lnsp. Req'dl <br />Landscaping lnsp. Req'd <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Acco u nt# <br />Pezeshkpour, Ali <br />Mazatji, Zac <br />Zuniga, Allissa \" <br />Date: 06/15/2017 <br />Oale. 06107l2O'17 <br />Oale:1110212017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />07776002 <br />o 77 7600 2 <br />0I90700 7 <br />0 7176002 <br />0 77 76002 <br />0 77 76002 <br />Permit Fee <br />Plan Check Fee <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />6901 1 <br />Total <br />57607 <br />53500 <br />2400 0 <br />57672 <br />5 7600 <br />57607 <br />$154.26 <br />$213.86 <br />$9.80 <br />$2.00 <br />$21.25 <br />$s2.98 <br />No <br />No <br />Yes <br />No Flood Zone Cert. Req'd: No <br />Every pemil issued shallbecome invalid unlesslhe work on the sle authonzed by <br />such pemit is commancod within 180 days aftet its issuance ot it the wo* authorized <br />on lhe site by such pemil is suspohded or abandoned fot a penod of180 days atlet <br />the hfie the wotk is commenced . <br />$454 15 <br />$206.91 <br />$247 .24 <br />lnspector MID#: 2016-133462 <br />0'1 1 16002 <br />011 't6002 <br />011'r6002 <br />01116002 <br />08901001 <br />51600 <br />51601 <br />51612 <br />53600 <br />24000 <br />$21 .25 <br />$207.24 <br />$2.00 <br />$6.95 <br />$9.80 <br />Planning Conditions: <br />Engineer <br />Phone: <br />License # <br />Fee Totall <br />Paid to Date: <br />Balance Due: