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City of Santa Ana 20 civic center ptaza (M-19), srnt" nn"3n gz)oz Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1f)1102231 <br />Pin #: 85753hr <br />Project Address: 1029 E Fourth St <br />Assessor's Parcel: 398-342-15 Lot, NA <br />Bldg: Address Range Suite Range: <br />Zoning: SD84Block NA Tract NA Hisloric No <br />Phone <br />Tenanl <br />Contraclor: PS Construction Group <br />Address: '12233 Creyve Street <br />Norwalk, CA 90650 <br />Phone: (562) 301-5429 <br />State Lic #: 940599 <br />Lic Type: B <br />Bus. Lic #: 347524 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 9164392 <br />Expires: Oal13l2020 <br />Engineer <br />Address <br />Ken Okamoto t Assoclates <br />Sivaram Nagaraian <br />3186-F Airway avenue <br />Costa Mesa, cA 92626 <br />17141444-2422 <br />s6349 <br />Tanaka + Riley Architects <br />Michael Norton Riley <br />22895 A Sevi Ranch Pkwy <br />Yorba Linda, CA 92887 <br />(714) 283.1905 <br />c17848 <br />Architect / <br />Desiqner: <br />Address: <br />McCann, Melanie <br />Scott Fazekas & Assoc <br />Verduzco, Vlorer rl{ <br />Fire lnsp. Req'dl <br />Police lnsp. Req'd <br />No <br />No Account# <br />Date. 11/14/2019 <br />Dale. O2l28l2O2O <br />Date: 06/02/2020 <br />Subject to Field: <br />07176002 <br />07776002 <br />07776002 <br />0 8907007 <br />0 77 7600 2 <br />07 7 76002 <br />0 777600 2 <br />Permit Fee <br />Plan Check Fee <br />Microlilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceTotal <br />57507 <br />5i600 <br />57770 <br />240 00 <br />5 7672 <br />s7600 <br />57607 <br />$315.78 <br />$362.27 <br />$97.75 <br />$7.00 <br />$1.00 <br />$22.95 <br />$57.20 <br />Flood Zone Cert. Req'd: No <br />Every pemit issued sha become invalid unless the wo* on the site aulhodzed by <br />such pefinit is cofimenced wilhn 360 days aftot ils issuance.or il tho wo* authorized <br />on the silo by such pefinil is suspendad or abandoned lot a period 01360 days aller <br />the timo lho wod< is commenced <br />$22.95 <br />$372.98 <br />$1.00 <br />$97.75 <br />$7.00 <br />$863.95 <br />$362.27 <br />$501.68 <br />lnspector MID#: 2019-155860 <br />01 I 16002 51600 <br />01 1 16002 51601 <br />0't 1 16002 516r 2 <br />01116002 57770 <br />08901001 24000 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Unit: <br />Job Type: Tenant lmprovement Constr Type: V B, SPK 2nd FL Area: T.l.Area: 365 <br />Nature of Work: Walk-in-cooler/Roof Mtd Equip Code: CBC 2016 Other Areas: yards Req,d: <br />Existing Bldg. & Use: Commercial/Restaurant Flood Zone: X-0602320276J Garage Area: Valuation: S25,000.00 <br />Proposed Use: # of Stories:Total: 0 <br />Description of Work: Tl - lnstall a walk in cooler and roof mtd equipment. <br />Planning Conditions: <br />Owner <br />Address <br />Rafael de Anda <br />1019 N. Magnolia Blvd. <br />Anaheim, CA 92801 <br />17141381-7602 <br />Taqueria De Anda <br />Phone: <br />License #: <br />Phone. <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPOES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp Req'd: No <br />73756Misc. Receipt: <br />Misc. Receipt: <br />Mrsc Receipt