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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: I 0195037 <br />Pin #: 79o27 <br />\, <br />Project Address: 122 E Seventeenth St <br />Assessor's Parcel 398-12r-06 Lot: 1, 3, 5 <br />unit: 102 Bldg: Address Range <br />Tract: GOOOWIN'S ADDBlock: A Historic: No <br />Building Use: Commercial Occupancy: N/A 1st FL Area: <br />Job Typer Signs Constr Type: N/A 2nd FL Area: <br />Nature of Work: Signs-illuminatod Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: Q671pu16r Game Store Flood Zone: X-0602320163J Garage Area <br />Proposed Use: # of Stories: , ,o,",, <br />Doscription of Work: lnstall (2) led-illuminated wall signs for "Smoke Shop", bond posted on M-70382. <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'dl <br />Valuation:$2,800.00 <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Nancy wong <br />122 E Seventeenth Street <br />Santa Ana, CA 92706 <br />(949) 3104788 <br />Smoke Shop <br />Conlractor: Speed Quality Sign <br />Address: 2417 S Poplar Street <br />Santa Ana, CA 92704 <br />Phone: (7141751-5778 <br />State Lic #: 873011 <br />Lic Type: C-45 <br />Bus. Lic #: 187082 <br />Workers' Compensation lnsurance: <br />Carrier: Exempt <br />Policy #: <br />Expires; <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemit issued shall become invalid unless tho wolr( on tho slta authorized by <br />such penil is comfienced wilhin 180 days after its issuance.ot tl the wo* authonzed <br />on the site by such peinit is suspended ot abandonod for a penod ofl80 days after <br />tho timo the wo* is commenced . <br />o7176002 <br />0 77 7600 2 <br />0 7116002 <br />07776002 <br />07776002 <br />5760 7 <br />53600 <br />s7672 <br />57600 <br />5160 7 <br />$154.26 <br />$106.93 <br />$1.00 <br />$21.25 <br />$52.98 <br />Orozco, lvan <br />Amsden, Julie <br />Amsden, Julie <br />Da!€ 1A05120'17 Misc. Receipt <br />Od€ 1A11120'17 Misc. Receipt <br />Date.. 12t1212O.17 Misc. Receipt <br />Subjecl to Field: <br />No <br />No Account# <br />Permit Fee <br />Plan Check Fee <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance'd1 <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd Total <br />$21.25 <br />$207 .24 <br />$1.00 <br />$106 93 $336.42 <br />$0.00 <br />s336.42 <br />lnspector MtD#. 2017-140294 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />0't 1 16002 <br />5'1600 <br />51601 <br />51612 <br />53600 Fee Total: <br />Paid to Date: <br />Balance Due <br />Suite Range: <br />Zoning: SP3 <br />-ln