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City of Santa Ana 20 civic Center Plaza (M-19)l Santa Ana. cA92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 <br />Build ing Permit#: 1Oll03l06 <br />Pin #: 8,4521 <br />>..Y <br />Proiect Address: 2100 E Wilshire Ave <br />Assessor's Parcel:402-111-13 Lot: NA <br />Unit. B Bldg: Address Range Suite Range: <br />Zoning: M1Block: NA Tract: NA Historic No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existlng Bldg. & Use <br />Proposed Use: <br />lndustrial Occupancy: <br />Tenant lmprovement Constr Type: <br />T.l. - lnt. Demo/Relocation of bathro Code: <br />lndustrial Flood Zone: <br /># of Stories: <br />A.3, B <br />V B, SPK <br />cBc 2019 <br />x-060232027 7 J <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat <br />Patio: <br />T.l.Arear S00 <br />Yards Req'd <br />Valuation: $30,000.00 <br />Description of Work: Demo existing office spaces and add two new restrooms. <br />Planning Conditions: <br />Owner. <br />Address <br />Phone: <br />Tenant <br />Northern Mc Fadden <br />25242 Atclic Ocean Dr. <br />Lake Forest, CA 92630 <br />(949) 348-3333 <br />Contractor: Anthony John Vaccaro <br />Addressr 8132 Malloy Dr <br />Huntington Beach, CA 9264 <br />Phone. (714) 975-8035 <br />State Lic f: 834550 <br />Lic Type: B <br />Bus. Lic #: 374714 <br />Workers' Compensation lnsurance: <br />Carrier: Exempt <br />Policy #: <br />Expires; <br />Engineer <br />Phone <br />License # <br />Architect / <br />Desiqner; <br />Address: <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By; <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Enriquez, Gissel <br />Scott Fazekas & Assoc <br />Hernandez, Kathy <br />No <br />0 77 7600 2 <br />07776002 <br />0 777600 2 <br />0 7 7 76002 <br />0 77 7600 2 <br />0 777600 2 <br />57607 <br />53600 <br />57770 <br />57672 <br />5 7600 <br />5760 7 <br />Permit Fee <br />Plan Check Fee <br />Microlilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />7 4134 <br />Total <br />$172.64 <br />$239.34 <br />$12.15 <br />$2.00 <br />$23.79 <br />$59.30Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Yes <br />No Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cerl. Req'd: No <br />Every petmil issued shall become invalid unless lhe wo* on lhe sile authonzec! by <br />such pehit is commenced wilhin360 days alter its issuance,or il the wo* aulhoized <br />on lhe site by such pennit is suspended or abandoned fot a petiod 0,360 days aker <br />lhe time the wo* is commenced <br />01 '1 16002 <br />011't6002 <br />0'1116002 <br />01116002 <br />01'1't6002 <br />5'1600 <br />51601 <br />51612 <br />53600 <br />57 770 <br />$23.79 <br />$231.94 <br />$2.00 <br />$59.34 <br />51 2.1 5 <br />$509.22 <br />$180.00 <br />93?9.22 <br />lnspector l\AlD# 2020-157722 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Address <br />Timothy Joseph Lux <br />Timothy Joseph Lux <br />Datum Architects <br />Costa Mesa, CA 92626 <br />(949) 581-2255 <br />c19769 <br />Dale O2\A2O2O <br />Date: 04/30/2020 <br />Oale 07l14l2O2O <br />Subject to Field: