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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714i 667-2738 lnspector Section: (714) 647-5853 <br />Building Permit#:10176129 <br />Pin #: 35148\1 <br />Project Address: 1626 E Fourth St <br />Assessor's Parcel:398-41't -23 Lot: 12,14, POR 10 Block: B <br />Bldg: Address Range <br />Traci: GARDNER VILLA <br />Unit <br />Historic: No <br />Suite Range: <br />Zoning: P <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Other <br />Miscellaneous <br />Temporary Stage <br />Off icesrclasssrooms-Non-Prof it Or <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />UnKnown <br />UnKnown <br />cBc 2010 <br />x-0602320276J <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $600.00 <br />Description of Work: Temporary stage (20'x16'x2' )for one-day special event 09-27-2012 <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />CAMBODIAN FAMILY <br />1626 E 4TH ST <br />Santa Ana, CA 927015148 <br />(714) 571-1966 ext. 102 <br />Contractor <br />Address: <br />Owner-Builder <br />Engineer <br />Address <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Architect / <br />Designer: <br />Address: <br />Phone; <br />License # <br />Planning Approval By: <br />Plan Checked By: (- .\i <br />Permil lssued By: 4 ) <br />Subject to Field: o---/ <br />PWA lnsp. Reqd: <br />Planning lnsp. Reqd: <br />Landscaping lnsp. Reqd: <br />Linnaus, Lucy <br />Kwak, Jason <br />Link, Patricia <br />Oalet 0912612012 <br />Date: 09/26/2012 <br />Date: 09126/2012 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />01176002 5160I Permit Fee <br />07776002 57672 Bld9. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />01776002 51601 lssuance <br />$134.59 <br />$1.00 <br />$18.54 <br />$46.23 <br />No <br />No <br />No <br />Fire lnsp. Redd: <br />Police lnsp. Reqd: <br />Flood Zone Ce(. Reqd <br />NoNo Account#Total <br />Every petmit issued shall become invalid unless the wofu on the site <br />authoized by such pemit is commenced within 180 days after its <br />issuance, or it the wofu authoized on the site by such pemit is <br />suspended or abandoned for a peiod ol 180 days after the time the <br />wot* is commenced. <br />lnspector MID#: 2012-104925 <br />$200.36 <br />$0.00 <br />$200.36 <br />No 01116002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />$18.54 <br />$180.82 <br />$1.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Phone: <br />License #: