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Project Address: 1717 N Old Tustin Ave <br />Assessor's Parcel: 396-311-04 Lot: NA <br />Unit: B Bldg: Address Range: <br />Tract: A.B. ChapmanBlock: B Historic: No <br />Suite Range: <br />Zoning: Cl <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />PermitCounter: (714)647-5800 lnspection Requests (714)667-2738 lnspectorSection. (714)647-5853 <br />Building <br />d <br />Permit #: l Ol 1OO24O <br />Pin #: 74245 <br />Building Use: Comm.rciel Occupancy: B lst FL Arear Patio: <br />Job Type: Tonant lmprovement Constr Type: V B 2nd FL Area: T t.Area: 961 <br />Nature of work rt-cHANGE oF coNTRAcroR code: cBc 2016 other Areas: yards Req,d: <br />Existing Bldg. & use: Commercial Flood Zone: X-0602320164J <br />proposed rJse: chiropractic orfice # of storiesi Garage Area: valuation: 134'000 00 <br />Tolal: <br />D$criPtion of Work Chenge of ContractorrFoga tEnaiErrodrLgttor on Iilo. lntedor remodel includes new €strooms, reception countgr, intgdor dgmo and <br />new partitiona <br />Planning Conditions: <br />Owner: <br />Address: <br />1717 OLD TUSTIN RD LLC <br />PO BOX 473 <br />Silverado, CA 926760473 <br />Contractor: Pacific Landmark Creation I <br />Address: 268 Via Matador <br />Mission Viejo, CA 92591 <br />Phone: (714) 981-0003 <br />State Lic #: 1028746 <br />Lic Type: C-6 <br />Bus. Lic #: 372939 <br />Workers' Compensalion lnsurance: <br />Carrier: exempt <br />Policy #: <br />Expires: <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desioner: <br />Address: <br />Phone: <br />License #. <br />Phone: <br />Tenant: Orange Coast Dental t <br />Oldham Architects <br />Ryan Oldham <br />550 S Brea Blvd <br />Brea, CA92821 <br />(7',t41482-8296 <br />c-29715 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaplng lnsp. Req'd: No <br />Pezeshkpour, Ali <br />Scott Fazekas & Assoc. <br />Brodowski, Teri <br />Date:08/1412018 <br />Dale. 1111312018 <br />Date:05/28/2019 <br />Subject to Field: <br />Misc Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />07776002 57607 Change Owner/Contr <br />07776002 s7572 Bldg. Stds. Revolving <br />07775002 57600 General Plan Update <br />Fee Total: <br />Paid to Date <br />Balance Due: <br />$66.11 <br />$0.00 <br />$0.00 <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Account#Total <br />01116002 51601 $66.11 <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days after its issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of360 days after <br />the time the work is commenced. <br />lnspector MID#: 2018-145364 <br />$66.1 1 <br />$0.00 <br />$66.11