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City of Santa Ana 20 Civic Center Plaza (M-'lg), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspeclor Section: (714) 647-5853 <br />Permit #: lOt <br />Pin #:3 8 <br />e( <br />Project Address: 2106 N Forest Ave <br />Assessor's Parcel:001-083-13 Lol. 120 <br />Unil BIdg: Address Range Suite Range <br />Zoning: R lBlock: NA I.act:1724 Hrstorlc: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Addition <br />2nd story addition/torrace <br />SFD Watt Garage <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />R.3, U <br />VB <br />cBc 2016 <br />x-0602320144J <br />1st FL Areal <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />67 <br />686 <br />Patio: 367 <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $93,419.00 <br />753 <br />Description of Work: New 2nd story addition to existing SFD dwelling. (2) new bedrooms,'l fireplace, (2) new bathrooms, new terrace. Mdition to <br />existing'lst floor family room. SAUSD fees paid on #38t14 <br />Planning conditions <br />Owner: <br />Address <br />Phonel <br />Tenant <br />Pedro & Rita Gonzalez <br />2106 N Forest Ave <br />Santa Ana, CA 927062427 <br />(7141720-8484 <br />Contractor: NewimageRestorationlnc. <br />Address: 10122 Flanner Avenue <br />Garden Grove, CA 92840 <br />Phone: (714) 458-3014 <br />State Lic #: 1006312 <br />Lic Type: B, C-21, c-23 <br />Bus. Lic #: Ot ,L-l 4 Z- <br />Workers' Compensation lnsurance: <br />Carrier: NorguardlnsuranceCompany <br />Policy #: NEWC845864 <br />Expires: O1l15l2O1A <br />Richard G. Carrizosa <br />Richard Carrizosa <br />1944 Chesson Strcet <br />Duarte, CA 91010 <br />(323) 952-0304 <br />46224 <br />T.O. Concept <br />lvan Roche <br />5003 Telegraph Road <br />Los Angeles, CA 90022 <br />(562) 479-5805 <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phonel <br />Lrcense # <br />Phone: <br />License # <br />Planning Approval By: Guevara, Jerry Date: 0l/06/2017 Misc. Receipt: 69033 <br />Plan Checked By: CsE-Century Structural Engineoate: 0512612017 Misc. Receipt: <br />Permit lssued By: Link, Patricia Dale. 0612812017 Misc. Receipt: <br />NPDES lnsp. Req'd: No Subject to Field: <br />PWA lnsp. Req'di No Fire lnsp. Req'd: No <br />Planning lnsp. Req'd: Yes Police lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemil issued shall become invalid unlass the wo* on the site authonzec! by <br />such pennit is commenced within 180 days altar ils issuance.ot if the wo* aulhoized <br />on the sile by such pednit $ suspended ot abandoned tor a peiod ol 180 days altet <br />tha time the wo* is cofimenced . <br />Account#Total <br />0 7 77600 2 <br />0 77760 02 <br />07176002 <br />08907007 <br />0 717600 2 <br />0 77760 0 2 <br />0 7116002 <br />57607 <br />53600 <br />57770 <br />2 4000 <br />5 7672 <br />57600 <br />57607 <br />Permil Fee <br />Plan Check Fee <br />lv!icrofllm Records <br />SMIP - Category 1 <br />Bldg. Slds. Revolving <br />General Plan Update <br />lssuance <br />$1 ,209.14 <br />$2,275.62 <br />$3.597.22 <br />$2,274.18 <br />$1,323.04 <br />$zq.so / <br />gtz.t t/ <br />$4.OO / <br />s20 56 / <br />$51 26./ <br />01 '1 16002 51600 $20.56 <br />0111600251601 $'t,260.40 <br />01116002 51612 $4.00 <br />? <br />01 116002 57770 <br />08901001 24000 <br />szq so '/itzjq / <br />lnspector MID#: 2016-129309 <br />oltlo@z 3300 l.rlrl <br />Fee Total <br />Paid to Date: <br />Balance Due;