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EProject Address: 2125 S Rousselle St <br />Assessor's Parcel 016-'111-05 Lot: 7 <br />Suite Range: <br />Zoning: RlBlock: 11 Tract: 560 Historic: No <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714],647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {0296943 <br />Pin #: {3994 <br />Single Family Dwelling <br />Alteration <br />N/V - Windows <br />SFO w/det Garage <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320276J <br />'l st FL Areal <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: Legalize (12) window change outs. Owner-Builder form on file. <br />Planning Conditions: <br />Eqtchi:44625 - 7/5/2ElB <br />0ff icei (,1YH Trons+: 1tr2Acct+: R€fi:l-t7 <br />Owner-Builder <br />Engineer <br />Add ress <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Minh Tham Vu & Jane Kim Do <br />5522 Halifax Drive <br />Huntington Beach, CA 92647 <br />(7 ',t 41 92s-1926 <br />fl inh Tho6 ,,,u & Jsne X i 00 <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Generol Flon Updote FPe <br />irll16002- i16(r:10(r(r- <br />Bu a ld ioe <br />n11l60r:12- 5160100(r- <br />0lds Stds kevol v ing <br />iriI161:r:12- 116l2tlocr- <br />V isq <br />CC+: rrirr iI*riir5225 <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Auth,: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Chavez Daveg-c' <br />Escamilla, Manny Date: 07/05/2018 <br />Date: <br />Oate: 07/05/2018 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />017760 02 <br />0 777600 2 <br />0 77760 0 2 <br />0 77760 0 2 <br />0177600 2 <br />0 77760 0 2 <br />Permit Fee <br />lnvestigation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />5160 7 <br />57607 <br />57607 <br />57672 <br />s 7600 <br />5 7607 <br />$160.2s <br />$86.78 <br />$243.16 <br />$1.00 <br />$22.08 <br />$5s.04 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd; No <br />Police lnsp. Req'dr No <br />Flood Zone Cert. Req'd: No 011 16002 51600 <br />011 16002 5'1601 <br />011 16002 51612 <br />$22.08 <br />$545.23 <br />$1 .00 <br />Account#Total <br />Every pemitissued shallbecome invalid unless lhe work on the site authorized by <br />such pennil is commenced within 160 days aftet its issuance,or if lhe work authorized <br />on the site by such permil is suspended or abandoned for a penod of 180 daysaftet <br />the ttme the work is commenced <br />lnspector MID#: 2018-144468 <br />$568.31 <br />$0 00 <br />$568.31 <br />Unit:Bldg: Address Range: <br />Building Use: <br />Job Type: <br />Nature of Workl <br />Existing Bldg. & Use: <br />Proposed Usel <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $6,000.00 <br />Contractor: <br />Address: <br />i1' 1r-r <br />Fee Total: <br />Paid to Date: <br />Balance Due: