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Project Address: 1234 S Evergreen St <br />Assessor's Parcel: 014-223-18 Lot '121 <br />Unit Bldg: Address Range Suite Range: <br />Zoning: RiBlock NA Tract 2626 <br />City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, c492702 <br />Permit Counler: (7'14) 647-5800 lnspection Requesls: (7'l'4\ 667-2738 lnspector Section (714) 647-5853 <br />Build ing Permit #: 1l)11o2247 <br />Pin #: 54917 <br />Building Use: <br />Job Typel <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use <br />Singls Family Dwelling <br />Miscellanoous <br />Windows <br />Sfd w/att garage <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320276J <br />1st FL Areal <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total. <br />Patio: <br />T.lArea: <br />Yards Req'd: <br />Valuation: $6,500.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories <br />Oescription of Work: Window & door replacemsnt <br />Planning Conditions:nff i.a! rTYH Tr.h<ar /(l 1d{ <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Andriy Chupryna <br />1234 S Evergreen St <br />Santa Ana, cA 92707 <br />(e49) 633-3083 <br />Contractori Renewal by AndeBen Oran( <br />Address. 22982 Alcalde Drive, Unit 10 <br />Laguna Hills, CA 92653 <br />Phone: (714) 259-5120 <br />State Lic #r 990,f16 <br />Lic Type A, O-21, C-17, O-2'l <br />Bus. Lic f: 349936 <br />Workers' Compensalion lnsurance: <br />Carrier Old Republic <br />Policy #r MWC31415819 <br />Expires: 1010112020 <br />Acct+: Ref+: 1011[r?2S <br />Rc!t+:02810736 - 1L/2o/2o19 L2zn1 P <br />Tronsoct ion ToLol t251 .59 <br />Engineer <br />Renevql bv Andersen 0rnnge (:o <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone. <br />License # <br />Generol Plsn Updote Fee <br />01116002- 51600000- <br />Buildins <br />(r1116002- 5160100(r- <br />BIds 9tds Revolv ing <br />01116002- 515120|:10- <br />hicrol ih & Docurent s <br />ttl116002- 5777000(r- <br />: r**rII*Ilrxr U <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 />Landscaping lnsp. Req'd: No <br />Guevara, Jerry <br />Amsden, Julie <br />Date: 1ll20r2019 <br />Date: <br />Date: 11/20/2019 <br />Subject to Field: <br />Misc Receipl <br />Misc. Receipt <br />Misc Receipt <br />0 77 76002 <br />077 7 600 2 <br />077 76002 <br />o77 7600 2 <br />077 760 0 2 <br />$166.53 <br />$3.91 <br />$1.00 <br />$22.95 <br />$57.20 <br />57607 <br />57 770 <br />57672 <br />57500 <br />5760 7 <br />Fire lnsp. Req'd <br />Police lnsp. Req'd ffi Account#Total <br />Flood Zone Cert Req'd: No <br />Every perml Bsuecl shall become invahd unless the wo* on lhe s e authonzecl by <br />such peml is commanced wtthin360 days attet its issuanco ot il lho work authorized <br />on lhe slo by such pemit is suspendod ot abandohed fot a period of360days aftel <br />the me the wo ts commencod <br />lnspector MID#: 2019-155998 <br />01 1 16002 s1600 <br />01116002 s1601 <br />0'1 116002 51612 <br />0'1 116002 57770 <br />$22.95 <br />$223.73 <br />$1.00 <br />$3.91 Fee Total: <br />Paid to Oate: <br />Balance Due <br />$251 .59 <br />$0.00 <br />$251.59 <br />Historic No <br />Botcha:53106 - ll/20/2019 ID: flGARCIA <br />Address <br />'l <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance