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,{ <br />Assessor's Parcel 004-171-05 <br />Unrt Surte Range <br />Block NA Tract'1685 Hislonc No Zoning. Rl <br />I <br />CiW of Santa 4n2 i ZO Crvic Center Plaza (M-19). Santa Ana. CAgziO2 Building <br />purtxit Cornt"r' (714) 647-5800 lnspe jtron Requests: (7141667-2738 l'nspectdr Section: (714) 647-5853 <br />Permit #: { Ol I 04449 <br />Pin #: 98761 <br />Building Use. <br />Job Type <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Usel <br />Accessory Dwelling Unit-convert <br />New <br />NEW CONTRACTOR - ADU <br />SFO w/att Garage <br />Sfd w/att ADU <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zonel <br /># of Stories: <br />R-3 1st FL Area: patio <br />V B 2nd FL Area: T LArea: <br />cBc 2019 other Areas: Yards Req'd: <br />x{602320'144J carage Area: vatuation: s18,495.00 <br />1 Total 0 <br />^Convort attached garage to an ADU with bedroom, kitchen & bathroom.Description of Work: Reference permit 10'198536. Change in contractor <br />Planning Conditions: <br />a <br />Owner: <br />Address <br />Trend Tran <br />2109 W Twelfth Street <br />Santa Ana, CA 92703 <br />1714l707-1478 <br />Contraclor Tri- County Relrofit, lnc. <br />Address 19940 E. Lorencita Drive. <br />Covina, CA 91724 <br />Phone 18181731-2225 <br />Stale Lic #: 1046523 <br />Lic Type B, C-8, C-5 <br />Bus. Lic #: 376206 <br />Workers' Compensalion lnsurance: <br />Carrier: Falls Lake Fire and Casualt Compa <br />Policy #. FLA01402700 <br />Exprres 0410112021 <br />VP Home <br />Ben Phan <br />1'l 541 Ellzabeth Street <br />Garden Grove, CA 92840 <br />{714].2514537 <br />57550 <br />Artwave Desiqn Studio <br />Catie Vuong <br />'14372 Bonnema Street <br />Westminster, CA 92683 <br />(714) 260{99/t <br />Engineer <br />Address <br />Archilect / <br />Designer: <br />Address <br />Phone <br />License # <br />Phone <br />I icense # <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 />lnspector <br />Orozco. lvan <br />Chavez. Dave <br />Oale: Ogl27l202o <br />Date: <br />Date.08127l202O <br />SubJect to Field: <br />Misc. Receipl <br />Misc. Receipt <br />Misc Receipt <br />07776002 51501 Change Owner/Contr <br />07776002 57770 l\,licrofilm Records <br />07775002 s7672 Bldg. Slds. Revolving <br />07776002 57600 Genetal Plan Update <br />$71 .22 <br />$4.05 <br />$1.00 <br />$23.79 <br />No <br />No <br />Yes <br />No <br />Fire lnsp Req'd <br />Police lnsp. Req'd <br />Flood Zone Cerl. Req'd. No <br />ffi Account#Total <br />Ewry perrntt $sued shall become nvahd unless lhe rvork on lh€ sile authonzed by <br />such peqnitls comhenced w hh 3& days aftel ls issuence.ot if lhe wo* aulhonzed <br />ctlthe site by such pennit is suspended or abandoned lor a peiod of 3@ days alter <br />the ltme the wo* ts comfiencecl <br />0't 1 '1 6002 5'1 600 <br />01116002 5'1601 <br />01 1 16002 51612 <br />01'116002 57770 <br />$23.79 <br />$71 .22 <br />$1 00 <br />$4.05 Fee Total: <br />Paid to Datel <br />Balance Due <br />$100 06 <br />$0 00 <br />s100.06 <br />Proiect Address: 2109 112 W Twelfth St <br />Lot.6 <br />Bldg Address Range <br />Phonel <br />Tenanl: <br />MID#: 20'18-147563