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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter (714) 647-5800 lnspection Requestsr (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {0293{55 <br />Pin #: 33430 <br />Project Address: 2016 S Broadway <br />Assessor's Parcel 0l5-066-10 Lol: 4 <br />Unit Bldg. Address Range Suite Range: <br />Zoning: Rl <br />J} <br />Block P Tract 289 Historic No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Alteration <br />N/V <br />SFD Wdet garage <br />Occupancy: <br />Consk Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />R.3, U <br />VB <br />cBc 2016 <br />x-0602320276J <br />1st FL Area: <br />2nd FL Area: <br />Other Areasl <br />Garage Area: <br />Total: <br />Description of Work: Remove unpermitted laundry room addition, remove unpermitted alterations to det. garage and return to intended use <br />Patio. <br />T.l.Area: <br />Yards Req'd <br />Valuation:$1,000.00 <br />Owner: <br />Address: <br />Phone: <br />Tenanl <br />Natalie Elias lnc <br />2016 S Broadway <br />Santa Ana, CA 92707 <br />Conlractor: Gerardo De La Rosa <br />Address: 3684 Percy Street <br />Los Angeles, CA 90023 <br />Phone: (213) 305.5535 <br />State Lic #: 855010 <br />Lic Type: B, A <br />Bus. Lic #: 363697 <br />Workers' Compensalion lnsurance: <br />Carrier: Truck lnsurance <br />Policy #: A069829968 <br />Expires: 0712812017 <br />Engineer <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #l <br />Planning Approval 8y: <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 />Guevara, Jerry <br />!A Hernandez, Kathy <br />Date: 06/05/2017 <br />Dale: <br />Date: 06/05/2017 <br />Subject to Field: <br />Misc Receipt <br />Misc. Receipt <br />Misc. Receipt <br />077760 0 2 <br />o77760 0 2 <br />0777600 2 <br />0777600 2 <br />0777600 2 <br />07176002 <br />57607 <br />5760 7 <br />57607 <br />576 72 <br />57600 <br />57607 <br />Permil Fee <br />lnvestigation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />$149.25 <br />$90.14 <br />$226.47 <br />$1.00 <br />$20.56 <br />$51.26Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert. Req'd: No <br />Every pemit issuod sha bocone invalid unless lhe wotu on the site authonzed by <br />such pe.mit is cofimenced within180 days after its issuance,or if the wo* authoized <br />on the sile by such pennit is suspended or abandohod fot a peiod of180 days aftet <br />the time lhe wo* is cornfienced . <br />$538.68 <br />$0.00 <br />$538.68 <br />lnspector MID#: 2017-134158 <br />0'l 1 16002 51600 <br />01 1 16002 51601 <br />01116002 516'12 <br />$20.56 <br />$517.12 <br />$1.00 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />Planning Condations: <br />No <br />No <br />No <br />No