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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building <br />lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 <br />Permit #: {O191663 <br />Pin #: {9973 <br />Assessor's Parcel 412.245-06 Lotr 50 <br />Unil Bldg: Address Range Suite Range: <br />Zoning: Rl <br />*t <br />Block: NA Tract: 8345 <br />Building Use: Single Family Dwelling Occupancyr R-3, U 1st FL Area 224 Patio: <br />Job Type: Addition Constr Type: V B 2nd FL Area: O T.l.Area <br />Nature of Work: Addn/Patio Cover Code: CBC 2013 Other Areas: o yards Req,d: <br />Existing Bldg. & Use: 55p s136 g311gs Flood Zone: X-0602320259J - Garage Area: Valuation: <br />Proposed Use: Residential # of Storiest 2 ,or",, 224 <br />Description of Work: Extend & remodel (e) kitchen, dining room, & rear open patio with solid roof cover. Owner-Builder form on file. <br />Planning Conditions:All Materials To Match Existing <br />96 <br />0@0 <br />t21,200.00 <br />Ownerl <br />Address: <br />Phone. <br />Tenant: <br />Owner-Builder <br />Engineer <br />Address: <br />Architect / <br />Desiqner: <br />Address: <br />Felipe Gomez <br />2522 S Townsend Streel <br />Santa Ana, CA 92704 <br />(714) 920-4s80 <br />Jerry Tucker & Associetes, ln( <br />Jerry W Tucker <br />466 Flower Street <br />Costa Mesa, CA 92626 <br />19491 645-2422 <br />z'.t87 <br />Samuel Arthur Martinez <br />Samuel Arthur Marlinez <br />2517 S Towns€nd St <br />Santa Ana, CA 9270,f <br />(7r4) s45-8645 <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Planning Approval By: <br />Plan Checked By: <br />Permil 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 />Soboleske, Hally <br />Scott Fazekas & Assoc <br />Chavez. Dave-^-LL' <br />Fire lnsp. Req'dl <br />Police lnsp. Req'd <br />No <br />No Account# <br />Dale: 12/1912016 <br />Oale: 0312312017 <br />Dale: 03/30/2017 <br />Subject to Field. <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />0 777600 2 <br />07776002 <br />07776002 <br />08907007 <br />0 777600 2 <br />0 717600 2 <br />07776002 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />68957 <br />Total <br />57607 <br />53600 <br />57770 <br />24000 <br />57672 <br />57600 <br />5760 7 <br />$450.00 <br />$375.00 <br />$28.00 <br />$2.76 <br />$1.00 <br />$20.56 <br />$51.26 <br />Flood Zone Cert. Req'd: No Ot 116002 5i600 <br />Every pe.mil issued shallbecame invalid unlessthe wotk on tho sile authonzod by <br />such pemil is commancod wtthin 180 days aftet its issuance,or if lhe wotk aulhonzed <br />on lhe site by such pennit is suspended ot abandoned for a pariod ol 180 days aftot <br />the tine the wotu is commenced. <br />$928.58 <br />$375.00 <br />$553.58 <br />lnspector <br />01 't 16002 51601 <br />01 116002 51612 <br />01116002 57770 <br />08901001 24000 <br />$20.56 <br />$s01.26 <br />$1.00 <br />$28.00 <br />$2.76 <br />Fee Total <br />Paid to Date: <br />Balance Oue: <br />Project Address: 2522 S Townsend St <br />Historic. No <br />Conlractor <br />Address: <br />Phone: <br />License # <br />Phonel <br />License # <br />MID#: 2016-133546