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City of Santa Ana 20 civic center Plaza (M-'19), Santa Ana, cA 92702 <br />Permit Counter (714) 647-5800 lnspec{ion Requests: (714)667-2738 lnsp€ctor Sectionr (7'14) 647-5853 <br />Building Permit #: lotloGztl <br />Pin #: ,!tt <br />Bldg Address Range tP roject Add ress : !0!2jj3M9l1$! <br />Assesso/s Parcel a10-172-13 Lotr 35 Block NA Tract 6703 Historic: No <br />Suite Range: <br />Zoning: Rl <br />Building Us€: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Us€: <br />Description ot Wo,k <br />Planning ConditionE: <br />Patio <br />T I Area <br />Yards Req'd <br />Valuation:$6,396.00 <br />Long Nguyon <br />3602 South G..nBey <br />s.nt An., cA 92707 <br />17141248-5237 <br />Contractor <br />Address: <br />Owner-Builder <br />Engineer <br />Address <br />Phone: <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic *: <br />Workers' Compensation lnsurance <br />Carier: <br />Polic-y *: <br />Expires: <br />Phone <br />Lic€nse # <br />Architecl / <br />Address <br />Phone <br />License #: <br />lr"o-r"arft <br />No <br />NO <br />No <br />No <br />Every Frml ssued shallbocomo invald unless lhe woak on lhe ste authoized by <br />such Nmil $ commencad wilhin 360 days allet is tssuance,or I lhe wo* <br />aulhotizo<! on lhe ste by such potfiil is susFnde<! or abandoned lot a peiod ol <br />360 deys alet lhe lne the wgrk B commenced <br />Date: <br />Date: <br />Date: 0U25,2021 <br />Subject to Field: <br />Misc. Receipl <br />Misc. Receipt <br />Misc Receapt <br />07776002 <br />07776002 <br />07776002 <br />07116002 <br />01716002 <br />57601 <br />577 70 <br />57672 <br />51600 <br />51607 <br />Plannang Approval 8y: <br />Plan Ched(ed By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landsc€ping lnsp. Req'd <br />Permit Fee <br />Microlilm Records <br />Bldg. Slds. Revolving FL <br />General Plan Update <br />'ssuance <br />$345.28 <br />s4.05 <br />$'r.00 <br />s23.79 <br />s59.30 <br />Account# <br />MID#: 2021-165099 <br />N/A - No Balance <br />N/A - No Balanc! <br />N/A - No Balance <br />Fee Total <br />Paid to Date: <br />Balance Oue <br />$433.42 <br />$433 42 <br />$0.00 <br />Unil <br />Singlo Family OYeolling Occupancy: R-3 1st FL Area: <br />Roroof Constr Type. V B 2nd FL Area: <br />Reroot Code: cBc 2019 <br />Other Areasl <br />Flood Zone: X-0602320259J <br />Garage Area: <br /># of stories: <br />Totar: <br />Toar off existing, reshoath, and install 12 squaros of comp and l2 lquaros ol built-up roofing <br />Owner: <br />Address: <br />Phone: <br />Tonant: <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cen. Req'd: No <br />Total <br />lnspeclor