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City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: { Ot 91 8{ 9 <br />Pin #: 37467 <br />Project Address: 1430 W Twelfth St <br />Assesso/sParcel: 004.112-01 Lot 32 <br />Unit Bldgr Address Range:Suite Range S\ <br />Zoning RlBlock NA Tract: 1256 Histonc: No <br />Building Use: Single Family Dwslling Occupancy: R-3 1st FL Area: Patioi <br />Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature of Work: Remodel Code: cBc 2016 other Areas: yards Req,d: <br />Existing Bldg. & Use: SFD Watt Garage Flood Zone: X-0602320144J Garage Area: Valuation: 935,000.00 <br />Proposed Use: # of Stories: Totat: O <br />Description of Work: Rsmodol interior of SFD to create new bathroom within existing area. Kitchen romodol, and window roplacement. Auth on file. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Sergio & Monica Valenciano <br />1430 W. l2th St. <br />Santa Ana, CA 92703 <br />|.7141296-3222 <br />Contractor <br />Address: <br />Owner-Builder <br />Address <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Vega Oesigns <br />Jaime Vega <br />1048 W. Myrtle St. <br />Santa Ana, CA 92703 <br />(714) 614-5023 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued 8y: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Kelaher, Selena I <br />Mazarji, Zac \C/ <br />Zuniga, Allissa \\ <br />Date: OGl2Ol2O17 <br />Date: 06/1312017 <br />Date: OG12012017 <br />Sub,ecl lo Field: <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Account# <br />69027 <br />Total <br />lvlisc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />07776002 <br />0777600 2 <br />0777600 2 <br />0777600 2 <br />077760 0 2 <br />077760 0 2 <br />57607 <br />5i 600 <br />57770 <br />57672 <br />57600 <br />57607 <br />$149.25 <br />$206.91 <br />$24.50 <br />$2.00 <br />$20.56 <br />$51 .26 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Every permtt issued shall become invalid unloss tho wo* on the site authoized by <br />such pefinit is commenc1d within 180 deys attet its issuance,or il lhe wot* authoized <br />on the site by such pe.mit is susponded ot abandoned tgt a penod ot 1 80 days after <br />the lfie the work is commenced . <br />$454.48 <br />$206.91 <br />$247.57 <br />lnspector MID#. 2017-133777 <br />01 1 16002 51600 <br />01116002 51601 <br />01116002 51612 <br />01116002 57770 <br />$20.56 <br />$200.51 <br />$2.00 <br />$24.50 Fee Total: <br />Paid to Date: <br />Balance Due <br />Engineer: