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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />PermitCounter: (714)647-580A lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Building <br />d <br />Permit #: 1O{ 1o3219 <br />Pin #: 66990 <br />Project Address: 4004 W Fifth St <br />Lot: 5 Block: NA <br />unit: 101 Blds <br />Tract: 1 1894 <br />Address Range: 3930-4006. <br />Historic: No <br />Suite Range: <br />Zoning: R2 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Condominium <br />Miscellaneous <br />Window Change out <br />Condominiums w/att Garages <br />R-3, U <br />VB <br />cBc 2019 <br />A-0602320256J <br />$4,582.00 <br />Retrofit. Contractor Letter of authorization on file. Handout given. <br />ij,r.rt.,-li1::i.;+.)ii,i..i:ll.lr'.,11-l.il-, iI):: ;r:r:: <br />Ili i i]:.,.'l ,, i Il'l 1'111ir::ii:i ,'.t <br />Ii'.-'-i.rri i;ir:t'l: .l.i-ii.,l'., <br />r,..-r..l r r it'inrv i ;"'. '.i ,")ft t")it'iit 1 i : ;.1 , <br />Occupancy: <br />Constr Type: <br />Code. <br />Flood Zone. <br /># of Stories: <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area. <br />Total: <br />Patio: <br />T l.Area: <br />Yards Req'd <br />Valuation: <br />Description of Work: Change out 5 windows <br />Planning Conditions: <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Trcrnsnct ion Tot.nI <br />Venus Shttll$ell i <br />l{rineDepoLUSn <br />6erier'n1 F lnn Llpdnte F*e <br />r:r1 I I 6r:ru2- 5l6l:[:[:lt]l:l- <br />tiuilding <br />Lrl I 16[r:U- ::16uILil:r[r- <br />[t]dg 5t,ds Flevolv ing <br />l-t1 I 16r_r-r2- i161?LlLtLt- <br />liicr0f i1m t D$cufients; <br />Lr I I 16LrU2-- :; 777|:[:il]tr- <br />1(:t. ihecfr 1r1149 7 <br />t5r:r:i. I <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Ursula Ratri <br />4004 W. Fifth Street Unit 101 <br />Santa Ana, CA 92703 <br />(714) 366-3107 <br />Contractor: Home DePot U S A <br />Address: 12700 Stowe Drive, Suite 28 <br />Poway, CA 92064 <br />Phone: (858) 846-9700 <br />State Lic #: 602331 <br />Lic Type: B, C-39 <br />Bus. Lic #: 365245 <br />Workers' Compensation lnsurance: <br />Carrier: Ace American <br />Policy #: WCUC65990586 <br />Expires: 0310'112020 <br />Planning Approval By: <br />Plan Checked By: <br />Permit 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 />Graham, Jeffery Dale 02l2Ol2O2O Misc. Receipt: <br />Date: Misc. Receipt: <br />Chavez. Dave , Date: 02120t2020 Misc. Receipt: <br />=2" Subject to Field <br />No <br />No Account# <br />077L5002 <br />07776002 <br />07716002 <br />07775002 <br />07775002 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />57607 <br />57770 <br />57672 <br />51600 <br />57607 <br />$166.53 <br />$3.91 <br />$1.00 <br />$22.95 <br />$57.20 <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />Flood Zone Cert. Req'd: No 011.t6002 51600 <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days after its issuance,or if the work authorized <br />on the site by such permit rs suspended o r abandoned for a period of 360 days after <br />the time the work is commenced. <br />Total <br />01 1 16002 51601 <br />01116002 516't2 <br />01116002 57770 <br />$22 95 <br />$223.73 <br />$1.00 <br />$3.91 Fee Total: <br />Paid to Date: <br />Balance Due: <br />$251.59 <br />$0.00 <br />$251.s9 <br />lnspector MID#: 2020-157930 <br />Assessor's Parcel: 198-051-21