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City nf Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927o2
<br />Permit Counter: (714]|647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
<br />Build ing
<br />W
<br />Permit #: 102102734
<br />Pin #: 3{633
<br />Proiect Address: 1912 W Wilshire Ave
<br />Assesso/s Parcel 109.523.14 Lot 90
<br />Unrt Bldg: Address Range Suite Range:
<br />Zoning: RiBlock NA Tracl 3356 Histonc: No
<br />Planning Approval By:
<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 />Date:
<br />Dale:
<br />Oale:01lO2l2O2O
<br />Subject to Field:No
<br />No
<br />No
<br />No
<br />Account#
<br />Misc. Receipt
<br />NIisc. Receipt
<br />l\,lisc. Receipt
<br />o777600 2
<br />0 777600 2
<br />0777600 2
<br />0777600 2
<br />0 7776002
<br />0 771600 2
<br />o7776002
<br />57607
<br />57770
<br />51607
<br />51607
<br />57672
<br />57500
<br />57607
<br />$166.53
<br />$3.91
<br />$100.57
<br />$252.69
<br />$1.00
<br />$22.95
<br />$57.20Total
<br />Permit Fee
<br />[ricrofilm Records
<br />lnvesligation
<br />Penalty
<br />Bldg. Stds. Revolving
<br />General Plan Update
<br />lssuance
<br />Fire lnsp. Req'd: No
<br />Police lnsp. Req'd: No
<br />Flood Zone Cert. Req'd No
<br />Every pefinil Bsued shall bocofie invalid unless the wod( o, tho sile authonzed by
<br />such peaml is commencod wthin 360 days aftet tts issuanco.or il the wo* aulhonzed
<br />on the sile by such poml ts suspendec! ot abandoned tot a penod o1360 days aher
<br />the ltmo tho wo* ts commenced
<br />$6M 85
<br />$0 00
<br />$604.85
<br />MrD# 2020-156852
<br />011 16002 51600
<br />011 16002 5160'l
<br />01 1 16002 51612
<br />01 116002 57770 Fee Total
<br />Paid to Datel
<br />Balance Due
<br />Building Use: Single Family Dryelling Occupancy: R-3, U 1st FL Area Patio:
<br />Job Type Alteration Constr Type V B 2nd FL Area T.l.Area:
<br />Natureof Work: Bathroom Remodel Code CBC 2016 Other Areas: Yards Req'd
<br />Existing Bldg. & Use: SFD Watt garage Flood Zone: X-0602320257 J Garage Area Valuation: 91,000.00
<br />Proposed Use: # of Stories:Totat li(i,.ir:::i,ir;j.i Li:i;:i.t,,1t it,r ., i
<br />Dsscription of Work: Replacs drywall in bathroom ],r,i],]
<br />I ' i ' it """ ,., , i rrr ,
<br />lnspector to verify if bathroom window has tempered glass l(, pi i,r.,ill,r,., r .i,,
<br />lr Ll|l ,r, i it,fi r,, !l l .,iiplanning Conditions:No Ext.rior Modifications , ll, lir, l t:il li ,l
<br />Engineer:
<br />Owner: Antonio Bolanos Contractor Owner-Builder .1r rr..r ,r I.L(,r r.,l,,i , i , ,.
<br />Address 23269 Spring Meadow Dr Address: Addressr ir I I I irrr ' 1 , .r, r.,r.r'
<br />Murrieta, CA 925623224 rlrl Li: "
<br />Phone (9sl)757-1193 Phone. Phone rrtllnrrrrr 'fir'rlrir'rl.1,t,, r,
<br />Tenant State Lic# License # ,,1', ' i:l ,:,.1]
<br />Lic TyPe. Archttect / ,., , .
<br />Bus Lic#. O"",qn"i ,. "r'1:r
<br />' Workers' Compensalion lnsurance: Address: .;,... . t. r,* lCarrier:
<br />Poticy #: Phone: ,'ii',.,,.....'".,,,ii11.,. ,r1
<br />Expires: License #. :,1,1 i,,,
<br />\rr!Hernandez, Kathy
<br />$22.95
<br />$576.99
<br />$1 00
<br />$3.91
<br />lnspector
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