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Assessor's Parcel 403- t 6'l -14 Lot POR 1 <br />Unrl Bldg; Address Range Suite Range: <br />Zoning: R2lllock. D f Bd 284 Histollc No <br />Permit #: 1O11OO432 <br />Pin #: 75361 <br />Burlding Use Single Family Dwelling Occupancy R-3 1st FL Area 389 Patro <br />Job Type Addition Constr Type: V B 2nd FL Area T LArea <br />Nature of Work Addition Code CBC 2016 Other Areas yards Req,d <br />Exrstrng Bldg & Use: Sfd wdet garage Flood Zone. x-0602320276J Garage Arear Valuation: <br />Proposed Use: # of Stories Totat ,,rg, <br />Description of work: Relocate 1 (e) bedroom and (1) bathroom into new addition, add an office, (1) bathroom,'w/d closet and patio covel, <br />222 <br />$40,000.00 <br />Ownerl <br />Address <br />Phone <br />Tenant: <br />Phi Hung Dang <br />19'17 S Cypress Ave <br />Santa Ana, CA 92707 <br />(714l. 720-2319 <br />Contractor: Builtek Construction I Engi <br />Address 13422 Hope St. <br />Garden Grove, CA 92843 <br />Phone: (949) 394.5465 <br />State Lic # '1043265 <br />Lic Type: B, A <br />8us Lic #. 367929 <br />Workers' Compensation lnsurance: <br />Carrier State Fund <br />Polacy * 9156199 <br />Expires: O4lO2l2O20 <br />Hue Luu <br />Hue Luu rr. <br />10732 La Eaqtista Avenue <br />Fountain Valloy, CA 92708 <br />(714) 679.ar72 <br />c667547 <br />Engineer <br />Address <br />Phone. <br />License # <br />Architect / <br />Desiqner <br />Address <br />Phone: <br />License # <br />Plannrng Approval By: <br />Plan Checked By <br />Permrt lssued By. <br />NPDES lnsp Req'd <br />A lns Req'd <br />Arabe, Jrll <br />Heidari. Fred <br />Hernandez, Kathy <br />Date 06/13/2019 <br />lJate 10/03/2019 <br />Oate 0112112020 <br />SubJect to Field. <br />N4rsc Recerpt <br />L,4isc. Recerpt <br />l\,4isc Recerpt./,* <br />01116002 51601 <br />01 't 16002 51612 <br />08901001 24000 <br />72721 <br />Total <br />$22.9s <br />$642.88 <br />$2 00 <br />$5 20 Fee Total <br />Pard to Dale <br />Balance Due <br />$1 308 65 <br />$ril1 73 <br />$696.92 <br />07776002 <br />0 77760 0 2 <br />0 77 7600 2 <br />08907007 <br />0 77 7 6002 <br />o7776002 <br />017 760 0 2 <br />57607 <br />53600 <br />57770 <br />24000 <br />5 7572 <br />57600 <br />57607 <br />$585 68 <br />$635 62 <br />$0 00 <br />$s.20 <br />$2 00 <br />$22 95 <br />$57 20 <br />Permrt Fee <br />Plan Check Fee <br />Microlilm Records <br />SMIP - Category 1 <br />Bldg. Stds Revolving <br />General Plan Update <br />lssuance <br />N^,Frre lnsp Req'd <br />Police lnsp. Req'd <br />No <br />No Account#Planning lnsp Req'd Yes <br />Landsca ptn9 nsp d o Flood Zone Cert Req'dr No 01.116002 51600 <br />Every peml issued shall become tnvahd unless lhe wo* on the sile aulhofized by <br />such petmtl B comrnenced wthi1360 days aher ts tssuance or I lhe work aulhonzed <br />on lhe stte by such pefinl ts suspendeal or abancloned tor a penod 01360 days aftet <br />lhe line the wo* tsconnenced <br />lnspector <br />olulDL 5)Lb S ar e9 <br />City ol'Santa Ana 20 Civic Center Plaza (tvl-19), Santa Ana, CA}27O2 - ' <br />- Building <br />Permit Counter \714) 647-5800 lnspection Requests: (714t 667-2738 lnspector Section (714) 647-5853 \p\t <br />Project Address: 1917 S Cvpress Ave <br />Planning Conditions: <br />lVlD#: 2019-148888