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Permit #: {O{95{88 <br />Pin #: 557lJ7 <br />Project Address :8081/2SV n Ness Ave <br />Assessor's Parcel 010-243-10 Lot. 15 <br />Bldg; Address Range <br />Tract: POLYTECHNIC VILLA <br />Unit <br />Historic: No <br />Suite Range: <br />Zoning: SD40Block: 17 <br />Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area: 634 Patio: <br />Job lype: New Constr Type: V B 2nd FL Area; T.t.Area: <br />Nature of Work: 2nd Dwolling Unit Code: CBC 2016 Other Areas: yards Req,d: <br />Existing Bldg. & Use: sFD wdet garage & det carport Flood zone: x-0602320276J <br />Garage Area: vatuation: S69,100.00 <br />Proposed Use: # of Storaes: , ,or",, 634 <br />ooscription of work: Hew{51$t attactrod 2nd dwelling unit with kitchsn, living room, laundry room, living room, 1-bathroom, & 1-bedroorn/SAuso <br />#38Ctrauth on file <br />Bqtch+:4:i611 j/U/2r:rlll ID! I,IGAE( tA <br />Planning Conditions: offi(e: (.lYH lr (nsi: 4:i 1 o{ 11 <br />Owner: <br />Address: <br />Phone: <br />Tenant; <br />Contractor <br />Address: <br />Engrneer <br />Address <br />Jose Carballo <br />808 S. Van Ness Ave, <br />Santa Ana, CA 92701 <br />Owner-Builder <br />ECrE;- h-EI ii rrrl-7:iTJ:- <br />Donard dtutyt&Ftfpsiates j/s/2t:.ttg t ?: 1] r',tjDonald +llung[ct ion loLrll ri'[r:ri.tl <br />5131 Fox Hills Avenue <br />Buena P&sOAdOEll l o <br />(7r4) 52r{554 <br />11969 Genercl I lrrn l]r,r.lcri"e F,:c i <br />Il I1,5I-lU? ' :]' l 6l-ll-ll-l l-l r-l- <br />Victo. R <br />Victor R <br />ios <br />i6a <br />i Id ins <br />116002- 5l6r:1 1oi(r- <br />Architect / <br />Desiqner: <br />Address: <br />Phone <br />License #. <br />#ti"&F#,#?nlil;jr <br />(?14) ?8{{FlEiio ji l,'r'li. i1iil" <br />5I1I P <br />,3. t:r0 <br />t32.5S <br />9S.98 <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />NPDES lnsp. Req'd <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd; No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Noyes Account# <br />Oale:1012412017 <br />Date: 03/05/2018 <br />Date: 03/08/2018 <br />Subiecl to Field: <br />r_rvYU I l-nl I - <br />ot776ltp.6h6o[ <br />07176002 5i600 <br />07776002 57770 <br />08907007 24000 <br />07776002 57672 <br />07776002 57600 <br />07176002 57607 <br />Pernflfr6b <br />Plan Check Fee <br />Microrilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />70439 <br />Total <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every petnil issued shallbecome invalid unlesslhe wo* on the site authorized by <br />such permit is cofihenced within 180 days afler ils issuance,ot if the wod authoized <br />on lhe site by such poinl is suspended ot abandonod fot a penod of 1 80 days aflet <br />lho tifie the wo* iscommenced <br />$1 ,228 15 <br />$1.082 64 <br />$145.51 <br />lnspector MtD# 2017-139504 <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01116002 57770 <br />0890'1001 24000 <br />$21 .25 <br />$79.70 <br />$3.00 <br />$32.58 <br />$8.98 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (7'14\ 667 -2738 lnspector Section: (714) 647-5853 frf <br />Phone: <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Canier: <br />Policy #l <br />Expires: <br />Phonel <br />License #: <br />$79.7t-l <br />Soto. Ricardo <br />\dfii::l,'#ili., <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />$4S.60.r I <br />$6s9.36 <br />$32.s8 <br />$8.98 <br />$3.00 <br />$2',t.2s <br />$52.98 <br />Fee Total: <br />Paid to Dale: <br />Balance Due: