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';t <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 N Buitdins Permit #: {O1102858 <br />Pin #: 66317PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Proiect Address: 2105 N Pacific Avea <br />Assessor's Parcel: 001 -072-10 Lot 57 <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: R1Block: NA Tract. 1724 Historic: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg & Use: <br />Proposed Use: <br />Single Family Dwelling <br />Alteration <br />lnt. Bathroom <br />SFD w/att garage <br />R-3 <br />VB <br />cBc 2019 <br />x-0602320144J <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: $4,000.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone'. <br /># of Stories: <br />Description of Work: Legalize interior bathroom. Owner-Builder form on fite. <br />Planning Conditions: <br />Owner: Hang Nguyen <br />Address: 7301 Mirage Dr <br />Garden Grove, CA 92840 <br />(7141 414-75s7 <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation I nsurance: <br />Carrier: <br />Policy #. <br />Expires: <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer. <br />Address: <br />Phone: <br />License #: <br />Phone:L-lenant:t H L Home <br />Hung Le <br />11071 Dune St <br />Norwalk, CA 90650 <br />(562) 412-1818 <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 />Pezeshkpour, Ali <br />Ahangian, Kathy <br />Chavez, Dave nt b <br />Date: 0111512020 <br />Date: 0212412020 <br />Date: 0212612020 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />No <br />No <br />No <br />No <br />74027 <br />Total <br />07776002 <br />07776002 <br />077750 0 2 <br />08907007 <br />0 777600 2 <br />0 77750 0 2 <br />0 7776002 <br />s7607 <br />53600 <br />57770 <br />24000 <br />57672 <br />5760 0 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />I ssua nce <br />$1 66 53 <br />$230 87 <br />$3 91 <br />$0 52 <br />$1 00 <br />$22 9s <br />$57 20 <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd: No <br />No <br />No Account# <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days after ifs issua nce,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 daysafter <br />the time the work is commenced <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 1 16002 57770 <br />08901001 24000 <br />$22 95 <br />$223.73 <br />$1 00 <br />$3.e1 <br />$0.52 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$482 98 <br />$230 87 <br />$2s2.11 <br />lnspector MID#: 2020-157 127 <br />a