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<br />Assessor's Parcel 002-112-18 Lot: 36 & POR 33 Block: NA
<br />Unit:Bldg: Address Range:Suite Range:
<br />Zoning: RlTractr 788 Historicr Yes
<br />@ City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Building
<br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
<br />Permit #: {O{96335
<br />Pin #: 2871(
<br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: 335
<br />JobType: New ConstrType: VB 2ndFLArea: 0
<br />Nature of Work: 2nd Dwelling Unlt Code: CBC 20'16 Other Areas: O
<br />Existing Bldg. & Use: gfp s/311 961699 Flood zone: x-0602320163J carage Area:
<br />Proposed Use: # of Stories: , ,o,",, 335
<br />Description of Work: Convert existing attached storage to AOU. SAUSD #3770. Owner-Builder form on file. 1 .i . , , ;
<br />Planning conditions:
<br />Patio:
<br />T I Area:
<br />Yards Req'd:
<br />Valuation: $40,000.00
<br />,/1I/2019
<br />Tr(nE+ | 6.J
<br />Ref*:- 9/ 13/21118
<br />ID: (,
<br />Engineer: Shucri ,,Chuck,, l. Yaghi
<br />Owner: GARY E & JULIE HUMPHREYS Contractor: Owner-Builder Shucri l. Ylgrhi , ,r llrl ilh l I l,
<br />Address: 2l'12 N ROSS ST Address: Address: 112 E Chapman Avenue, D
<br />SantaAna,CA 927062508 Orange, 0492856 rrrrloir; l.'ri:
<br />Phone: (7141 54't-3452 Phone: Phone: t111!12+.1,2p I 'r'rr'rLrrr-
<br />StaleLic#; License#: C43205 ,,1..,r ,,rlirr.ir.r
<br />Tenant:
<br />Lrc Type: Architecl / Shucri ,,ChLtck1,,l, yaqhi , .ril
<br />Bus. Lic #. Desiqner: Shucri l. Ybghi
<br />Workers' Compensation lnsurance: Address: 112 E Chapm?n,Avenue.. O ir r,.,r rCarrier: Orange, C492066 r ., ui,r,]lri:,.
<br />Policy #: Phone: (714) 997€120, i . . '1
<br />rrrr.r
<br />Expires: License #: , . ,, ,, ,,,,,, ,- :l'l
<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 />Fregoso, Vince
<br />So, Anson
<br />cnauez, Drue i/t
<br />Date: 09/'1312018
<br />Date: 06/25/2018
<br />Date: 09/13/2018
<br />Subject to Field:
<br />Misc. Receipt
<br />Misc. Receipt
<br />Misc. Receipt
<br />07775002 s1607
<br />07776003.53600
<br />07776002 57770
<br />37773002 57991
<br />08907007 24000
<br />70924
<br />Total
<br />$2.00 -
<br />$22.08./
<br />$55.04 -
<br />Permit,tqg g361 .80'Z
<br />Plan Check Fee $452.25
<br />Microfltfii hb0brds ilirl ,. $3.76 -
<br />Res. Dev. Fee - N^/V $3,331.28 -
<br />SMIP - Category 1 $S.ZO -
<br />Fire lnsp. Req'd:
<br />Police lnsp. Req'd
<br />Flood Zone Cert. Req'd: No
<br />Every permitissued shall become invalid unless the wo* on the site aulhoized by
<br />such pemit is commenced wilhin 180 days after its issuance,or il the wotk authoized
<br />on the site by such pennit is suspended or abandoned lot a peiod of 180 days after
<br />the tine the wotu iscommenced.
<br />lnspector MID#: 2018-143158
<br />No
<br />No Account#
<br />07776002 s7672 Bldg. Stds. Revolving
<br />07776002 57600 General Plan Update
<br />07776002 51501 lssuance
<br />01 r 16002
<br />01 1 '16002
<br />01'116002
<br />01116002
<br />01116002
<br />08901001
<br />3'l 1 13002
<br />51600
<br />5160't
<br />51612
<br />53600
<br />57770
<br />24000
<br />$22.08 -
<br />$416.84 1
<br />$2.00 -
<br />$16.7s
<br />$3.76 '-
<br />$5.2o-
<br />$3,331.28 -
<br />$4,233.41
<br />$435.50
<br />$3,797.9'l
<br />Project Address: 2112 fl2 N Ross St
<br />Fee Total:
<br />Paid to Date:
<br />Balance Due:
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