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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: {O11O23O{ <br />Pin #: 16088 <br />{1 <br />Proiect Address: 2247 S Rousselle Sta <br />Assessor's Parcel: 016-101-29 Lot: POR 6 <br />Unit.Bldg: Address Range:Suite Range: <br />Zoning: RlBlock: J Tract: 668 Historic: No <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: <br />Job Type: Demolition & Clear Lot Constr Type: V B 2nd FL Area: <br />Nature of Work: Demo & clear lot Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: Sfd w/att garage Flood Zone: X-O6O2320278J Garage Area: <br />Proposed Use: # of Stories: <br />Total: <br />Description of Work: Demo & clear lot. (1660sf) CITY JOB - FEE EXEMPT, NO BOND PAID, MEMO ON FILE. <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $10,000.00 <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Contractor: lnterior Demolition lnc <br />Address: 2621 Honolulu Ave <br />Montrose, CA 91020 <br />Phone: (818) 2494932 <br />State Lic #: 603409 <br />Lic Type: B, ASBS, C-21 , C-12 <br />Bus. Lic #: 337823 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 1977624 <br />Expires: 0912712020 <br />Engineer: <br />Address: <br />Phone. <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #. <br />Planning Approval By: Graham, Jeffery <br />Plan Checked By: <br />Permit lssued By: a) ^Amsden, Julie <br />NPDES lnsp. neq'O:'' ,K <br />PWA lnsp. Req'd: ( - No Fire lnsp. Req'd <br />Date: 1112112019 <br />Date: <br />Date: 1112112019 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt. <br />Misc. Receipt: <br />07776002 <br />07776002 <br />07776002 <br />07775002 <br />07776002 <br />57607 <br />57770 <br />57607 <br />57572 <br />57600 <br />Permit Fee <br />Microfilm Records <br />Fee Exempt <br />Bldg. Stds. Revolving <br />General Plan Update <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$166.53 <br />$3 e1 <br />$-1 94 39 <br />$1 00 <br />$22 e5 <br />No <br />Planning Insp. Req'd: No Police lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every permitissued shall become invalid unless the workon the site authorized by <br />such permit is commenced within360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 days after <br />the time the work is commenced. <br />Account#Total <br />N/A - No Balance <br />N/A - No Balance <br />N/A - No Balance <br />$0 00 <br />$0 00 <br />$0.00 <br />lnspector MID#: 2019-156023