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Project Address: 1114 S Broadway <br />Assessor's Parcel:013-142-16 Lot 4 <br />Unit Bldg: Address Range Suite Range: <br />Zoning: R2Block NA Tract: 458 Historic No <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg?702 Building <br />Permit Counter; (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{94{99 <br />Pin #: 3672o <br />Building Usel <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories <br />R-3 <br />VB <br />cBc 2016 <br />x-0602320276J <br />,| <br />1st FL Area: 0 <br />2nd FL Area: 0 <br />OtherAreas: 0 <br />Garage Areal <br />Total: 0 <br />Patio: <br />T.l.Areai <br />Yards Req'd: <br />Valuation: <br />Single Family Dwolling <br />Rsvision <br />Revision-Bathroom Addition <br />SFO w/basement & det Garage <br />$2,000.00 <br />Description of Work: Revision to '10192826. Revision to foundation details. <br />Planning Conditions: All materials to match existing. <br />Contractor: LNHConstructionCompany <br />Address: 16425 Avenue, #352 <br />Visalia, CA 93292 <br />Phone: (559) 804-9696 <br />Slate Lic #: 908731 <br />Lic Type: B <br />Bus Lic #: 36,1054 <br />Workers' Compensation lnsurance: <br />Carrier: Starstone Nat'l lnsur Co <br />Policy #: T20170919 <br />Expires: 01/01/2018 <br />Engineer <br />Address: <br />Architecl / <br />Designer: <br />Address: <br />Phone: <br />License # <br />Pico Buildinq Desiqn/r <br />Jose Pico <br />11921 Utah Averue <br />South Gate, CA 90280 <br />Planning Approval By: <br />Plan Checked By: Ahangian, Kathy <br />Permit lssued By: Hernandez, Kalhy <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Date: <br />Dale. 0912912017 <br />Date. 1010312017 <br />Subiect to Field: <br />Misc. Receipl <br />Misc. Receipt <br />Misc. Receipl <br />$213.86 <br />$1.00 <br />$0.00 <br />70063 <br />Total <br />07776002 53500 Revision <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd ffi Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemi tssued shall become invalid unless the wod< on the sile aulhonzed by <br />such pemil $ commencod wlhin 180 days aftet ils issuance ot il lho wo* authorized <br />on lhe site by such permil is susponded or abandoned fot a peiod of180 days after <br />tho ttme lhe wofu is commenced <br />lnspector MID#: 2017-135844 <br />01 1 16002 51612 <br />01 116002 53600 <br />$1.00 <br />$213.86 <br />Fee Total; <br />Paid lo Date: <br />Balance Due; <br />$214 86 <br />$213.86 <br />$1 .oo <br />Owner; Gilberto H Amaral <br />Address: 1114 S Broadway <br />Santa Ana, CA 927071206 <br />Phone: o,t41547-,t,142 <br />Tenant: <br />Phone: <br />License #