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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building <br />Permit counter: (714) 647-5800 lnspection Requests: (7',14) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{92826 <br />Pin #: 98384 <br />q <br />Assessor's Parcel 013-142-16 Lot: 4 <br />Unit Bldg: Address Range <br />Blockr NA Tract: 458 Historic No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing 8ldg. & Use: <br />Proposed Use: <br />Singlo Family Dwelling <br />Addition <br />Bathroom Addition <br />SFD w/basement & d€t Garage <br />1st FL Area: 54 <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: il <br />Patio: <br />T.l.Area: <br />Yards Req'dl <br />Valuation: $'10,000.00 <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 />1 <br />Description of Work: N6w 54 sf bathroom addition attached to bedroom at rear of SFD <br />Planning Conditions: All materials to match existing. <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Gilberto H Amaral <br />'1114 S Broadway <br />Santa Ana, CA 927071206 <br />(7141547-1142 <br />Contractor: LNHConstructionCompany <br />Address: 15425 Avenue, f352 <br />Visalia, CA 93292 <br />Phone: (559) 804-9596 <br />Stale Lic #: 908731 <br />Lic Type: B <br />Bus. Lic #: 364054 <br />Workers' Compensation lnsurance: <br />Carrier: Starstone Nat'l lnsur Co <br />Policy #: T20170919 <br />Expires: O1lO1l2O18 <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone. <br />License # <br />Phone: <br />License # <br />Pico Building Designer <br />Jose Pico <br />'t 192't Utah <br />South Gate, CA 90280 <br />(562) 634-5072 <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req' <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Brodowski, Teri <br />Oale: 0412712017 <br />Date 0712112017 <br />Date: 08/09/20'17 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipl <br />Misc. Receipt <br />0 77760 0 2 <br />0 7176002 <br />0 7776002 <br />o8 90 700 7 <br />0 7776002 <br />07176002 <br />0 7776002 <br />57 607 <br />53600 <br />57770 <br />2400 0 <br />5 7672 <br />57600 <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 />lssuance <br />No <br />No <br />No <br />No <br />, Kathy <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Account# <br />69481 <br />Total <br />$300.00 <br />$300.00 <br />$7 .24 <br />$1 .30 <br />$1.00 <br />$21.25 <br />s52.98 <br />Every pemtt issued shall become invalid unless the wo on tho site authoi2ed by <br />such pennil is commenced withn180 days afler ils issuance,ot il the wo* aulhoizad <br />on the site by such pemil is suspandad or abandoned tor a pedod ot180 days aftet <br />tho time the wo* is commenced . <br />01 1'16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />08901001 <br />$21 .25 <br />$352.98 <br />$1.00 <br />$7 .24 <br />$1.30 <br />$683 77 <br />$300 00 <br />$383.77 <br />lnspector MtD#. 2017-135844 <br />51600 <br />51601 <br />51612 <br />57770 <br />24000 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />Project Address: 1114 S Broadway Suite Range: <br />Zoning: R2