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PT <br />Project Address: 2021 N Fairview St <br />Assessor's Parcel 399-091-20 Lol: NA <br />Unit Brdg Suite Range; <br />Zoning: R1Block: NA Tract: NA <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit counter: (714]l647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lO{9564{ <br />Pin #: 74165 <br />Euilding Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Singls Family Owelling <br />New <br />Truss <br />SFO w/det garage <br />Sfd w/att garage <br />Occupancy: <br />Consk Type <br />Code: <br />Flood Zonel <br /># of Stories: <br />R-3, U <br />VB <br />cBc 2016 <br />X-06023201/t4J <br />2 <br />1 st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patiol <br />T l.Area: <br />Yards Req'd: <br />Valuation: $1.00 <br />0 <br />Description of Work: Oeferred truss submittal for #10193538 <br />Planning Conditions: <br />Owner: <br />Address <br />Phone; <br />Tenant: <br />Tan Nguyen <br />11071 Cottonwood Ave. <br />Garden Grove, CA 92843 <br />(714) 230-9682 <br />Owner-Builder <br />Engineer <br />Address <br />Justin Viet Nguyen P.E <br />Justin Viet Nguyen <br />6593 Teakwood Street <br />Cypress, CA 90630 <br />(714) 209-3965 <br />68232 <br />Loc Ly <br />Loc Ly <br />7521 Volga Drive, #3 <br />Huntington Beach, CA 92647 <br />(71416s7-2765 <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Phone: <br />License #. <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <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'dl <br />Landscaping lnsp. Req'd <br />So, Anson <br />Hernandez, Kathy <br />Date: <br />Dal€. 042612018 <br />Oale: 0212612018 <br />Subject to Field: <br />Account# <br />70628 <br />Total <br />Misc. Receipt <br />i,Iisc. Receipt <br />Misc. Receipt <br />$213.86 <br />$0.00 <br />$0.00 <br />07776002 53600 Plan Check Fee <br />07176002 57572 Bldg. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Every permit issued shall bocorne invalid unless the wotu on lhe sile authorized by <br />such pemit is cofirnenced within 180 deys after ls issuahce.ot I the wo* authonzed <br />on the site by such pemit is suspended ot abandoned tor a peiod of180 ddys aftet <br />the time the wo* is commenced <br />lnspector MID#: 20't7-1350'1 1 <br />Fee Total <br />Paid to Date: <br />Balance Oue: <br />$213 86 <br />$213.86 <br />9o.oo <br />Address Range: 2021-2025 <br />Historic: No <br />Contractor <br />Address: