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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 ru (\ B <br />t <br />lnspection Requests: (7 1 4\ 667 -27 38 lnspector Section (7 1 41 647-5853 <br />u ild ing Permit #: lOl95OO{ <br />Pin #: 21994 <br />Project Address: 1 117 S Shellev St <br />Assessor's Parcel:'109443-12 Lot.,l4 <br />Bldg: Address Range Suite Range: <br />Zoning; RlBlock NA Tractr 3353 Hrstorrc: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Alteration <br />Remodel Kitchen <br />Sfd w/att garage <br />R.3, U <br />VB <br />cBc 2016 <br />x-0602320257J <br />1 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Ar-,ff:i <br />Total: <br />Patio: <br />T I Area: <br />Yards Req'd: <br />Valuation:, q8,900.40 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories::e i <br />Description of Work: Repair drywall where necessary. Auth. filed. <br />Planning Conditions: No change in floor plan <br />tLI <br />Engineer <br />Address <br />iqner e I <br />r111ATrfrOwner: <br />Address <br />Phone: <br />Tenant <br />James & Manuela Berlier <br />11'17 S Shelley St <br />Santa Ana, CA 927043237 <br />(714) 979-3886 <br />Contractor: Arrowhead Remodeling & D <br />Address; 18345 Ventura Blvd.,1212 <br />Tarzana, CA 91356 <br />Phone: (800) 270-6997 <br />State Lic #: 935108 <br />Lic Type: B <br />Bus. Lic #: 357176 <br />Workers' Compensation lnsurance: <br />Carrier: Exempt <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 />NPOES lnsp. Req' <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />ksxi,teri <br />Date: <br />Dale; <br />Dale: 1210612017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />$154.26 <br />$1 00 <br />$21.25 <br />$52.98 <br />07776002 51501 Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Gene?l Plan Update <br />07776002 51501 lssuance <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 />Account#Total <br />Every peinit issuod shall become invalid unless the wotu on the site aulhoized by <br />such pemit is commenced wjthh 180 days aflet its issuance,or if the wo* authoized <br />on the site by such permit is suspended ot abandoned fot a peiod of180 days aftet <br />the time the wo* is commenced. <br />$229.49 <br />$0.00 <br />s229.49 <br />lnspector MID#: 20'17-140308 <br />011 16002 51600 <br />01'1 16002 51601 <br />01 1 16002 516'12 <br />$21.25 <br />5207.24 <br />$1.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Unill <br />Tnrrnsq <br />11(lst er ( Lrrd(:i ): trl rlr trr{}r