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* <br />Project Address: 2680 W Seoerstrom Ave <br />Assessor's Parcel 933-071-96 Lol.2,6,1,2,4,5 Block:NA <br />Unit: H Bldg: <br />Tract: 8236/8868 <br />AddressRange: 2600-2830 <br />Historic: No <br />Suite Range: H <br />Zoning; R4 <br />cify of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1O2973t9 <br />Pin #: 97043 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Usei <br />Multi-Family (5 or more units) <br />Alteration <br />N/V - Window change outs <br />11-Unit Condo Complex Watt gara <br />Occupancy: <br />Constr Type <br />Codei <br />Flood Zone: <br /># of Stories: <br />U, R-2 <br />VB <br />cBc 2016 <br />x-0602320259J <br />2 <br />1 st FL Area: <br />2nd FL Area: <br />Other Areas. <br />Garage Area: <br />Total: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $4,500.00 <br />Description of Work: Legalize (4) window change outs and (2) sliding doors. Owner-Builder form on file <br />Planning Conditions: <br />Owner: <br />Address: <br />Phonel <br />Tenant: <br />Eduardo Carrillo <br />2680 W. Segerstrom Ave. Unit H <br />lrvine, CA 92614 <br />Botchi:4534i - 8/1312018 10r <br />0ff ice: aIYH Trons+3 9Acct+: Ret+: lll <br />Rcpt+:(l?3531:i7 - g/ !3/2'atl3 !l <br />Tronsoct ron Totol t:irl <br />Contractor <br />Address: <br />Owner-Builder <br />Engineer <br />Address <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Architect / <br />Desiqnerl <br />Address: <br />.ln ljpdote Fee <br />51600000- <br />Phone: <br />License # <br />516rJ 11100- <br />;:evol v ins <br />r 161200u- <br />Edu(rrd r rlo <br />6enerol. <br />u 1116002- <br />Bu i ld ins <br />t I11600?- <br />Blds Stds <br />tl116002- <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Orozco, lvan <br />Chavez, Davev? <br />Date: 08/13/2018 <br />Date: <br />Date; 08/13/2018 <br />Subject to Field: <br />llL <br />0 77 76002 <br />0 77 76002 <br />0 77 76002 <br />07776002 <br />0 7776002 <br />07776002 <br />57607 <br />5760L <br />57607 <br />51612 <br />57600 <br />57607 <br />--l:_.YiJ <br />Permit Fee <br />lnvestigation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />$160.25 <br />$86.78 <br />$243.16 <br />$1.00 <br />$22 08 <br />$55.04Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert. Req'dr No 011 16002 5.1600 <br />01 1 16002 51601 <br />0't 1 16002 51612 <br />$22.08 <br />$545.23 <br />$1.00Every peftnil issued shall become invalid unless the work on the site authorized by <br />such pefinit is comnenced wilhin 180 days aftet its issuance ot if the wo* autho.ized <br />on lhe site by such permit is suspended or abandoned for a pariod of 180 days aftet <br />the timo lhe wo* is cofimenced. <br />Inspector MID#: 20'18-'1453'14 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$568.31 <br />$0.00 <br />$568.31 <br />Phone: <br />License #: