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@ :".,:*:::il?ll;, ,:r;:;"1::ffi:".?,;::,;Ti"'.','"'":r sec,.n: ,,,o, uo, uu"ul"o'[J <br />Permit #: {02{03399 <br />Pin #: A2542 <br />Project Address: 1212 W Cubbon St <br />Assessor's Parcel: 010-272-10 Lot POR 8 <br />Unit Bldg: <br />Tract: NININGER <br />Address Range Suite Range: <br />Zoning: R'lBlock NA <br />Building Use: Single Family Dwelling Occupancy: R-3, U 'l st FL Area: <br />Job Type: Demolition Constr Type: V B 2nd FL Area: <br />Nature of Work: N/V-Demo Code: CBC 2019 Other Areasl <br />Existing Bldg. &Use: SFDw/attgarage Flood Zone: x-o6o232o257 J carage Area: <br />Proposed Use: # of Stories: Total: O <br />Doscription of Work: Dsmo unpormitted patio cover amd 198 sq ft room addition. Owner-Builder authorization form on file. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone. <br />Tenant <br />Contractor <br />Address; <br />Owner-Builder <br />Address <br />Jesus Garcia <br />1212 W. Cubbon Street <br />Santa Ana, CA 92703 <br />(7141 499-7672 Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic f: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued Byr <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Graham, Jefrery <br />Chavez, Oave e.e.. <br />Oale: 1110412019 <br />Date: <br />Date O3l12l2O2O <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd No <br />Every pemit issued shall become hvalid unless lhe wo* on lho site authonzed by <br />such pemit iscofimenced within 3@ days alter tts issuence,ot il the wo* authonzed <br />on the sle by such pomit is suspended or abandoned for a pe.pd ol 3& days aftet <br />the time lhe worl< $ cofimenced <br />0 77 7600 2 <br />0 77 7 6002 <br />0 717 60 02 <br />0 77750 0 2 <br />o77 760 0 2 <br />0 777500 2 <br />o 711600 2 <br />$166.53 <br />$3.91 <br />$100.57 <br />$252.69 <br />$1.00 <br />$22.95 <br />$57.20 <br />No <br />No <br />No <br />No <br />No <br />No Account#Total <br />5 7607 <br />57770 <br />s7607 <br />57607 <br />576 72 <br />57600 <br />57507 <br />Permit Fee <br />Microfilm Records <br />lnvestigation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />lnspector MID#: 2019-155632 <br />$22.95 <br />$576.99 <br />$1.00 <br />$3 91 $604.85 <br />$0 00 <br />$604.85 <br />Hisloric No <br />gclch+ r 5{9130ltice: (:TYH <br />Patiol <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $1,000.00 <br />3/ 12 2t. <br />laonS <br />Engineer. <br />Phone: <br />License #; <br />ticp Ui 3 02913702 <br />Transoct ion ToLol <br />Jesus 6onc i( <br />Phone: <br />License #.Generol Plon Updote Fet <br />tr1116002- 5160tr000- <br />BU <br />01 <br />8l <br />trl <br />fli <br />rldrn9 <br />116002- <br />ds Stds <br />t 161102- <br />Erof ilo <br />rrl I 161102 - <br />I(:L Check <br />51601000- <br />Fevol v ine <br />5161200r:r - <br />& oocurents <br />57770000- <br />r1223 <br />Fee Total; <br />Paid to Date: <br />Balance Due: <br />01 116002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01116002 57770