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Project Address: 23'14 W Manly Ave <br />Assessor's Parcel 412-253-51 Lot 85 <br />Unit Bldgr Address Range Suite Range: <br />Zoning; R1Block NA Tract 8343 Histonc No <br />@ :".,,;, ::;ril? r,T,,:r ;:-::": ffi ::l,),:;::1;T .*".r sec, .n:,,,., u., u,1l <br />"o' ra <br />Permit #: {O199933 <br />Pin #: 49{99 <br />Building Use: Single Family Oryolling Occupancy: R-3, U 1st FL Area: Patio: <br />Job Type: Alteration Constr Type V B 2nd FL Area: T.l.Area: <br />Nature of Work: Firo Damage Code: CBC 2016 other Areas yards Req,d: <br />Existing Brdg &use: sFD w/att garage Flood zone x-0602320259J carage Area: varuation: <br />Proposed Use: Rosidential # of Stories: , ,o,r,, O <br />Description of Work: Firo damage repair to Std. No proposed changes to floor plan or previous plan configuration. Repair liks-for-like. <br />t20,000.00 <br />O\,vner <br />Address <br />Scott Nguyen <br />2314 W Manly Ave <br />Conlractor lCCConstruclion <br />Address. 9353 Bolsa Avenue, K.50 <br />Westminster, CA 92683 <br />Phone: (7141611-1209 <br />State Lic #: 536258 <br />Lic Type B, C-27 <br />Bus Lrc #: 345/f07 <br />Workers' Compensation lnsurance: <br />Carrier Wesco lns Co <br />Policy *: WWC3300030 <br />Expires: 0912712019 <br />Engineer <br />Address <br />Lam Nguyen <br />Lam Nguyen <br />12277 Baia Panorama <br />Santa Ana, CA 92705 <br />(714) 392-s481 <br />36957 <br />ICC Construction <br />DPhorlgr <br />Tenant: <br />Phone <br />License f <br />Architect / <br />Desiqner <br />Address:9353 Bolsa Avenue, K-50 <br />Westminster, CA 92583 <br />(7141644-1209 <br />a T <br />Phone. <br />License f <br />, RrcardoPlanning Approval By <br />Plan Checked By <br />Permit lssued By <br />NPDES lnsp Re <br />PWA lnsp. Req'd <br />Planning lnsp. Req'dl <br />Landscaping lnsp Req'd <br />Br i, Teri <br />Date: 04/26/2019 <br />Oale 06/06/2019 <br />Date: 06/1012019 <br />SubJect to Field. <br />Misc. Receipl <br />Misc Receipt <br />Misc. Receipt <br />07776002 <br />07776002 <br />07776002 <br />08907007 <br />077760 0 2 <br />0 777600 2 <br />0 777600 2 <br />s7607 <br />53600 <br />57770 <br />2400 0 <br />51672 <br />57600 <br />57601 <br />$320.50 <br />$222.',t6 <br />$60.16 <br />$2.60 <br />$1.00 <br />$22.O8 <br />$55.04 <br />72509 <br />Total <br />Permit Fee <br />Plan Check Fee <br />Microfllm Records <br />SMIP - Category 1 <br />Bldg Stds. Revolving <br />General Plan Update <br />lssuance <br />No <br />No <br />No <br />No <br />No Account# <br />Flood Zone Cert Req'd No <br />Evary perml $suec! shall becomo nvalid unlass the wo* on lhe sile authonzed by <br />such peintt ts commenced w hin 360 days aket s tssuance.ot t the work authonzod <br />on the sie by such penntt $ suspended ot abandoned lor a penoc! of360 days after <br />the time the wo* tscommenced <br />lnspector <br />s1600 <br />51601 <br />51612 <br />57770 <br />24000 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />08901001 <br />$22.08 <br />$375.54 <br />$1.00 <br />$60.16 <br />$2.60 <br />Fee Total: <br />Paid to Date <br />Balance Due: <br />$683 s4 <br />$222 16 <br />8461.38 <br />Planning Conditions: All materials and finishes proposed to match oxisting. <br />Santa Ana, <br />Fire lnsp. Req'd: <br />Police lnsp Req'd: <br />MID#: 2019-'15'1093