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City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA92702 Bu ild ing Permit #: {O2tOO8OO <br />Pin #: 44569 <br />ProjectAddress: 1017W Cubbon St <br />Assessor's Parcel 010-262-29 Lot 41 <br />Unil Bldg. Address Range Suite Range: <br />Zoning: RlBlock NA Tract 1734 Hrsloric'No <br />Building Use <br />Job Type: <br />Nature of Work <br />Existing Bldg & Use <br />Proposed Use: <br />Oescription of Work <br />Planning Conditions <br />Single Family Dwelling Occupancy R-3, U 1st FL Area <br />Altoration Constr Typet V B 2nd FL Area: <br />N/v - Demo Code: cBc 2016 other Areas <br />SFO w/att garag€ Flood zone X-O602320257 J <br />Garage Area <br /># of stories <br />Totar: <br />N/V - Demo unpermitted work. Remov€ unpermitted patio cover attached to rear of garage. <br />patio cover. Owner-Buildor form on file. <br />0 Patio: <br />O T.l.Area: <br />0 Yards Req'd: <br />Valuation: $1,000.00 <br />0 <br />Remove enclosod room at permitted <br />Owner <br />Address <br />Phone <br />Tenant <br />Paula Zefernio <br />'1017 W Cubbon St <br />Santa Ana, CA 927034919 <br />17't4l631-7432 <br />Contraclor <br />Address: <br />Phone: <br />[If#- <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy f: <br />Expires: <br />Owner-Builder <br />Address <br />t() <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone. <br />License # <br />Planning Approval By: Guevara. Jerry <br />Plan Checked By. <br />Permit lssued By: Chavez, Dave <br />NPDES lnsp. Req'd: No 7_Z-. <br />0 7 77600 2 <br />0 7 77600 2 <br />0 777600 2 <br />07776002 <br />0 7776002 <br />0 77 75002 <br />5160 7 <br />57607 <br />57607 <br />57672 <br />57600 <br />5760 7 <br />$166.53 <br />$100.57 <br />$2s2.69 <br />$1.00 <br />$22.95 <br />$57.20 <br />Oate 0711712019 <br />Date <br />Oale0711712019 <br />Subjecl lo Field <br />Misc Receipt <br />Misc. Receipt <br />Misc Receipt <br />Permit Fee <br />lnvestigation <br />Penalty <br />Bldg. Slds. Revolving <br />General Plan Update <br />lssuancePWA lnsp. Req'd: No Fire lnsp Req'd: No <br />Planning lnsp. Req'd: No Police lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every porm 6sued shall becofie nvahcl unless lhe wor,( o, lrr€ s,te aulhonzec! by <br />such peml is commonced wtlhh 3il days after tls tssuance ot i lhe wo* authofized <br />on lho ste by such pefin is suspendecl or abandoned for a penod ol 360 days after <br />the ltmo lhe wo* is commencod <br />1"99rnt# , . <br />01 I 16002 51600 <br />01 1 16002 51601 <br />01 116002 5'!612 <br />Total <br />lnspector MID#: 2019-153020 <br />$22 95 <br />$576 99 <br />$1.00 <br />Permit Counter: (714).647-5800 lnspection Requests: (714) 667-2738 lnspector Section (714) 647-5853 <br />Engineer:.T^^i.n-l l-^ t^t^-l altnl 0t <br />rr^!,1-;^.'^^^i^ <br />n! I I lnn.t- ll anrtn:-aa- <br />il I t an.11- ql anlr'ra::-:- <br />o l.a- cli- i^!!^i,-:,.., <br />nl t i tl1l1'r- <tairi:1n- <br />$600.94 <br />$0 00 <br />s600.94 <br />Fee Total: <br />Paid to Dalel <br />Balance Due: