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City nf Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Bu3lding <br />Permit Counter (714],647-5800 lnspection Requests (7141667-2738 lnspector Seclron: (714) 647-5853 <br />Permit #: rorrBasT <br />Pin #: 95543 <br />Project Address: 251 1 W Camden Pl <br />Assessor's Parcel.408-094-14 Lot 17 Block NA ftacl 4022 Hrstoflc No <br />Suile Range: <br />Zoning: Rl <br />Unrt Bldg Address Range <br />Building Use: <br />Job Type: <br />Nature of Work <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Miscellaneous <br />lnsulation <br />SFD w/garage <br />Occupancy <br />Constr Type <br />Code <br />Flood Zone: <br /># of Stories: <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320257J <br />1 <br />1 st FL Area. <br />2nd FL Area: <br />Other Areas <br />Garage Area <br />Total: <br />Patio <br />T I Area <br />Yards Req'd <br />Valuation: <br />0@0 <br />$3,000.00 <br />Description of Work: Change out to R-38 insulation <br />Planning Conditions: <br />TYH <br />Owner: <br />Address <br />Phone <br />Tenant <br />OmerJ&PatriciaCote <br />2511 W Camden Pl <br />Santa Ana, CA 92704 <br />(7141673-2719 <br />Engineer <br />Address. <br />Phone: <br />License # <br />Architect / <br />Desiqnerl <br />Address <br />Phone: <br />License #: <br />51601000 <br />lon Updot <br />5160(r000 <br />Revol v i n <br />I I l,! r.l <br />Planning Approval By <br />Permit lssued By <br />NPDES lnsp R <br />PWA lnsp Req'd <br />ts Tefl <br />Fire lnsp Req'd: <br />Police lnsp Req'd <br />Date. <br />Date: <br />Dale. O712512019 <br />Subject to Field <br />No <br />lvlisc. Recerpt <br />Mrsc. Recerpt <br />Mrsc. Recerpt <br />07776002 5160I Permit Fee <br />07776002 57612 Bldg. Stds. Revolving <br />07776002 57600 Geneal Plan Update <br />O7776002 51601 lssuance <br />o <br />No <br />No Account#Plannrng lnsp Req'd No <br />Landscaping lnsp Req'd No Flood Zone Cert Req'd No <br />Every permit 6suad shall become nvalld unless lhe wo* on tha sle authotized by <br />such permills commencod wlhtn360 clays aftet its tssuance.or i the wo* aulhonzed <br />on lho ste by such peaml $ suspendod or abandoned for a ponod o],360 days ahet <br />the ltme the work $ comrnenced <br />$241 68 <br />$0 00 <br />$247.68 <br />lnspector MID#: 2019-153209 <br />01 1 16002 51600 <br />01 1 '16002 51601 <br />01 't 16002 51612 <br />$22 95 <br />$223.73 <br />$1 00 <br />Fee Total: <br />Paid to Date <br />Balance Oue <br />Contractor ServiceChampions <br />Address 3150 E Birch Street <br />Brea, CA 92821 <br />Phone: (714t 777-7777 <br />State Lic #: 799170 <br />Lic Type C-36, B, C-2, C-20 <br />Bus Lic # 196430 <br />Workers' Compensalron lnsurance <br />CarrEr Pacitic Compensation lnsurance C <br />Policy # WA00060705 <br />Exprresr 0312212020 <br />Iice t i 3 0270,1569 7/21/2tl <br />Tronsoct iofl Totol <br />ofi ice:lt(ln5 : ltl <br />het i <br />I ee <br />$ervice (.hotp rons <br />Plan Checked <br />$166 s3 <br />$1 00 <br />$22.95 <br />$57.20 <br />Total