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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: {O11026{6 <br />Pin #: <br />!E <br />80533 <br />Proiect Address: 1242 112 W Pine Sta <br />Assessor's Parcel. 777 -777 -77 Lot: <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: Rl <br />4v4/ <br />Block: NA Tract: 1363 Historic: No <br />Building Use: Slnglo Famlly Dwelllng Occupancy: R-3, U lst FL Area: Patio: <br />Job Type: N.w Consk Type: VB 2nd FL Area: 694 T.l.Area: <br />Nature ofwork N.w 2nd story atteched ADtl Code: CBC 2016 Other Areas: yards Reqdl <br />Existing Bldg. & use: Vacant Lot Flood Zonq X.0602320257J <br />proposed r.Jse: N.w sFD wratt 2nd fl. ADt # of stories: Garage Area: valuatlon: t70'0(x)'(x' <br />Totat G94 <br />D6c,iption of Work: Con3truction of e now socon*sto.y ADU attached to new SFO (on sep.r.l. pe.mit). --LOT IIIERGE TO BE COI$PLETED PRIOR <br />TO F[{AL I{SPECT|ON-- <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Life Cycle Management, LLC <br />25 Brookline <br />Aliso Viejo, CA 92656 <br />(e4e) 412-821s <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #. <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />Shucri "Chuck" L Yaghi <br />Shucri l. Yaghi <br />112 E Chapman Avenue, D <br />Orange, CA 92866 <br />(7141 997-9120 <br />c43205 <br />Dream House Drafting & Design <br />Leticia Portocarrero <br />5096 Tolowa Avenue <br />Riverside, CA 92509 <br />(7141 721-3412 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: Yes <br />Guevara, Jerry <br />Scott Fazekas & Assoc <br />Chavez, Dave <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />Yes <br />No Account# <br />Date: 0312712020 <br />Date: 0312612020 <br />Date: 0410912020 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />0 77760 0 2 <br />07776002 <br />07776002 <br />08907007 <br />07776002 <br />0 77760 0 2 <br />077760 0 2 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance/New Structu <br />$1,188.40 <br />$2,411 .94 <br />$3.e1 <br />$e 10 <br />$3.00 <br />$22.95 <br />$1 52 5s <br />$3,791.85 <br />$2,411 .94 <br />$1,379.91 <br />73926 <br />Total <br />57607 <br />53600 <br />57770 <br />24000 <br />57672 <br />s7600 <br />57507 <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every permitissued shall become invalid unless the workon the site authorized by <br />such permit is commenced within 360 days after its issua nce,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 daysafter <br />the time the work is commenced. <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 1 16002 57770 <br />08901001 24000 <br />$22.es <br />$1,340.95 <br />$3 00 <br />$3 91 <br />$e 10 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />lnspgctor r MrD#'. 201 9-156679 <br />a