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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permat Counter: (714) 647- EOO lnspectaon Requests: (714) 667-2738 lnspector Section: (714) 647-5853 A! <br />Permit #: 1O21O4A75 <br />Pin #: 776Al| <br />Project Address: 5114 W Sixteenth St <br />Assessor's Parcel 't00-17042 Lot NA <br />Unit Bldg Address Range: 5114-51'16 <br />Historic: No <br />Suite Range: <br />Zoning: R2Block NA Tract: NA <br />Building Use: <br />Job Type: <br />Nature of Work <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Alteration <br />N/V - Windows <br />Sfd w/det garage <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />'l st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T l.Area: <br />Yards Req'd: <br />Valuataon:s6,000.00 <br />Description of Work: Legalize window change out and demo unpermitt6d patio covsr. <br />Planning Conditions: <br />Owner: <br />Address <br />Phone. <br />Tenant <br />Contractor <br />Address: <br />Engineer <br />Addressl <br />Melissa Pinon <br />5116 W 16lh Streel <br />Santa Ana, CA 92703 <br />(7141 561-217',| <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Phone: <br />License #: <br />Archatect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Planning Approval 8y: <br />Plan Checked Byl <br />Permil lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Graham, Jeffery <br />Verduzco, Violet 'l <br />Dale. 1010712020 <br />Date: <br />Dale: 1OlO7l2O2O <br />Subject to Field: <br />Misc Receipt <br />Misc. Receipt <br />Misc. Receipt <br />0 71760 0 2 <br />0 71150 0 2 <br />07775002 <br />07776002 <br />o7716002 <br />0 7116002 <br />o7716002 <br />5750 7 <br />57770 <br />57607 <br />5760 7 <br />516 72 <br />57 600 <br />57 501 <br />Permil Fee <br />Microfilm Records <br />lnvestigation <br />Penally <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />No <br />No <br />No <br />No <br />Account#Total <br />$345.28 <br />$4.05 <br />$ 104.26 <br />$261 .96 <br />$1.00 <br />$23.79 <br />$59.30 <br />Fire lnsp Req'd: No <br />Poljce lnsp. Req'd: No <br />Flood Zone Cerl. Req'd: No <br />Every pemtt issued shall become invalid unless the wo* on lhe site authon2ed by <br />such permit is commenced within360 days after its tssuahce.or t the work authorized <br />on the site by such permtt is suspended or abandonod for a penod o1360 days aftel <br />the hme the work is commenced <br />lnspector <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 116002 57770 <br />$23.79 <br />$770.80 <br />$1.00 <br />$4.05 Fee Total: <br />Paid to Date: <br />Balance Due: <br />$799 64 <br />$0.00 <br />$799.64 <br />R-3 <br />VB <br />cBc 2019 <br />A-0602320143J <br />\ <br />MID#: 2020-161989