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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building <br />Permit Counter: (7'14\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853 <br />Permit #: {O197560 <br />Pin #: 71624 <br />Proiect Address: 3614 W Camille St Unit -l'/1? <br />Assessor's Parcel 144-303-'11 Lot: 12 Block. B Tract: 1082 <br />Bldg: Address Range:Suite Range: <br />Zoning: R2Hisioric. No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Revision <br />Rsvision <br />SFo Wdet garage <br />Sfd Wdet garage <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320256J <br />1 <br />'l st FL Area: <br />2nd FL Area: <br />Other Areasl <br />Garage Area <br />Total: <br />Patio. <br />T.l.Area: <br />Yards Req'd <br />Valuation:$10.00 <br />0 <br />Description of Work: Revision to 10196683. Change from roof shingles to tile <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Tam Nguyen <br />36'14 W Camille St <br />Santa Ana, CA 927041334 <br />(s62) 468-0412 <br />Contraclor: Yes Building and Design LL <br />Addressi 17608 Oak Street <br />Fountain Valley, CA 92708 <br />Phone: (267) 471-2968 <br />State Lic #. 1031470 <br />Lic Type: B <br />Bus. Lic #: 371090 <br />Workers' Compensation lnsurance: <br />Carrier State Fund <br />Policy #: 9240073 <br />Expires: 1011A12019 <br />Engineer <br />Address: <br />TMC Engineers lnc <br />Tien Chu, P.E. <br />9542 Pacific Ave <br />Anaheim, CA 92804 <br />(714) 829-5053 <br />72324 <br />(714) 227-8791 <br />Architect / <br />Designer: <br />Address: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Arabe. Jill <br />Mazatji, Zac <br />Chavez, Dave <br />Date: 08/3012018 <br />Date: 09111/2018 <br />Date:11/09/2018 <br />Subject to Field: <br />71465 <br />Total <br />07776002 53600 Revision <br />07776002 57672 Bldg. Stds. Revolving <br />07775002 57600 Genetal Plan Update <br />$222.16 <br />$0.00 <br />$0 00 <br />No <br />No <br />Yes <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Flood Zone Cert. Req'd: No N/A _ No Batance <br />Every pemit issued shall become tnvalid unless lhe work on lhe site authorized by <br />such pemil is commenced withh 180 days aftet its issuance ot if the wo* authonzed <br />on the site by such pemil ls suspended or abandoned fot a pedod ol 180 daysaft6t <br />the lime the work is comfienced <br />MID#: 2017-139323 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$222.16 <br />$222.16 <br />$0.00 <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Storiesl <br />Hieu Luu Residential Desiqner <br />Hieu Luu <br />Phone: <br />License #: <br />Phone: <br />License #: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />lnspector