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Project Address: 2005 W Eleventh St <br />Assessor's Parcel 004-172-23 Lot: 62 <br />Unit Bldg: Address Range:Suite Range: <br />Zoning: R1Block NA Tract: '1685 Historic No <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714], 667 -2738 lnspector Section: (7'14) 647-5853 <br />Permit #: I Ol { O6OEE <br />Pin #: 4O3O7 <br />Building Use: Single Family Owelling Occupancy: R-3, U 1st FL Area: Patiol <br />Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature of Work: Fire Damage Repair Code: CBC 2019 other Areas: yards Req,d: <br />Existing Bldg. & Use: 5pg w136 6lmgs Flood zoner x-0602320144J <br />Garage Area: valuation: $i2,ooo.oo <br />Proposed Use: # of Stories: <br />Total: <br />Dsscription of Work: Fiio damago repairs por inspector's special inspection report. Replacement of roof material, roof sheathing, roof rafters, ceiling <br />joiats, garage door beam Structural observation report provided. Owner-Builder form on file. <br />Planning Conditions: <br />Owner: <br />Address <br />Contractor <br />Address: <br />Owner-Buildet <br />Engineer <br />Address <br />Jason Ma <br />2005 w 11Th St <br />Santa Ana, CA 92703'1922 <br />(7141414-7578 <br />Thuan T. Nguyen <br />Thuan Nguyen <br />16026 Hyacinth Ave. <br />Fountain Valley, CA 92708 <br />Phone: <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />67565 <br />Architect / <br />Desiqner: <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 />Orozco lvan Date: 03t09/2021 <br />Datel <br />Date:03/1012021 <br />Subject to Field: <br />07176002 <br />07776002 <br />07776002 <br />07776002 <br />07776002 <br />07776002 <br />57601 <br />53600 <br />57770 <br />57672 <br />57600 <br />57607 <br />Chavez,Oaveg.C, <br />$172 U <br />$345.30 <br />$4.05 <br />$1.00 <br />$23.79 <br />$59.30 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Account#Total <br />Every peinit issued shall become tnvalid unless tho work on lhe sle aulhonzecl by <br />such ponfil is comfienced within 360 days after s issuanco.or t the work aulhorized <br />on the site by such pemit is suspended ot abandoned fot a peiod ol 360 daysaftet <br />the time tho wot* is cotfifiencod <br />lnspector <br />01 't 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 116002 53600 <br />01 116002 57770 <br />$23.79 <br />$231.94 <br />$1.00 <br />$345.30 <br />$4.05 <br />$606.08 <br />$0.00 <br />$606.08 <br />./ <br />Phone: <br />tenant: <br />Phone: <br />License #: <br />Phone: <br />License #:l <br />Permit Fee <br />Subject to Field <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General PIan Update <br />lssuance <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Misc Receipt <br />Misc. Receipt: <br />Misc. Receipt: <br />R Cisneros <br />MtD# 2021-163701