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--1 <br />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 #: {01107463 <br />Pin#: 58W <br />Proiect Address: 1246 S Clara Sta <br />Assessor's Parcel: 109-091-27 Lot: POR 12 <br />Unit:Bldg:Address Range: 1246-1248 <br />Historic: No <br />Suite Range: <br />Zoning: R2Block: B Tract: 604 <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: <br />Job Type: Alteration Constr Type: V B 2nd FL Area: <br />Nature of Work: Window change out Code: CBC 2019 Other Areas: <br />Existing Bldg. & Use: SFD w/det Garage Flood Zone: X-O6O2320257J Garage Area: <br />Proposed Use: # of Stories. <br />Total: <br />Description of Work: Legalize (6) Window change outs and interior remodel. Owner-Builder form on file. <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd. <br />Valuation: $2,000.00 <br />Owner. <br />Address: <br />Phone: <br />Tenant: <br />Juvenal & Maria Jaracuaro <br />1248 S CLARA ST <br />Santa Ana, CA 927043202 <br />Contractor: <br />Address. <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation !nsurance: <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 />Planning Approval By: <br />Plan Checked By: <br />a Permit lssued By: <br />. NPDES lnsp. Req'd: No <br />'r PWA lnsp. Req'd. No <br />Planning Insp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Gomez, Pedro <br />Chavez, Dave <br />Date: 0810912021 <br />Date. <br />Date: 08l,0$2021 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />2?'. <br />0 77760 02 <br />07776002 <br />0 77750 0 2 <br />077760 02 <br />07776002 <br />57607 <br />57770 <br />57672 <br />57600 <br />57607 <br />Permit Fee <br />Microfilm Records <br />BIdg. Stds. Revolving <br />General Plan Update <br />lssuance <br />$172 64 <br />$4 0s <br />$1 .00 <br />$23.79 <br />$s9 30 <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No 01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 1 16002 57770 <br />Account#Total <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days after ifs issua nce,or if the work authorized <br />on the site by such permitis suspe nded or abandoned for a period of 360 days after <br />the time the work is commenced. <br />$23.79 <br />$231 .94 <br />$1 .00 <br />$4.05 Fee Total: <br />Paid to Date: <br />Balance Due: <br />$260 78 <br />$0 00 <br />$260.78 <br />lnspector MID#: 2021-167908 <br />t