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City of Santa Ana 20 Civic Center Plaza (M-19), Saqta Ana,-CAI27O2 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714).667-2738 lnspectorSection: (714)647-5853 <br />Permit #: {O11O8O15 <br />Pin #:,rw <br />Project Address: 4222 W Flight Ave <br />Assessor's Parcel: 188-103-19 Lot: 53 <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: RlBlock: NA Tract: 3656 Historic: No <br />Building LJse: Singlo Family Owelllng Occupency: R-3,U lstFLArea Patio: <br />Job Type R.ilof Constr Type V B 2nd FL Area T.l.Area: <br />Nature ofwo*: Rsroot code: cBc 2019 otherAreas yards Reqd <br />Existing Bldg & use: sFD w, att 0.rago Flood zone: x46o2320256J carage Area vatu.fion: ,?,ooo.oo <br />Proposed Use: # of Slories: <br />Totet <br />Ooacrlptlon of Work TrO exilitng rool and ln.tell n.w comp shlngles to SFD with .tt ched g.6ge. R.pl.co sh.athlngrplywood ar neodod. Hand out <br />glvan Own€r torm on file. <br />Planning Conditions: <br />i Engineer. <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />Owner: <br />Address. <br />Phone: <br />Tenant <br />Dung Tran <br />4222 W Flight Ave <br />Santa Ana, CA 92704 <br />(7141 603-5830 <br />Contractor: <br />Address: <br />Owner-Builder Botch*:6t-t8t-t3 <br />Lllf ice: (:TYH <br />A - -L I rHl-l- L 1t r <br />licr,t+:[t3+13??? <br />lr cr[r sf ; ? <br />Ftef *, <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires. <br />lrOnSOtIB I CIn l0f,OI <br />)urr s l'r'nn <br />GerreroI Plnn Updcrte <br />Ltl I 16lJtJ2- 5l6rlurl[ilJ-- <br />liuildins <br />r-r1 1 I,sr-rr:rf- 516tJ 1r-r[rr.r - <br />[t]ds Stds Flevolvins <br />Fee <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By. <br />NPDES lnsp. Req'd. No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Martin, Eric <br />Zuniga, Allissa <br />Date: 0912112021 <br />Date: <br />Date: 0912112021 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />0L776002 5760t Permit Fee $34s 28 <br />07776002 57770 Microfilm Records $4.0S <br />07776002 57672 Bldg: Stds. Revolving ,: $1.00 <br />07776002 57600 General Plan Update $23.79 <br />07776002 57607 lssuance $59.30 <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 />01 1 16002 51612 <br />01 1 16002 57770 <br />Account#Total <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 days after <br />the time the work is commenced. <br />$23.79 <br />$404 58 <br />$1.00 <br />$4 05 Fee Totat <br />Paid to Date. <br />Balance Due: <br />$433.42 <br />$0.00 <br />$433.42 <br />lnspector MrD#'. 2021-168896 <br />e <br />.1