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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Permit #: {O{93047 <br />Pin #: 7o,57o^ <br />il.., <br />Proiect Address: 502 S Forest Avea <br />Assessor's Parcel. 010-053-20 Lot: 6 <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: R1Block: NA Tract: 2140 Historic: No <br />Building Use: Single Family Dwelling <br />Job Type: Patio Gover <br />Nature of Work: Patio cover <br />Existing Bldg. & Use: Sfd w/att garage <br />Proposed Use: <br />Description of Work: New attached patio cover <br />Planning Conditions: <br />Occupancy. <br />Constr Type. <br />Code: <br />Flood Zone. <br /># of Stories: <br />R.3, U <br />VB <br />cBc 2016 <br />x-0602320257J <br />1 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Patio: 495 <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $9,652.00 <br />6/TS/2TJL7 ID: HGAR(: IA <br />0 <br />t: <br />Owner: <br />Address: <br />Phone. <br />Tenant: <br />Rosalba Cruz Tellez <br />5O2 S. Forest Ave. <br />Santa Ana, CA 927034408 <br />(7141 759-7865 <br />Contractor <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Engineer: <br />Address. <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #. <br />Acct * : <br />Rcpt*:t-ti.?i <br />Trqnsoct i o <br />Rosnibii i'r <br />l l, <br />Lr11i6 <br />BIdsulii6 <br />r'/{. P, <br />Ref *: llJ1?3t-i <br />6,t L3/2ltI7 4t28 :: <br />$435 .4i <br />rr Ljp d nt e Fee <br />16r-rt-tt-u.lt-r - <br />EVUIU i ns <br />ii:34 . + I <br />5361-rttt-l0r_r <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Kelaher, Selena <br />Hernan dez, Kathy <br />Amsden, Julie <br />Date: 06/1 212017 <br />Date: 06/1 212017 <br />Date: 06/1 312017 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />07776002 si500 <br />08907007 24000 <br />07776002 57572 <br />07776002 57600 <br />07776002 57607 <br />Plan Check Fee <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />$178 .20 <br />$1 .25 <br />$1 00 <br />$20 56 <br />$s1 26 <br />$435.42 <br />$0.00 <br />$435.42 <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd:Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No Account#Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No 01 1 16002 51600 <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 180 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 180 days after <br />the time the work is commenced. <br />No <br />No <br />No <br />No <br />Total <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 16002 53600 <br />08901001 24000 <br />$20.56 <br />$234.41 <br />$1.00 <br />$1 78 20 <br />$1.25 <br />Fee Total: <br />Paid to Date. <br />Balance Due: <br />lnspector MID#: 2017-1 36 146 <br />!' <br />07776a92 5760t Permit Fee