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City of Santa Ana 20 Civic Center Plaza (M-19), Santa-Ana, CASZTOZ Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{94535 <br />Pin #: 78281,/b <br />Proiect Address: 3901 W Crvstal Ln <br />- <br />Assessor's Parcel: 108-722-01 Lot: 1 <br />Unit.Bldg: Address Range:Suite Range: <br />Zoning: RlBlock: NA Tract: 8924 Historic: No <br />Building Use: <br />Job Type. <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Single Family P*elling <br />Addition <br />Addn <br />SFD w/att garage <br />1sU2nd floor addn <br />Occupancy. <br />Constr Type <br />Code. <br />Flood Zone'. <br /># of Stories: <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320256J <br />2 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />611 <br />533 <br />Patio: 167 <br />T.l.Area: <br />Yards Req'd: <br />Valuation, $t 50,000.00 <br />1144 <br />Ooac ption of work: Add f.mily room & tr2 bathroom on l6t floor, Add New 2nd floor with ('l) ma.tor bedroom, (1) m.Bter bethroom, (2) w.lk-in <br />clo3et(3). lncludE new167 8f patio covor at rsa. A now skyllghta. Paid GGUSO on rr,0936 <br />Planning Conditions: AII materials to match existing <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Shane Keheian <br />3901 W Crystal Lane <br />Santa Ana, CA 92704 <br />(7141 514-9950 <br />Contractor: Fullfab lnc <br />Address: 1138 Felicita Lane <br />Escondido, CA 92029 <br />Phone: (800) 293-5454 <br />State Lic #: 722955 <br />Lic Type: B, C-16, A, C-10, C-51 <br />Bus. Lic #: 347842 <br />Workers' Compensation I nsurance: <br />Carrier: State Fund <br />Policy #: 9162919 <br />Expires: 0712012019 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />AQX Engineerlng <br />Qiang Xiao <br />1520 Brookhollow, Ms <br />Santa Ana, CA 92705 <br />(7141 662-0510 <br />5289 <br />David Michael Designs <br />Andre Tardlf <br />712 Center Street <br />Costa Mesa, CA 92627 <br />(s4s) 701-9539 <br />6 t:ilJ r:ru [t <br />Planning Approval By:Jerry <br />Plan Checked By <br />Permit lssued <br />NPDES lnsp. <br />PWA Insp. Req'd No Fire lnsp. Req'd <br />Planning lnsp. Req'd: Yes Police lnsp. Req'd <br />Landscaping Insp. Req'd: No Flood Zone Cert. Req'd: No <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 180 days afterits 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 />Teri <br />Date. 1011912017 Misc. Receipt: <br />Date: 0710912018 Misc. ReceiPt: <br />Date: O7tgll21lg Misc. Receipt: <br />Subject to Field: <br />No <br />No Account# <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01 1 16002 57770 <br />08901001 24000 <br />$22fts q&,7b <br />$1 ,822.14 <br />$6.00 <br />$75.20 <br />$1e s0 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />701 86 <br />Tota! <br />07775002 <br />07776002 <br />07776002 <br />08907007 <br />07776002 <br />07776002 <br />07716002 <br />57607 <br />s3600 <br />57770 <br />24000 <br />57672 <br />57600 <br />s7601 <br />$1 ,767.10 <br />$2,799.74 <br />$7s.20 <br />$19.s0 <br />$6.00 <br />$22.08 <br />$55.04 <br />$4,744.66 <br />$1,854.56 <br />$2,890.10 <br />lnspector MID#: 2017-137777