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10192826 - Permit
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building Permit counter: (714) 647-5800 lnspection Requests: (7',14) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O{92826 Pin #: 98384 q Assessor's Parcel 013-142-16 Lot: 4 Unit Bldg: Address Range Blockr NA Tract: 458 Historic No Building Use: Job Type: Nature of Work: Existing 8ldg. & Use: Proposed Use: Singlo Family Dwelling Addition Bathroom Addition SFD w/basement & d€t Garage 1st FL Area: 54 2nd FL Area: Other Areas: Garage Area: Total: il Patio: T.l.Area: Yards Req'dl Valuation: $'10,000.00 Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3 VB cBc 2016 x-0602320276J 1 Description of Work: N6w 54 sf bathroom addition attached to bedroom at rear of SFD Planning Conditions: All materials to match existing. Owner: Address Phone: Tenant: Gilberto H Amaral '1114 S Broadway Santa Ana, CA 927071206 (7141547-1142 Contractor: LNHConstructionCompany Address: 15425 Avenue, f352 Visalia, CA 93292 Phone: (559) 804-9596 Stale Lic #: 908731 Lic Type: B Bus. Lic #: 364054 Workers' Compensation lnsurance: Carrier: Starstone Nat'l lnsur Co Policy #: T20170919 Expires: O1lO1l2O18 Engineer Address Architect / Desiqner: Address: Phone. License # Phone: License # Pico Building Designer Jose Pico 't 192't Utah South Gate, CA 90280 (562) 634-5072 Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req' PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Brodowski, Teri Oale: 0412712017 Date 0712112017 Date: 08/09/20'17 Subject to Field: Misc. Receipt Misc. Receipl Misc. Receipt 0 77760 0 2 0 7176002 0 7776002 o8 90 700 7 0 7776002 07176002 0 7776002 57 607 53600 57770 2400 0 5 7672 57600 57607 Permit Fee Plan Check Fee Microfilm Records SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance No No No No , Kathy Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Account# 69481 Total $300.00 $300.00 $7 .24 $1 .30 $1.00 $21.25 s52.98 Every pemtt issued shall become invalid unless the wo on tho site authoi2ed by such pennil is commenced withn180 days afler ils issuance,ot il the wo* aulhoizad on the site by such pemil is suspandad or abandoned tor a pedod ot180 days aftet tho time the wo* is commenced . 01 1'16002 01 1 16002 01 1 16002 01 1 16002 08901001 $21 .25 $352.98 $1.00 $7 .24 $1.30 $683 77 $300 00 $383.77 lnspector MtD#. 2017-135844 51600 51601 51612 57770 24000 Fee Total: Paid lo Date: Balance Due: Project Address: 1114 S Broadway Suite Range: Zoning: R2 BUILDING. INSPECTOE RECORD SITE-WOBK DATE ID/SIG.COMMENTS owNfn B[rlLDt:t t[:t,( a{ATllrN I trr.lty nrm udr.r Foh) ol n rpry rll{ I .r.mF fmm rh. 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