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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 #:1O21O32O4 <br />Pin #: 5E917 <br />Project Address: 1005 N Fairlawn St <br />Assessor's Parcel: 405-1 14-07 Lot: 41 <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: R1Block: NA Tract: 1899 Historic. No <br />Building [rse: Slngls F.mlly Dwolllng Occupancy: R-3, U lst FL Area Patio: <br />Job Type: Alter.tion ConstrType: V B 2nd FL Area: T.t-Area: <br />Nature of Workt NrV - OsmorRop.irrRe.tors Code: CBC m1 S Olher Areas: yards Req.d: <br />Existing Bldg. & Use: SFD wr.tt car.go Flood Zone: X{r602320144J <br />proposed use: # of stories: Garage Area: v'lualion: t1'000'oo <br />Tolal: <br />Oescrlptlon of Work: Osmo unpoamittgd Ehad attachod al roar oI racidenca, sgal oft unparmittad door opornittg at rrar and tinish with matodala that <br />Planning Conditions: <br />match existing, repair and finish damaged stucco with like materials and finishes, and repairlremodel kitchen and other interior <br />spaces as required per case. No change to windows or floor plan included as part of this proiect. Owner-Builder form on file. <br />Owner. <br />Address: <br />Phone: <br />Tenant: <br />Sankofa <br />1005 N. Fairlawn Ave. <br />Santa Ana, CA 92703 <br />(310) 350-1 792 <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation Insurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Archrtect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />a , <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES Insp. Req'd. No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Chavez, Dave <br />* <br />Fire Insp. Req'd: <br />Police lnsp. Req'd <br />Soto, Ricardo Date: 0211912020 <br />Date: <br />Date: 0211912020 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />077760 02 <br />07776002 <br />077750 02 <br />077760 02 <br />0777600 2 <br />07776002 <br />0777600 2 <br />Permit Fee <br />Microfilm Records <br />Investigation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />No <br />No Account#Total <br />57607 <br />57770 <br />s7507 <br />57607 <br />57672 <br />57600 <br />57607 <br />$333.06 <br />$3.e 1 <br />$100.57 <br />$252 6e <br />$1 00 <br />$22.9s <br />$s7.20 <br />$7t1 38 <br />$0 00 <br />$7t 1 .38 <br />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 360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 daysafter <br />the time the work is commenced <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 16002 57770 <br />$22 95 <br />$743 52 <br />$1 00 <br />$3 91 <br />lnspector MID#: 2020-157561