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x <br />Project Address: 2109 S Shelton St <br />Assessor's Parcelr 015-203-24 Lot: 60 <br />Unit Bldg: Address Range Suite Range: <br />Zoning: RiBlock NA Tract: 1192 Historic: No <br />city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />PermitCounter: (714) 647-5800 lnspection Requests: (7'!'4) 667-2738 lnspector Sectaon: (714) 647-5853 <br />Permit #: 1fJ192677 <br />Pin #: 43743 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Parking Lots <br />Patio Cover <br />SFD Watt Garage <br />R-3, U <br />VB <br />cBc 2016 <br />x-0502320257 J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />8(ll <br />0tf <br />Patio: 464 <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $6,000.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: Patio cover attached to rear of SFD. Owner-Builder form on file <br />Planning Conditions: All materials to match sxisting <br />,'/.2i17 I0 ! NGA <br />(l <br />Owner. <br />Address <br />Phone <br />Tenant: <br />Contractor <br />Address: <br />Engineer <br />Address: <br />Owner-Builder <br />i/17/2tt17 1129t{11.iQuy Van Tang <br />2109 S. Shelton St. <br />Santa Ana, CA 927073133 <br />(714) 606-5351 <br />ltr,! r'flr <br />Phone: <br />State Lic #; <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Phone: <br />License #. <br />rlUr-1l]U <br />ir?16 <br />f',/(: gu i 1( <br />r11 1 160rr 2'(renerfll i <br />r111160r:r2. <br />Blds 3td: <br />r-11116r-102- <br />F'lC Eu i 1i <br />rl1 I 16Br:ri <br />I(iL':heEl <br />n ijpdste Fee <br />1 6 trl rJrlr.r <br />Evolv in9 <br />l61 2r".{.!r:r .. <br />Phone: <br />License # <br />i-l <br />Architect / <br />Desiqner: <br />Address: <br />Pianning Approval By: Mar, Escarlet <br />Plan Checked By: So, Anson <br />Permit lssued By: Chavez, Dave po. <br />NPOES lnsp. Req'd: No <br />$171 .68 <br />$ 167.04 <br />$1 .00 <br />$20.56 <br />$51.26 <br />Dale 0411712017 <br />Oale:0411712017 <br />Dale: 041'1712017 <br />SubJect to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp Req'd: <br />Police lnsp. Req'd ffi Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every poml issued shall become tnvalid uolass the wolk on the site aulhonzed by <br />such pomit is cotunenced wilhin 180 days aftet ls issuance.or if the wo* aulhonzecl <br />on the sile by such permit is suspended or abandoned for a period ol 180 days after <br />the time the work is cofifienced <br />lnspector MID#: 20'17-135591 <br />s20.56 <br />$222.94 <br />$1.00 <br />$167.04 Fee Total: <br />Paid to Date: <br />Balance Due <br />$411.54 <br />$0 00 <br />$411.54 <br />07776002 51601 Permil Fee <br />07776002 5i600 Plan Check Fee <br />07776002 57672 Bld'. Stds. Revolving <br />07776002 51500 General Plan Update <br />07776002 51501 lssuance <br />Total <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 16002 53600