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Proiect Address: 51 1 E Fifteenth St <br />Assessor's Parcel 398-'142-16 Lot 9 <br />Un(Brdg Address Range: 507-511 <br />Historic: No <br />Surte Range <br />Zonrng: R3Block C Itacl 276 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, Ce gztoza Building <br />Permit Counter: (714) 647-5800 lnspectron Requests: (7'!.4) 667-2738 lnspector Section: (714) 647-5853 hq <br />Permit #: {01991 {4 <br />Pin #: 2li4l)1 <br />Building Use: Single Family Dwelling Occupancy R-3 1st FL Area ?11 Patio: <br />Job Typer Addition Constr Type V B 2nd FL Area: T.l.Area: <br />Nature of Work: Addition code CBC 2016 other Areas: yards Req,d: <br />Existing Bldg. & Use: SFD w,det garage Flood Zone: X-0602320163J <br />Garage Area Valuation: S60,155.00 <br />Proposed Use: # of Stories: Total. 2,11 <br />Description of Work: Add laundry room, extend (e) living ioom and bedroom, convert (e) walk-in closet into bathroom, add interior bathrooom, enlarge <br />opening in th€ kitchen. Owner-Builder form on file. <br />Planning Conditiona: <br />Ownel <br />Address <br />Afla Khosraviani <br />'18781 Portorina Dr <br />lrvine, CA 92603 <br />(714l-7',t3-3247 <br />Owner-Builder <br />Engineer <br />Address <br />lnland Engineering & Consulli <br />Shawn Nikjoo <br />4883 East La Palma Avenue #50'l -A <br />Anaheim, CA 92807 <br />1714].777-770O <br />36969 t <br />FC Desiqn & Associates <br />4571 Delancy Dr. <br />Yorba Linda, CA 92886 <br />(714) 932-3397 <br />Phone: <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion Insurance <br />Carrier: <br />Policy #: <br />Expires: <br />Architect / <br />Desrqner. <br />Address: <br />Phone: <br />Lrcense # <br />Phone <br />Lrcense # <br />Planning Approval By: <br />Plan Checked By <br />Permil lssued By <br />NPDES lnsp. Req'd. No <br />PWA lnsp. Req'd: No <br />Planning lnsp Req'd: No <br />Landscaping lnsp Req'd: No <br />ev a <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Date.02105/2019 <br />Date 0512212019 <br />Oale 0512212019 <br />Subject to Field <br />Gomez Pedro N,!isc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />72155 <br />Total <br />$460.25 <br />$522.16 <br />$52.64 <br />$7 .82 <br />$3 00 <br />$22.08 <br />$5s 04 <br />$1 ,122 99 <br />$711.72 <br />$411.27 <br />Permit Fee <br />Plan Check Fee <br />lvlicrofilm Records <br />SMIP - Category 1 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />So, Anson <br />Chavez, Dav <br />Account# <br />Evory permtt lssuad shallbecofie nvahd unlesslhe wotk on lhe sile aulhonzed by <br />such pemil is commenced w hh 360 days aftet tts tssuance.ot tt the wod< aulhonzec! <br />on th6 site by such pefin is suspended or abandoned for a period of 3@ days aher <br />lhe hme the wort is commencod <br />lnspector MtD#. 2019-149264 <br />01 1 16002 <br />01 1 16002 <br />0r 116002 <br />01 1 16002 <br />08901001 <br />51600 <br />51601 <br />5161 2 <br />57770 <br />24000 <br />$22 08 <br />$325 73 <br />$3 00 <br />$52 64 <br />$7.82 <br />Fee Total: <br />Paid to Date <br />Balance Due: <br />Phone <br />Tenant: <br />Contractor <br />Address: <br />0 77 76002 <br />0 7 7 76002 <br />0 7 77600 2 <br />0 890700 7 <br />07776002 <br />017 7600 2 <br />07776002 <br />57607 <br />s 3600 <br />577?0 <br />24000 <br />57672 <br />57600 <br />57607