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city of Santa Ana 20 Civic Center Plaza (ir-19), Santa Ana, tA 927-12 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lhspector Sectron: (714])647-5853 <br />Permit#: lO{99372* <br />Pin #: E38E3 <br />Project Address: 714 N La Veron Way <br />Assessofs Parcel 100.261-26 Lot: NA <br />Unit Bldg: Address Range Suite Range: <br />Zoning: RlBlock NA Tract: NA Historic. No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Alteration <br />New Bathroom <br />Sfd wratt garage <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Patio: <br />T.l.Areal <br />Yards Req'd: <br />Valuation: <br />R.3, U <br />VB <br />cBc 2016 <br />X-LOMR <br />1 <br />44 <br />s10,000.00 <br />Description of Work: lnstall interior walls in living room to creato a new full bathroom. <br />Planning Approval <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req' <br />By Orozco, lvan <br />an, Kathy <br />ki, Teri <br />Date: 03/0612019 <br />Oate: 03/06/2019 <br />Date: 03/0612019 <br />Subject to Field: <br />Permit Fee <br />Plsn Check Fee <br />[,!icrofilm Records <br />SMIP - Category 1 <br />Bldg. Slds. Revolving <br />General Plan Update <br />lssuance <br />l\,lisc. Receipt <br />l\,lisc. Receipt <br />lvlisc. Receipt <br />$160.26 <br />9222.16 <br />$3.76 <br />$1.30 <br />$1.00 <br />$22.08 <br />$55.04 <br />PWA lnsp. Req'd: - No <br />Planning lnsp. Req'd: No <br />Fire lnsp. Req'dl <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Landscaping lnsp. Req'd; No Flood Zone Cert. Req'd: No <br />Every podnit issued shall bocofie invelid unloss the wolk orl the site authonzed by <br />such pemit is cgmmenced withn 180 days afret ils issuance,ot if tho wotk aulhonzed <br />on tho sito by such pemil is suspended ot abandoned for a period of180 days after <br />the tifie the wo* is commencod . <br />01 116002 <br />01 116002 <br />01 116002 <br />01 116002 <br />01 116002 <br />08901001 <br />s1600 <br />51601 <br />516'12 <br />53600 <br />57770 <br />24000 <br />$465 59 <br />$0.00 <br />s465.59 <br />lnspector tt/lD#: 2019-149888 <br />$22.08 <br />$215.29 <br />$1.00 <br />$222.',t6 <br />$3.76 <br />$1 .30 <br />'I st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />8ql,r!j/6./ !1119 I0r LRoSALET <br />I ilrr:+: i4 1 cf. : <br />Planning Conditions: ,.,,. <br />Engineer: TMC EnglneeB lnc <br />Owner: Rosemary Doan Contractor: Owner-Builder Tien Chu, P.E. <br />Address; 714 N La Vergn way Address: Address: 9542 Pacltlc Ave <br />Santa Ana, CA 92703 Anaheim, CA 92804 <br />Phone: (626) 64669S5 Phone: Phone: (714) 829'5053 <br />State Lic #: License #: 12324 <br />Tenant: <br />Lic Type: Architect / <br />Bus. Lic #: Designer. <br />Workers' Compensalion lnsurance; Address: <br />Cafiiet <br />Policy #: Phone: <br />Expires: License #: <br />07776002 <br />07776002 <br />07775002 <br />08907007 <br />0 7116002 <br />07776002 <br />07776002 <br />57607 <br />53600 <br />57770 <br />24000 <br />51572 <br />57600 <br />5760 7 <br />Fee Total: <br />Paid to Datel <br />Balance Due: