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City of Santa Ana 20 Civic Center Plaza (N/l-19), Santa Ana, CAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{9681O <br />Pin #: 4O155 <br />ry <br />Proiect Address: 1221 W Carlton P! <br />Assessor's Parcel 015-232-16 Lot.25 <br />Unit Bldg: Address Range Suile Range: <br />Zoning: RlBlock NA Tract: 1378 Historic: No <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: <br />Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature of Work: New Bedroom/Bathroom/Window Code: CBC 2016 Other Areas: yards Req,d: <br />Existing Bldg. & Use: Sfd w/att garage Flood zone: x-06O2320257J Garage Area: Valuation: $10,000.00 <br />Proposed use: # of stories: 1 Tot"l' Botchi:4sgg7 - gllz/2tJr. I0: ccut.r.AFr <br />Description of Work: Convert permitted family room (BP #7532) into master bedroom. lnstall interior non-beai g iFsftii6irilwalb6r*ed6 new fulSm{sfer <br />bathroom.Removemandoorfromrearbedroom&replacewithwindow. fliSl;;orrrrrr, - rrrlilii, lil]f-i| <br />Planning Conditions: lnterior work only. Tronsac'tion Totol tg43'42 <br />Engineer <br />Address <br />TSL <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Victoria Lee <br />1221 Carlton Place <br />Santa Ana, CA 92707 <br />(7141- 482-7772 <br />Contractor: TSL <br />Address: 510 Catalina Road <br />Fullerton, CA 92835 <br />Phone: (626) 625-3000 <br />State Lic #: 520303 <br />Lic Type: B <br />Bus. Lic #: 370540 <br />Workers' Compensation lnsurance:Carrier: Midwest <br />Policy #: BNUWCoi39'140 <br />Expires: O1lO1l2O19 <br />Generol Plon Updste Fee <br />01116002- 51600000- <br />Bu i ld ine <br />01116002- 51601000- <br />Blds Stds Revolv ins <br />01u6002- s1612000- <br />Victor M. EloafiIFlelttciatesvictor M. Dt{a€!!Z- 53600000- <br />P.O. Box lgErol i lr & Docurents <br />san crem0lld (01426ir770000- <br />rsasr zr z-lHd <br />cc+ : *rli*rrr*r*154t)4 <br />_ i22,08 <br />_ t215.2? <br />_ $1.00 <br />E9.30 <br />i15.04 <br />t813 .42 <br />Authi r0,t327G <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Planning Approval Byl <br />Plan Checked Byr , <br />Permit lssued By: <br />NPDES lnsp. Req!._ No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />G ra, Jerry <br />ngian, Kathy <br />rodowski. Teri <br />Date: 09/'1212018 <br />Dale 0712612018 <br />Date: 09/1212018 <br />Subject to Field: <br />07776002 <br />0 77 75002 <br />07776002 <br />07776002 <br />0 77 7600 2 <br />0 77 76002 <br />5160 7 <br />53600 <br />57770 <br />5 7672 <br />s160 0 <br />5760 7 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Misc. Receipt <br />Misc. Receipt <br />Misc Receipt <br />71177 <br />Total <br />$160.25 <br />$222.16 <br />$15.04 <br />$1.00 <br />$22.08 <br />$55.04Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pemit issued shall become invalid unless lhe wotu on lhe site authoized by <br />such permit is commenced within 180 days after ils issuance ot if the work authorized <br />on the sita by such permit is suspended or abandoned for a pedod of1E0 days after <br />the time the wotk is commenced. <br />0't 1 16002 <br />01 1 16002 <br />01116002 <br />01 '1 16002 <br />0'! '1 16002 <br />$22.08 <br />$215.29 <br />$1 .00 <br />$8.30 <br />$15.04 <br />$475.57 <br />$213 86 <br />$261.71 <br />lnspector MID#: 2018-144168 <br />51600 <br />5'1601 <br />51612 <br />53600 <br />51770 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Phonei <br />License #