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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Project Address: 1215 N Daisy Ave Unit:Bldg: Address Range: <br />Assessor's Parcel: 405-1 04-02 Lot: 25 Block: NA Tract: 1899 Historic: No <br />Permit #: {O11O79O4 <br />Pin #: 96964 <br />Suite Range: <br />Zoning: Rl <br />.-J <br />Building Use: Sinolo F.mlly Dwslllng Occupancy: R-3, U 1st FL Area Patio: <br />Job Type Roroot Conslr Type VB 2nd FL Area T.l.Area: <br />Natur€ of work Roioof Code cBc 2019 Other Ar€aa yards Reqd <br />Existing Bldg. & LJse: std w, Flood zonq x{ao232olirlJ cerage Area vatu.uon: lg,ooo.o0 <br />Poposed Use: #ofstories: <br />Totat <br />Daacrlptlon of truork Roaoof houaa & attachad gtrago - iamova com, rcplece any damagod aheathlng, ln8trll naw comp ahinglaa. Handout! given. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Tu Trang Kieu <br />1215 N Daisy Ave <br />Santa Ana, CA 92703 <br />(4241 212-9245 <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation I nsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Engineer. <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />pdnte Fee <br />0rttrrt - <br />Iv ins <br />E <br />m& <br />E <br />I 61 2LlLlLt- <br />Documen t <br />777r-n1n fi- <br />Planning Approval By. <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd <br />Machado, Miriam Date: 09/08/2021 <br />Date: <br />Date: 0910812021 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />07776002 57607 Permtt Fee <br />07776002 57770 Microfilm Records <br />07776002 s7672 Bldg. Stds. Revolving <br />07776002 57600 General Plan Update <br />07776002 57507 lssuance <br />Fee Totat <br />Paid to Date: <br />Balance Due: <br />$345.28 <br />$4.0s <br />$1 00 <br />$23.7e <br />$59 30 <br />$433.42 <br />$0.00 <br />$433.42 <br />Amsden, Julie <br />Landscaping lnsp. Req'd <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 days after <br />the time the work is commenced. <br />lnspector MID#: 2021-168658 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Account#Total <br />01 1 16002 51600 <br />01 1 16002 s1601 <br />01 1 16002 51612 <br />01 1 16002 57770 <br />$23.79 <br />$404 s8 <br />$1.00 <br />$4.0s