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h{Project Address: 1500 E Seventeenth St <br />Assessor's Parcel 400-241-01 Lol: NA <br />Unat Bldg: Address Range Suile Range: <br />Zoning: ClBlock NA Tract NA Hlstoric: No <br />city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1lJ192674 <br />Pin #: 56301 <br />Building Use: Other Occupancy: N/A Ist FL Area: <br />Job Type: Reroof Constr Type: N/A 2nd FL Area: <br />Nature of Work: Reroof Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: Church Flood Zone: X-0602320163J Garage Area <br />Proposed Use: # of Stories: <br />Totall <br />Deacription of Work: Tear-off & apply 40 sqs of composition shinglos to sloped areas only. Handout given. <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $22,860.00 <br />/2n17 i0: ll <br />1 <br />1Owner: <br />Address <br />Phone: <br />Tenant <br />Church of the Nazarene <br />'1500 E Seventeenth St <br />Santa Ana, CA 927058502 <br />17't4l721-9047 <br />First Church ot the Nazarene <br />Contractor: ACCI Roofing Serviceg <br />Address: 1'1325 Santa Maria Avenue <br />Lakeside, CA 92040 <br />Phone. (619),149-2533 <br />State Lic #: 840297 <br />Lic Typer C-39 <br />Bus. Lic #: 352551 <br />Workers' Compensation lnsurance: <br />Carrier: Underwrite6 <br />Policy #r 46-259560-01-01 <br />Expires: 12lO1l2O'17 <br />Engineer <br />Address <br />Phone <br />License # <br />rU <br />ri 1:ii?4 <br />Planning Approval By: <br />Plan Checked Bv. <br />Permit tssueO By:\ <br />NPDES lnsp. Redd. <br />PWA lnsp. Req'df <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />N,lar, Escarlet-- <br />owski, Teri <br />Dale 0411712017 <br />Date: <br />Date: O4l'1712017 <br />Subject lo Fieldl <br />Misc. Receipt <br />l isc. Receipt <br />lvlisc. Receipt <br />$298.50 <br />$1.00 <br />$20.56 <br />$51.26 <br />07776002 51601 Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Gene.al Plan Update <br />07776002 5160f lssuance <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp Req'd <br />No <br />No Account# <br />No Flood Zone Cert. Req'd: No <br />Every pemit issued shallbecofie invalid unlesslhe work on the sle authonzod by <br />such pemit is commenced within 180 days aftet its issuance,ot if the wotk authoized <br />on the site by such pemit is suspended ot abandoned for a period o1180 days aft6r <br />the time the woi< is commenced <br />lnspector MID#: 2017-135590 <br />Fee Total <br />Paad to Date: <br />Balance Due <br />$371 .32 <br />$0.00 <br />$371.32 <br />011 16002 51600 <br />01116002 51601 <br />01 1 16002 516't2 <br />$20.56 <br />$349.76 <br />$1.00 <br />Planning Conditions: <br />Archilect / <br />Desiqner: <br />Address: <br />Phone. <br />License #: <br />t <br />Total