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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714]. 647-5853 <br />Permit #: {Ot92589 <br />Pin #: 19226 <br />Project Address: 5014 W Maurie Ave <br />Assessor's Parcel '100-222-02 Lot: 70 <br />Bldg: Address Range Suite Range: <br />Zoning: Rl <br />& <br />Tract: 6588 <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: <br />Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature of Work: Reroof Code: CBC 2016 Other Areas: yards Req,d: <br />Existing Bldg. & Use: 56p y131 631396 Flood Zone: A-0502320143J Garage Area: Valuation: 912,500.00 <br />Proposed Use: # of Stories: Total: <br />Doscription of Work: Toar off existing roof material, inatall new comp shingls. 25 squares. 40fl paper. Handout givon. Ownor-Buildor form on file. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Owner-Builder <br />Engineer <br />Address: <br />Phone: <br />License # <br />NAN PHAM <br />5OI4 W MAURIE AVE <br />Santa Ana, CA 927031102 <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval By: Orozco, lvan <br />Plan Checked By: <br />I;'#'J:il'-t; r: No <br />chavez' oave ^ u <br />Dale: O4l'lOl2O17 <br />Date: <br />Dale: O4l1Ol2O17 <br />Subject to Field: <br />iIisc. Receipt <br />N,1isc. Receipt <br />[,tisc. Receipt <br />07776002 5.160f Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Gene.al Plan Update <br />01776002 51601 lssuance <br />$298.50 <br />$1.00 <br />$20.56 <br />$51.26 <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp. Req'd: <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 pefinit issued shall become invalid unloss the wo* on the site authonzed by <br />such pemit is comnenced within 180 days sftet ils issuance.ot it the wo* authoized <br />on the site by such petmit is suspended or abandonod fot a pedod ol 180 days after <br />the time the wotu is cofimehced <br />$371.32 <br />$0 00 <br />$371.32 <br />lnspector MID#: 2017-135416 <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 s1612 <br />$20.56 <br />$349.76 <br />$1.00 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Unit <br />Block NA Hastoric No <br />Contractor <br />Address: <br />P hone <br />License #