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rf <br />Proiect Address: 5214W Fifth St <br />Assessor's Parcel 099-221-21 Lotr 10 <br />Unrt Bldg: Address Range:Suite Range: <br />Zoning: R'lBlock: C Tract.547 Historic. Yes <br />City of santa Ana 20 Civic Center Plaza (M- 19), SantaAna, CA\27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1fJ194373 <br />Pin #: 4E75O <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Areai 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: SFD wdet garage Flood Zone: A-060232O252J Garage Area: Valuation: $5,000.00 <br />Proposed Use: # of Stories: , ,o,r,, <br />Description of Work: T/O existing roof matorial and install new layer of comp shingle to SFD only. Replacs sheathing as needed. Hand out given. Auth on <br />file. <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Loretta Menchaca Schwary <br />5214 W Fifth Sr <br />Santa Ana, CA 92703 <br />(714) 504-3945 <br />Contraclor: <br />Address: <br />Owner-Builder <br />Engrneer <br />Address <br />Phone; <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy f: <br />Expires: <br />Phone <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone <br />License #: <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 />Landscaping lnsp. Req'd <br />Guevara, Jerry <br />Zuniga, Allissa <br />Oale: 1O|O2J2O17 <br />Date: <br />Oate: 10/03/2017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />lvlisc. Receipt <br />$308.52 <br />$1.00 <br />$21.25 <br />$52.98 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cerl. Req'd: No <br />Evory pe nil issued shall becom1 nvalid unless lhe wo* on the site authorized by <br />such pemit is commenced wilhin 180 days aftet tts issuanco,or if the work authonzed <br />oh the site by such pefinit is suspehded ot abandoned fot a peiod of180 days afto, <br />the ti,l,e lhe wo* is comfiehced <br />lnspector MtD#. 2017-139047 <br />01116002 51600 <br />011 16002 51601 <br />01116002 51612 <br />$21 .25 <br />$361 .50 <br />$1.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$383 75 <br />$0 00 <br />$383.75 <br />Planning Conditions: <br />07775002 515OI Permil Fee <br />07716002 s7672 Bldg. Stds. Revolving <br />07776002 57600 General Plan Update <br />07776002 51601 lssuance