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brProject Address: 815 E Clemensen Ave <br />Assessor's Parcel. 396{11-17 Lot: 26 <br />Unit Bldg: Address Range Suile Range: <br />Zoning: RlBlock: NA f tacl 4226 Historic: 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 #: 1lJ19/lJ,8,4 <br />Pin #: EGE76 <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: <br />Job Type: Reroof Constr Type: V B 2nd FL Area: <br />Nature ofwork: Reroof Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: gfp s116 g313gs Flood Zone: AE{602320163J Garage Area:proposed use: # of stories: Totar: flil l;;rit,ii <br />Description of Work: Reroof wrt.o.-Romovo and apply comp shinglos/sheathing to romain/handout givon <br />il,;i;[.ii,,,r,,r,.,ur, <br />1'tt1 "' 1 ''t <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation:s8,000.00 <br />li/ t$/21717 ID: (:(:UELLAI <br />Irons+: ?14 1 of iFef+: 1r:t1944i14- 1t:r/ l6l2tt17 3:49 Pn <br />6 I t_49? 7.: <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Engineer <br />Address: <br />David Slaton <br />815 E Clemeflsen <br />Santa Ana, CA 92705 <br />6er'elol F lan [Jpdolr <br />L|l 1 1 6(r]2_ 5l 6(x:rr_I:[:l <br />Phone (714) 523-7664 hldt <br />State Lic #: 96'1826 <br />Lic Type: C-39 g <br />Bus. Lic #: 349002 <br />Workers' Compensation lnsurance: <br />Carrier: Midwest Employers Casualty Com <br />Policy #r BNUWCo141580 <br />Expires: 08/30/2018 <br />H{L <br />ffi qv4 <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone; <br />License # <br />P.u i 1d inetl1ll6tI,t2. <br />81de Std ! <br />Dl l 16002. <br />I(:L (:hecl <br />: 1 6f I r:I:n:r _ <br />RevoI v ine <br />5l612uDir- <br />1(i6 <br />llar <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Orozco, lvan <br />Hernandez, Kathy\0[ <br />Date: 10/16/20'17 Misc. Receipt <br />Date: Misc. Receipl <br />Date: 1Ot16t2O17 Misc. Receipt <br />Subject to Field; <br />No <br />No Account# <br />07776002 51601 Permit Fee <br />07776002 51672 Bldg. Stds. Revolving <br />01776002 51500 General Plan Update <br />07776002 5160, lssuance <br />$308.52 <br />$1 .00 <br />$21.25 <br />$52.98 <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd Total <br />Landscaping lnsp Req'd: No Flood Zone Cert. Req'd: No <br />Every peinit issued shall becofie invahd unless the $/otl< on the sito authonzecl by <br />such pemil is comnenced within 180 days after its tssuance,ot il lhe wotu authonzed <br />on the site by such permit is iuspended or abandonad for a peiod o1180 days aftet <br />the time the work is cornfienced <br />lnspector MID#: 2017-139370 <br />Fee Total. <br />Paid to Date: <br />Balance Due: <br />$383.75 <br />$0 00 <br />s383.75 <br />01116002 51600 <br />01'116002 51601 <br />01 1 16002 51512 <br />$21.25 <br />$361 .50 <br />$1.00 <br />Conlractor: <br />Address: <br />MK Roofing lnc <br />1572 N Batavia St #2 <br />Orange, CA 92867