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City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1O194987 <br />Pin #: 95920 <br />(v <br />Project Address: 5516 W Davit Ave <br />Assessor's Parcel 108-523-09 <br />Unil Bldg. Address Range Suite Range: <br />Zoning: RlBlock: NA l1cl 4024 Historic: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Owelling <br />Reroof <br />Reroof <br />Sfd Watt garage <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Description of Work: Reroof house & attached garage - over existing, install (1) layer of synthetic underlayment & 28 squares ofcomp shinglea. <br />Handouts given. <br />Planning Conditions: Replace damaged eaves, rafters, fascia, etc <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />R.3, U <br />VB <br />cBc 2016 <br />A-0602320252J <br />Patiol <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $9,000.00 <br />Owner: <br />Address <br />Phone: <br />Tenant <br />ARNOLD M KUSKA <br />5516 W DAVTT AVE <br />Santa Ana, cA 927041722 <br />(7141775-7310 <br />Contractor: CertifiedRoofingSpecialist! <br />Address: 9281 Larkspur Dr <br />Westminster, CA 92683 <br />Phone: (714) 668-0757 <br />State Lic #: 956843 <br />Lic Type: C-39 <br />Bus. Lic #: 337515 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 1949902 <br />Expires: '1210112018 <br />Engineer <br />Address: <br />Phone: <br />License # <br />Architect / <br />Desiqnerl <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 />McGuire, Peter <br />Amsden. Julie <br />Dale 1210512017 <br />Date: <br />Oale: 12lOSl2O17 <br />Subject to Field: <br />Misc Receipt <br />Misc. Receipt <br />Misc. Receipt <br />$308.s2 <br />$1 00 <br />$21 25 <br />$52.98 <br />07776002 5]501 Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Genercl Plan Update <br />07776002 51601 lssuance <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 />Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No <br />Every permit issued shall become invalid unless the lvolk o, the sile authorized by <br />such pemil is commenced withh 180 days aftet its issuance or il the wotk authorized <br />on the sito by such pennil is suspended or abandoned fot a peiod of180 days aftet <br />tha time the work is commenced. <br />$383.75 <br />$0.00 <br />$383.75 <br />lnspector MtD# 2017-140258 <br />01116002 51600 <br />01 1 16002 51601 <br />01'116002 516'12 <br />$21 25 <br />$361.s0 <br />$1.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Lot 30