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q <br />Proiect Address: 1621 W Cubbon St <br />Assessor's Parcel 109-362-33 Lot: 53 <br />Unil Bldg: Address Range Suite Range: <br />Zoning: RlBlock NA Tract 2355 Historic: No <br />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 #: 1O195968 <br />Pin #: 26777 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Reroof <br />Reroof <br />SFR WATT GAR <br />Occupancy: <br />Constr Type <br />Code <br />Flood Zone: <br /># of Stories: <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320257 J <br />1 <br />'l st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Patio: <br />T l.Area <br />Yards Req'd <br />Valuation: <br />0@0 <br />$9,s00.00 <br />Oescription of Work: Tear-off & apply (sheathing if necessary) composition shingles. Handout given. <br />Planning Conditions: Repair and repaint any damaged eaves, rafters, fascia, etc. as needed. <br />got.h+;4299r"'i - ,i <br />off i.e: (:TYH I <br />Ac.t *: <br />Owner: <br />Address <br />Phone: <br />Tenant <br />JUAN & PATRICIA BAUSTISTA <br />t62t w cuBBoN sr <br />Santa Ana, CA 92703 <br />(714) 307-9250 <br />Not Specified <br />Contractor: CertifiedRoofingSpecialist! <br />Addressi 9281 Larkspur Dr <br />Westminster, CA 92683 <br />Phone (714) 668-0757 <br />State Lic #r 956843 <br />Lic Type: C-39 <br />Bus. Lic #: 337515 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 1949902 <br />Expires: 1210112018 <br />Architect / <br />Desiqnerl <br />Address: <br />Purlding <br />A I L !!tltt't' <br />P.ldg Sid" <br />ut I1600?- <br />1(L (:he,:k <br />Engineer <br />Address: <br />lrqnso(t ron <br />ertiiied Rool in <br />Generol Flon urd.r i, <br />01 I 16r- :t?- 51,50r:r{xrrirPhone: <br />License #: <br />Phone: <br />License #. <br />5t <br />It€ <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />r, Ali <br />efl <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Dale: 03/28/2018 Misc. Receipt <br />Date: MiSc. Receipl <br />Date: 03/28/2018 Misc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />07716002 51501 Permit Fee <br />07776002 51612 Bldg. Stds. Revolving <br />07176002 51500 General Plan Update <br />01776002 51601 lssuance <br />$308.52 <br />$1 00 <br />$21.25 <br />$52.98 <br />o TotalNo <br />NoLandscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01j 16002 51600 <br />Evory pemil issued shall becone invalid unless lhe wo* on the site aulhorized by <br />such permit is cofifienced within 180 days atler ils issuance.ot il the wo* authorized <br />on lhe sile by such pennit 6 suspended ot abandoned tor a penod of180 days after <br />tho time the wo* is commenced. <br />lnspector <br />01 1 16002 51601 <br />0't '1 16002 51612 <br />$21 25 <br />$361.50 <br />$1.00 <br />$383 75 <br />$0.00 <br />$383.7s <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />No <br />MtD#. 2018-142313