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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 Sectron: (714) 647-5853 <br />Permit #: { Ol { 03068 <br />Pin #: 9763ar, \ <br />\\ <br />Assessor's Parcel 108403-0r <br />Bldg. Address Range:Suile Range: <br />Zoningr RlLot: 1 Block NA Tract 5530 Hrsloric No <br />Bullding Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use; <br />Proposed Use: <br />Single Family Dwelling <br />Reroof <br />Reroof <br />SFD WATT GARAGE <br />R.3, U <br />VB <br />cBc 20't 9 <br />A-0602320256J <br />,| <br />'1 st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area: <br />Total <br />Patlo: <br />T.l.Areal <br />Yards Req'd <br />Valuation: $17,000.00 <br />Occupancy: <br />Constr Type <br />Code <br />Flood Zone: <br /># of Stories: <br />Description of Work: Tear-off & apply composition shingles. Handout given <br />Planning Conditions: <br />? / 6/7t12lt 11 <br />t4Owner. <br />Address <br />Phone: <br />Tenant <br />Sean Pham <br />5122 W OAVTT AVE <br />Santa Ana, CA 927041707 <br />(714) 401-5109 <br />Contractor: CertitiedRoofingSpecialist! <br />Address: 9281 Larkspur Dr <br />Westminster, CA 92683 <br />Phoner (714) 668-0757 <br />State Lic # 955843 <br />Lic Type C-39 <br />Bus. Lic *: 337515 <br />Workers' Compensataon lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 1949902 <br />Expires: 12lO'll2O2O <br />Engineer <br />Add.ess <br />Architect / <br />Desrqner. <br />Address: <br />Phone <br />License # <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By <br />I g:ann, Melanie <br />\.A\,C*.*,,". <br />Date: 02/06/2020 <br />Date: <br />Date: 0210612020 <br />Subjecl to Field: <br />017 7600 2 <br />017 7 6002 <br />0 7776002 <br />0 7776002 <br />077 7600 2 <br />57607 <br />57770 <br />57672 <br />5760 0 <br />57607 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Misc. Receipt <br />Misc. Receipl <br />Misc. Receipt <br />$333 06 <br />$3 91 <br />$1 00 <br />$22.95 <br />$57.20NPDES lnsp Req'd: (_,,No <br />PWA lnsp Req'd: No <br />Planning lnsp Req'd No <br />Landscaping lnsp. Req'd No <br />Fire lnsp. Req'd: <br />Police lnsp Req'd H Account#Total <br />Flood Zone Cert Req'd: No <br />Every pefinil issued shall become invaltd unless the wo* on the sile aulhottzgcl by <br />such pe/,rlls commenced wlhin 360 days after ils issuance.or if lhe wort authonzed <br />on lhe stte by such peftnil B suspended or abandoned tot a penoc! 0i,360 days aftet <br />the lfie the wo* is commenced <br />$41 8.1 2 <br />$0 00 <br />s418.12 <br />lnspector ttillD#: 2020-157616 <br />01 1 16002 51600 <br />011 16002 51601 <br />0't 1 16002 51612 <br />01116002 57710 <br />$22 95 <br />$390.26 <br />$1.00 <br />$3.91 <br />Proiect Address: 5122W Davit Ave Unit <br />Phone <br />License # <br />Fee Tolal <br />Paid to Datel <br />Balance Oue: