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Proj ect Address: 123 E Dver Rd <br />Assessor's Parcel:016-053-1'l Lol NA <br />Bldg Address Range:'121-127 <br />Historic: No <br />Suite Range; <br />Zoning: M'lBlockr NA Tract: NA <br />cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg?702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 7a) <br />Permit #: 1O199538 <br />Pin #: 7865{ <br />Planning Conditions: <br />Ownerl <br />Address <br />Phone: <br />Tenant: <br />James A Stephens <br />'11701 Vista Mar <br />Santa Ana, CA 927053137 <br />Conlraclor: PremiumRoofingSystemg <br />Address: 2054 Continental Ave. <br />Costa Mesa, CA 92627 <br />Phone: (714) 884-5108 <br />Stale Lic #: 1042214 <br />Lic Type: C-39 <br />Bus. Lic #: 370747 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensalion lnsurance Fur <br />Policy #: 9233137 <br />Expires: 06/13/2019 <br />Engineer <br />Archilect / <br />Designer: <br />Address: <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 />Oale: O4l0A201g <br />Date: <br />Date: 04/02/20'19 <br />Subjecl lo Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipl <br />$320.s0 <br />$1.00 <br />$22.08 <br />$55.04 <br />Fire lnsp. Req'd: <br />Pollce lnsp. Req'd <br />Flood Zone Cert. Req'd: No <br />Every pefinil issued shall becomo invalid unless lhe wo* on the site aulhoized by <br />such pennit is commenced within 180 days aftar tts issuance,or if the wo* authonzed <br />on the site by such ponnit is suspended or abendoned fot a penod ol 180 days aftet <br />the time the wotk is cornrnenced <br />lnspector MID#: 2019-150471 <br />No <br />No <br />No <br />No <br />No <br />No Account#Total <br />01'116002 51600 <br />01 1 16002 5160'1 <br />011 16002 51612 <br />$22.08 <br />$375.54 <br />$1.00 <br />$398.62 <br />$0.00 <br />$398.62 <br />Unrt. <br />Building Use: Commercial Occupancy: B 1st FL Area: Patio: <br />Job Type: Reroof Consk Type: V B 2nd FL Area: T.l.Area: <br />Nature ofwork: Reroof Code: CBC 2016 Other Areas: yards Req.d: <br />Existing Bldg. & Use: Commercial Flood Zone: X-0602320278J Garage Area: Valuation: $20,000.00 <br />Proposed Use: # of Stories: <br />Total: <br />Description of work: Remove existing top layor of roof material, and install one addational layer of TPO roof over existing layor. 47 squares. Handout <br />given. <br />Address: <br />Phonel <br />License #: <br />Phone: <br />License #: <br />Chavez, Oave-v' <br />07776002 57607 Petmil Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />07776002 51601 lssuance <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Guevara, Jerry