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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 Section: (714)647-5853 <br />Permit #: {O{9963{ <br />Pin #: 86499 <br />ryProiect Address: 5417 W Henderson Pl <br />Assessor's Parcel 108-392-08 Lotr 8 <br />Unit Bldg: Address Range:Suite Range: <br />Zoningr R lBlock: NA Tract: 2033 Hastoric: No <br />Bualding 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 w/att garage <br />R-3, U <br />VB <br />cBc 2016 <br />A-0602320252J <br />1 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: 99,100.00 <br />1/ I / 2tit9 <br />Inons+ I l1 <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 />Bqtch+:19088 <br />0ff ice: tIYH <br />ID: t-ftoSAt FrPlanning Conditions: Replace/repair any damaged eaves, reafters, & fascia <br />a <br />p t + lll?58J <br />1d !ns <br />16n02 <br />- 4/ 1/2(119 <br />I rJl <br />2i rg <br />ls9sOwner: <br />Address <br />Phone: <br />Tenant: <br />Paul & Anita Ouplessis <br />5417 W Henderson Pl <br />Santa Ana, CA 927041037 <br />(714) 554-5623 <br />Contraclor: Orange County Roofang <br />Address: 425 Eighteenth Street <br />Huntington Beach, CA 9254 <br />Phone: (949) 548-0680 <br />Stale Lic #: 7A4622 <br />Lic Type: C-39 <br />Bus. Lic #: 313211 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #; 9074951 <br />Expires: l0/05/2019 <br />Engineer <br />Address <br />Phone: <br />License # <br />Architect / <br />Designer: <br />Address: <br />n Toto I <br />n t.q Roof ing <br />on Updote Fep <br />:1600000- <br />it 60100(r- <br />Revo I v ine <br />6l ?00fi- <br />0n2337 <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 />milla,nny <br />od , Teri <br />$320.50 <br />$1.00 <br />$22.08 <br />$55.04 <br />07716002 51601 Permit Fee <br />07776002 51672 Bldg. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />07776002 51601 lssuance <br />Landscaping lnsp. Req'd <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />a-t <br />Y/No <br />No <br />Account#Total <br />Every pemit issued sha becorne invalid unless the wo* on the site authoi2ed by <br />such peinil $ commenced within 180 days after its issuance.or il the wo* authoized <br />on lhe sile by such peinit is suspended or abandoned lor a petiod of 180 days after <br />the time the wofu is commenced <br />$398 62 <br />$0 00 <br />$398.62 <br />lnspector MID#: 2019-150451 <br />01 1 16002 51600 <br />01 1 16002 51601 <br />011't6002 5't612 <br />$22.O8 <br />$375.54 <br />$1.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Totall <br />Phone: <br />License #: <br />t2?. r:r8 <br />t3/5. i{ <br />tl.(0 <br />t398.6',2 <br />Date: 04/01/2019 Misc. Receipt: <br />Date: Misc. Receipt: <br />Date: 04/01/2019 Misc. Receipt: <br />Subject to Field: