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City of Santa Ana 20 civic Center PIaza (M-19), Santa Ana, cA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: {O{9649{ <br />Pin #: 55852 <br />q <br />Project Address: 2017 S Forest Ave <br />Assessor's Parcel 408{48-02 Lot: 45 <br />Unit Bldg: Address Range Suite Range; <br />Zoning: R'lBlock NA Tract: 4606 Historic: No <br />Building Use: Single Family Owelling Occupancy: R-3, U 1st FL Area: <br />Job Type: Reroof Constr Type: V B 2nd FL Area: <br />Nature of Work: Reroof Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: SFD w/att garage Flood Zone: X-0602320257J Garage Area <br />Proposed User # of Stories: <br />Total: <br />Oescription of Work: Reroof Wt.o.-Remove and apply comp shingles/sheathing to remain/handout given <br />Planning Conditions: <br />Patiol <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $7,924.00 <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Adelfo De Los Angeles <br />2017 S Forest Ave <br />Santa Ana, CA 927044722 <br />(714) 437-1609 <br />Bstrh+:43ggl - 5/21 <br />Off ice: CTYH Tr'i1r, <br />R.ptf:tu267311 - 'l <br />fronsort i on tot (l IADEI.FO CL I <br />'ienenol Plon UpdotP <br />rr11 160r-r?- 5l llrl[:trir- <br />8u ild ine <br />r:r1I I6r:10:r- 51r'!:r 10fl,r-glde Stds Revolv ine <br />(r11160r:r?- 5111?0r l <br />Contractor <br />Address: <br />Owner-Builder <br />Address <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />,t <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 />N/ar, Escarlel <br />Hernandez, Kathy <br />Date: OSl2'll2O18 <br />Date: <br />Dale:0512112018 <br />Subject to Field. <br />Misc Receipt: <br />Misc Receipt; <br />Misc. Receiptl <br />$308.52 <br />$1.00 <br />$21 .25 <br />$52.98 <br />o tt t ddd[t' tfs o t Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Gene?l Plan Update <br />07776002 51501 lssuance$ <br />No <br />No <br />No <br />Fire lnsp. Req'd; <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd: No <br />il: Accounr# <br />Every pemit issued shall becofie invalid unless the wo* on the sile authoized by <br />such pemit is commenced wilhin 180 days afler its issuance ot if the wo* aulhotizecl <br />on lhe site by such peftnit is suspended or abandoned for a period of180 days after <br />the time the work is commenced <br />$383.75 <br />$0.00 <br />$383.75 <br />lnspector Mto#. 2018-143447 <br />$21.25 <br />$361 .50 <br />$1 .00 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Engineer:lt <br />Total <br />01 1 16002 51600 <br />01 '116002 51601 <br />01 '1 16002 5'!612