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City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Bu ild ing Permit#: lOll03679 <br />Pin #: 973{Oi <br />Proiect Address: 1722W Eleventh St <br />Assessor's Parcel 405-153-02 Lot. 12 <br />Unit Bldg: Address Range Suile Range: <br />Zoning: RlBlock NA Tracl 1176 Histonc No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Usel <br />Proposed Use: <br />Single Family Dwelling <br />Reroof <br />Reroof <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />R-3 <br />VB <br />cBc 2019 <br />x-0602320144J <br />Patro: <br />T I Area <br />Yards Req'd <br />Valuation:s3,887.00 <br />Description of Work: lnstall 23 squares of comp roofing over existing one layer of roofing <br />Planning conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Clarissa & Armondo Luna <br />'t722 Wtlrh st <br />Santa Ana, CA 92703 <br />(714) 787-7993 <br />Engineer: <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp Req'd. No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />0777600 2 <br />0 77760 0 2 <br />0 777600 2 <br />0 77160 0 2 <br />0 77760 0 2 <br />57607 <br />57770 <br />57672 <br />57600 <br />5760 7 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Date: Misc. Receipt <br />Date: Misc. Receipt <br />Date: 05/29/2020 Misc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />Fire lnsp. Req'd; <br />Police lnsp. Req'd Total <br />Flood Zone Cert. Req'd: No N/A _ No Batance <br />Every pemit issued shall becomo invalid unless the wo* on the s e authonzecl by <br />such pemit is commenced within360 days after ils issuahce,ot if the wo* authorized <br />on tha sile by such peml is suspended ot abandoned lot a period 01360 days alter <br />the lime lhe wo* is commenced <br />$418. 1 2 <br />$418. 1 2 <br />$0.00 <br />lnspector MID#: 2020-159165 <br />N/A - No Balance <br />N/A - No Balance <br />Fee Tolal <br />Paid to Date: <br />Balance Due: <br />K{ <br />'l st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat <br />Conlractor: AmericanSupremeRoofin <br />Address: 501 S King St <br />Santa Ana, CA 92704 <br />Phone; (9/r9) 877-9074 <br />State Lic #: 1059373 <br />Lic Type: C-39 <br />Bus. Lic #: 374990 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensalion lnsurance Fur <br />Policy #: 9262615 <br />Expiresr 1011712020 <br />Phone: <br />License #l <br />,"0-r*r\1 <br />$333.06 <br />$3.91 <br />$1.00 <br />$22.95 <br />$57.20