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city of Santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CA127O2 Bu <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Sectionr (714) 647-5853 <br />ProjectAddress: 1108 W Cubbon St Unrt Bldg: <br />Tracl: NININGER <br />Address Range <br />Permit #: 101103472 <br />Pin #: 40997 <br />Assessofs Parcel 010-274-'10 Lot POR 1 Block NA Historic. No <br />Suite Range: <br />Zoning: R1 <br />ilding <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Usel <br />Single Family Dwelling <br />Reroof <br />Reroof <br />Occupancy: <br />Constr Type: <br />Codel <br />Flood Zone: <br /># of Stories: <br />R-3 <br />VB <br />cBc 2019 <br />x-0602320257J <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area: <br />Totat <br />Patlo: <br />T I Area: <br />Yards Req'd <br />Valuation: $4,811 .00 <br />Description of Work: Tear otf existing, install '17 squares of comp roofing <br />Planning Conditions: <br />Owner: <br />Address <br />Josefina Dominguez <br />1108 W Cubbon St <br />Santa Ana, CA 92707 <br />(714) 878-7613 <br />Contractor: Sal-NBRoofing <br />Address: 3702 E Chapman Ave #C <br />Orange, CA 92869 <br />Phone: (71/r) 345-8745 <br />State Lic #: 1044953 <br />Lic Type: C-39 <br />Bus. Lic #: 37113,1 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 9150583 <br />Expiresr 0610912020 <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <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'dl <br />Landscaping lnsp. Req'd <br />web user <br />Date: Misc. Receipl: <br />Oate: Misc. Receipt: <br />Date: O3l2gl2O2O Misc. Receipt: <br />Subject to Field: <br />No <br />No Account# <br />N/A ' No Balance <br />N/A - No Balance <br />07776002 <br />017 7600 2 <br />0 7 7 76002 <br />07776002 <br />0 77 7600 2 <br />$333.06 <br />$3.91 <br />$1.00 <br />$22.9s <br />$57.20 <br />57507 <br />57770 <br />57672 <br />57600 <br />57607No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd Total <br />Flood Zone Cert. Req'd: No N/A - No Batance <br />Every permil issued shall bscorne nvalid unless the wor* o, lh6 site authonzed by <br />such poflnl is cofifienced within360days aftot ils issuance.ot if the wo* aulhonzecl <br />on the sits by such pemit is suspended ot abandonod for a peiod of360 days aftet <br />the time the wo* is commenced <br />lnspector MID#: 2020-158491 <br />Fee Total <br />Paid to Datel <br />Balance Due <br />$41 8.1 2 <br />$418.12 <br />s0.00 <br />Engineer: <br />Phone: <br />Tenant <br />Permil Fee <br />Microfilm Records <br />8ldg. Stds. Revolving <br />General Plan Update <br />lssuance