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?City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 927A2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853 <br />Permit #: {O1103385 <br />Pin #: E6499 <br />Proiect Address: 1016 W Pine Sta <br />Assessor's Parcel. 008-212-10 Lot: POR 11 <br />Unit:BIdg: Address Range: 1014-1016 <br />Tract: BUCKINGHAM Historic: No <br />Suite Range. <br />Zoning: R2Block: A <br />Building Use: Slngle Family Dw€lling Occupancy: R.3 1st FL Area: Patio: <br />Job Type: Raroof Constr Type: V B 2nd FL Area: T.l.Area: <br />Nature ot Work Raroof Code: cBc 2019 Other Areas: yards Reqd: <br />Existing Bldg & u3e: sfd Flood zone x{402320257J <br />carage Area: v.tu. on: t5,25o.oo <br />Proposed Use: # of Slories: <br />Totat: <br />Deacription ot Work Rsrcof . lsmove axisting, leplace any damaged lhaathing, inrtall new roofing lystem - GAF Tlmberllne, color la sagowood <br />HandouB glvan. <br />Plannlng Conditions:Rapala all damagod oavas, refre.! & fa!ci.. <br />Owner: <br />Address. <br />Phone: <br />Tenant: <br />KENT HARRIS <br />1014 W Pine St <br />Santa Ana, CA 92703 <br />(ss1 ) 830-e387 <br />Contractor. Crown Reconstruction Serv <br />Address: 45 Vantis Dr <br />Aliso Viejo, CA 92656 <br />Phone: (949) 357-6274 <br />State Lic #: 1051230 <br />Lic Type: B <br />Bus. Lic #: 375292 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 9224420 <br />Expires: 0313012020 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Planning Approval By:Khang, Kathy <br />Plan Checked By. <br />Permit lssued By:Amsden, Julie <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Date: 0310512020 <br />Date: <br />Date: 0310512020 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt. <br />Misc. Receipt: <br />07776002 <br />07776002 <br />07776002 <br />0!775002 <br />0 77760 02 <br />s7607 <br />57770 <br />57572 <br />57600 <br />57607 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />I ssuance <br />$333.06 <br />$3.e1 <br />$1.00 <br />$22.95 <br />$s7.20No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />No <br />No Account#Total <br />Planning lnsp. Req'd. <br />Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No <br />Every permit issued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 days after <br />the time the work is commenced. <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 16002 57770 <br />$22 95 <br />$3e0.26 <br />$1.00 <br />$3 91 Fee Total: <br />Paid to Date: <br />Balance Due: <br />$418 12 <br />$0 00 <br />$41 8.12 <br />lnspector MID#: 2OZC-158278