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city of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg?702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714\ 647-5853 <br />Permit #: {O{9319{ <br />Pin #: 99507 <br />Proj Un(\Lect Address: 821 S Corta Dr <br />Assessor's Parcel 108-364-12 Lot: 31 Block NA Tract 3652 <br />Bldg: Address Range:Suite Range: <br />Zoning: RlHisloric No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Reroof <br />Roroof <br />Sfd w/garage <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />R.3, U <br />VB <br />cBc 20't6 <br />x-0602320256J <br />,| <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: <br />0@0 <br />s7,800.00 <br />Description of Work: Tear-off & apply composition shingles. Handout given. <br />Planning Conditions: Replace any damaged wood members, fascia, eaves, etc. prior to final approval. <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Nguyen Thi Yen <br />821 S Cona <br />Santa Ana, CA 92704 <br />(714) 880-s331 <br />Not Specitied <br />Contractor: RH Roofing, lnc. <br />Address: 702 S. Mohawk Dr. <br />Santa Ana, CA 92704 <br />Phone: (7'14) 381-'1870 <br />State Lic #: 1007845 <br />Lic Type: C-39 <br />Bus. Lic #: 352077 <br />Workers' Compensation lnsurance: <br />Carrier State Compensation lnsurance Fur <br />Policy #: 9143660 <br />Expires: 0912912017 <br />Engineer <br />Address: <br />Architect / <br />Oesiqner: <br />Address: <br />Phone: <br />License #: <br />Phone <br />License # <br />Planning Approval By Or <br />Plan Checked By: <br />Permil lssued By: <br />NPDES lnsp. Req <br />PWA lnsp. Req'd: <br />ski, Teri <br />N <br />No Fire lnsp. Req'd <br />Planning lnsp. Req'd. No Police lnsp Req'd <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd; No <br />Every permit issued shall bacome invalid unless tho wo* on the site authotized by <br />such peftnit is commenced within180 days eftgt its issuance,or if the wo* aulhorized <br />on the sito by such pennil is suspended or abandoned fot a peiod of180 days aftet <br />lhe lime tha wotk is commenced <br />Date: 05/07/2017 Misc. Receipt <br />Date: Misc. Receipt <br />Date: 06107/2017 Misc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />07776002 515o1 Permit Fee <br />07776002 51612 Bldg. Stds. Revolving <br />07776002 51600 General Plan Update <br />07776002 51601 lssuance <br />$298.50 <br />$1.00 <br />$20.56 <br />$51.26 <br />Total <br />$371.32 <br />$0.00 <br />$371.32 <br />lnspector MID#: 2017-136643 <br />01 1 16002 51600 <br />01 1 16002 51601 <br />0'1 1 16002 51612 <br />$20.s6 <br />$349.76 <br />$1.00 <br />Fee Total: <br />Paid to Dale <br />Balance Due: