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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />Permit Counter: (714)647-5800 lnspeclion Requests: 01a) 6€'7-2738 lnspeclor Seclionr (714) 647-5853 <br />Building <br />Ar <br />Permit #: 101,,ol,0i2 <br />Pin #: tcrut <br />P roject A d d res s : 4j!05lrygl9lrySg]-1!4 Unil Bldg Address Range Suite Range: <br />Zoning RlAssesso/s Parcel 198-30145 Lot I Elock NA Tract 2961 Hrstoric No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Occupancy. <br />Constr Type <br />Code: <br />Flood Zone <br /># of Stories. <br />'I st 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:t5,660.00 <br />Doscraption ot Work: Tear off exiating, install 20 squares of comp rooling <br />Planning Condition8: <br />Orrner: <br />Address <br />KoYln Olnh <br />a305 W. Sunlwopt Avo <br />Srnt An., CA 92703 <br />(714) 281-303i1 <br />Conkaclor Honle Renaw 360 <br />Address: 37ll l{. Long Borch B]rd.l2ol <br />Long B.rch, CA 9lrE07 <br />Phone: (561) 800{530 <br />Stale Lic #: 9823,43 <br />Lic Type: B, c'39 <br />Bus. Lic # 373438 <br />Workers' Compensation lnsurance: <br />Cafiier: Stat Compantrllon lntur.ncg Fund <br />Policy r: 914,1686 <br />Expires: 1011312021 <br />Engineer <br />Addressl <br />Phone: <br />Tonrnt <br />Phone <br />Lrcense #: <br />Archited / <br />Address: <br />Planning Approval Byr <br />Plan Chected 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 />Datei <br />Date: <br />Oale: 0312212021 <br />Subiect to Field <br />01775002 <br />o7775002 <br />o7175002 <br />o1115002 <br />o1176002 <br />57607 <br />57770 <br />57672 <br />51600 <br />51601 <br />Permil Fee <br />i,4icrofilm Records <br />Bldg. Stds. Revolving FL <br />General Plan Update <br />issuance <br />$345.28 <br />$4 05 <br />$1 00 <br />s23.79 <br />$59.30No <br />NO <br />No <br />No <br />Fire lnsp Req'd: <br />Police lnsp. Req'd: <br />Flood Zone Cert Req'd <br />No <br />No <br />No <br />Account#Total <br />Ewry Frmll Esue<l shall becone invalid unless the wort on he sile authodze.l by <br />such Emtt 6 6mmen@c! t/'lhin 3 days aller ls issuence,or il lha work <br />aulhonze<l on lhe sle by such Nmd is sus@ncted ot ebanclonecl for a pnod of <br />3il days aller lhe me the wotu ts commenc* <br />lnspector MID#: 2021-165024 <br />N/A - No Balance <br />N/A - No Balance <br />N/A - No Balanc€ <br />Fee Tolal: <br />Paid to Date <br />Brlrnco Due <br />$433 42 <br />$433 42 <br />10.00 <br />Single Family Owelling <br />Rerool <br />Reroof <br />R.3 <br />VB <br />cBc 2019 <br />A.0602320143J <br />Phone <br />Lrcense f: <br />-ar{ <br />Misc. Receipl: <br />Misc. Receipl: <br />Misc. Receipt: