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Project Address: 2114 E Peachwood Ln <br />Assessor's Parcel 396-104-32 Lot 54 <br />Unil Bldg: Address Range:Suite Range: <br />Zoning: RlBlockr NA Tract.646'l Historicr No <br />@ City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building <br />Permit counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lO{ l056{8 <br />Pin #: 72447 <br />Building Use: Single Family Dwolling Occupancy: R-3, U 1st FL Arear Patio: <br />Job Type: Reroof Constr Type; V B 2nd FL Area: T.l.Area: <br />Nature ofwork: Reroof code: cBc 2019 other Areas: yards Req.d: <br />Existing Bldg & Use: Sfd w/att garage Flood zone: x'060232016d carage Area: Valuation: $g,ooo.oo <br />Proposed Use: # of Stories: Totat: O <br />Description of Work: Reroof house & attached garage - removs shingles, roplace any damaged sheathing, install new shinglss. Handouts given. <br />planning Conditions: Repair & repaint any damage to window trim, stucco, eaves, fascia, rafters as needed. ' . -ll <br />Engineer <br />Address: <br />Acct+: <br />Rcpt+: (r315 <br />Trongoct io <br />lled ir <br />lt( <br />Refi <br />Phone: <br />Tenant: <br />Richard Tellez <br />2114 E Peachwood Lane <br />Santa Ana, CA 92705 <br />17141 478-0749 <br />Contractor: MedinaRooling <br />Address: 17'13 E Sycamore St <br />Anaheim, CA 92805 <br />Phone: (7141854-2871 <br />State Lic #: 1055640 <br />Lic Type: C-39 <br />Bus. Lic #r 377091 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #r 9255711 <br />Expires: 0611412021 <br />Bu i Id instt I16002 <br />Genero 1 <br />r.rl t 16002 <br />Blde Std <br />011t6092 <br />ll icrol i I <br />trl l16002 <br />l'losf er (. <br />i 16111000- <br />rn uedote Fr <br />i 16(0000- <br />ievol v ins <br />i 1612000-I Docurents <br />i777u0110- <br />Architect / <br />Desiqner: <br />Address; <br />Phone <br />License # <br />t(.;: r x***rlx**rtlij2 Auth i <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'd: <br />Landscaping lnsp. Req'd <br />Arias, Fernanda <br />Amsden Julie <br />Dale 0111212021 <br />Date: <br />Oale: 0111212021 <br />Subject to Field: <br />No <br />o77 7600 2 <br />07776002 <br />077760 0 2 <br />077760 0 2 <br />07776002 <br />57607 <br />57770 <br />57572 <br />57600 <br />57607 <br />$345.28 <br />$4.05 <br />$1.00 <br />$23.79 <br />$59.30 <br />Permit Fee <br />Microfllm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceNo <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd No Account#Total <br />Flood Zone Cert. Req'd: No <br />Every pemit issued sha becofie invalid unless lhe wo.k on tfie site authonzed by <br />such pemit is connonced within360 days dftet ls tssuanco ot il the work authoized <br />on the site by such peinit is suspended ot abandoned lgt a penod of360 days after <br />the time lhe wo* is commenced <br />lnspector MID#: 2021-163652 <br />Fee Total; <br />Paid to Dater <br />Balance Due: <br />$433.42 <br />$0.00 <br />$433.42 <br />01 1'16002 51600 <br />01 1'16002 sl601 <br />01 116002 5't612 <br />01116002 s7770 <br />$23.79 <br />$404.58 <br />$1.00 <br />$4.05 <br />t/t2/202t 9"3A An <br />3433.4: <br />lt ll:rrrl <br />Owner: <br />Address: <br />Phone: <br />License #: <br />Misc Receipt: <br />Misc Receipt: <br />Misc. Receipl: