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City of Santa Ana 20 civic center Plaza (M-19), Santa Ana , cA927o2 <br />Permit Counter: (714)647-5800 lnspeclion Requests: (714) 667-2738 lnspector Sectioni (714) 647-5853 <br />Building <br />Eldg: Address Range Suite Range >V <br />Assesso/s Parcelr 396-252-12 Lot 10 Block: NA f .acl 1121 Hislonc l{o Zoning:A1 <br />Building Use: <br />Job Type: <br />Naturo of Work <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Roroof <br />Rsroof <br />Occupancy. <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories <br />R.3 <br />VB <br />cBc 2019 <br />x-0602320163J <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation:$10,ss6.00 <br />Doscription of Work: Tear off existing, install 32 squares of comp and 6 squar€8 of built-up roofing <br />Planning Conditionr: <br />oAvto si TH <br />,I'20 E. KEEGAI{ WAY <br />Srnt Anr. CA 92705 <br />(7r,1) 269-.673 <br />Conlractor: Gloh Corp dba Pactflc C,oat Ror <br />Address 25,102 Glllup Clrcle <br />Lrgun. Hlll!, CA 92653 <br />Phone: (760) 9E9-7669 <br />State Lic #: 986802 <br />Lic Type: C-39 <br />8us. Lic #: 3706E6 <br />Workers' Compensation lnsurance: <br />Canier Stttr Companaatlon lnlu nca Fund <br />Policy #: 0070054 <br />Expires: 0812912021 <br />Engineer <br />Address: <br />Phone: <br />Tanant: <br />Phone: <br />License #: <br />Ardrilecl / <br />Address: <br />web_user <br />Date: <br />Date: <br />Dale: 031'1712021 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />o7775002 <br />o7775002 <br />o1775002 <br />o7175002 <br />07775002 <br /> Fee <br />Microlllm Records <br />Bldg. Stds. Revolving Fr <br />General Plan Update <br />lssuance <br />$345.28 <br />$4.05 <br />$1.00 <br />s59.30No <br />No <br />No <br />No <br />Account#Total <br />Every @mn issuod shallbecome invaM unless the work on lhe sile authomed by <br />such Frml is amnened wilhh 360 days aftet its iss/Janco,or I lhe wg <br />aulhohze<l on lhe sila by such permil is susFnde<l or abandoned lot a peiod ol <br />360 days alet lhe llme lhe wort is cofihonced <br />lnspector MID#: 2021-164960 <br />N/A - No Balance <br />N/A - No Balance <br />N/A - No Ealanc4 <br />Fee Totall <br />Paid to Date <br />Bahnco Ouo: <br />$433 42 <br />M33.42 <br />$0.00 <br />Permit #: lottoG,tT! <br />Pin #: attal <br />Project Address: 1420 E Keeqan Wav Unit <br />'l st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total. <br />Owner: <br />Addregs: <br />Phone: <br />License # <br />Plannang 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 />57607 <br />57770 <br />51612 <br />57600 <br />51601Subiect to Field: <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cerl. Req'dr No