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I <br />t city of Santa Ana 20 civic center Piaza (M-19), santa Ana, cA927o2 <br />Permit Counter: (714)647-5BCO lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Building Permit #: 1O1103545 <br />Pin #: 57927 <br />Proiect Addressi 5402 W Ballast Avea <br />- <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: RlAssessor's Parcel:1 08-587-06 Lot: 24 Block: NA Tract: 455-q Historic: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Single Farnily Dwelling <br />Reroof <br />Reroof <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />R-3 <br />VB <br />cBc 2019 <br />.A-0602320252J <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: $9,905.00 <br />Description of Work: Tear off existing, install 35 squares of comp roofing <br />Planning Conditions <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Nguyen Vuong <br />5402 W Ballast Ave <br />Santa Ana, CA 92704 <br />(714) 647-69s5 <br />Contractor: Sal-NB Roofing <br />Acldress: 3702E- Chapman Ave #C <br />Orange, CA 92869 <br />Phone: (714) 345-8745 <br />State Lic #: 1044963 <br />Lic Type: C-39 <br />Bus. Lic #: 371134 <br />Workers' Compensation I nsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 9160583 <br />Expires: 06/09/2020 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer. <br />Address: <br />Phone: <br />License #: <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 />Date: Misc. Receipt: <br />Date: Misc. Receipt: <br />Date. o4t28t2,2l Misc. Receipt: <br />Subject to Field: <br />No <br />No Account# <br />N/A - No Baiance <br />N/A - No Balance <br />07716002 <br />077L6002 <br />07776002 <br />01,7L6002 <br />07776A02 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />57507 <br />57770 <br />57672 <br />57600 <br />57607 <br />$333.06 <br />$3.91 <br />$1.00 <br />$22.9s <br />$57.20 <br />web_user <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd Total <br />Flood Zone Cert. Req'd: No N/A _ No Balance <br />Every permit issued shall become invalid unless the work on the site autinrized by <br />such permit is commenced within360 days after its issuance,or if the work auth<trized <br />on the site by such permit ls suspended or abandoned for a period of360 days after <br />the time the work is commenced. <br />Fee Total <br />Paid to Date: <br />Balance Due <br />$41 8.1 2 <br />$418.12 <br />$0.00 <br />MID#: 2C2A-158733 <br />:r/ <br />t\- <br />lnspector