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@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
<br />Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 W4
<br />Permit #: 101102775
<br />Pin #: 296{8
<br />Assessor's Parcel: 014-393-02 Lot: 26
<br />Unit Suite Range:
<br />Zoning: RlTract.6337 Historicr No
<br />Patio:
<br />T.l.Areal
<br />Yards Req'd
<br />Valuation:s7,000.00
<br />Planning Conditions
<br />Pot.h+ : i3
<br />Uf ,' i L,r: i !t i !rt-t1t-l
<br />lr'Clne+i
<br />Engineer: r, ,,1 :; -rr*.ii,r I lOwner: Jarrett Ellington Conlractor: A D G Construction and Ro( ,i iur. r1,_, r!.i, ,iir ,i I
<br />Address: 1509 S Oak St Address: 18553 Ventura Blvd #81'l Address:
<br />Santa Ana, CA 927012322 Tazana, CA 91356 r, ', , , i j, ,, ,, ri. :l ,
<br />Phone: Q14l4714542 ext. 5676 Phone: (855) 699-5959 Phonel
<br />State Lic#: 1o33o1s License# '.".;',',1 .. ' l,i,ii;i;' ",
<br />Tenant Lic Type: C-39 Architect / ril-rr.l,lrrr'
<br />Bus. Lic #: 373935 Desioner: I I '' ri
<br />Workers' Compensation lnsurance; Address. .. ' 'lCarrier: State Fund
<br />Poticy#: 9221338 Phone: ',, ',' , ,ll t ,,',;,, I
<br />Expires: 1il14/2020 License #: ir;iir ,,, * ft!:,,, r,!,,1! ,
<br />Planning Approval By
<br />Plan Checked Byl
<br />Permit lssued By:
<br />NPDES lnsp. Req'd:
<br />PWA Insp Req'd: No
<br />Planning lnsp. Req'd: No
<br />Landscaping lnsp. Req'd: No
<br />Graham, Jeffery
<br />,0\Hernandez, Kathy
<br />Date: 0110712020 i/isc Receipt
<br />Date: lvlisc. Receipt
<br />Date..O1tO7t2O2O l\,lisc.Receipt
<br />Sub,ect to Field:
<br />No
<br />No Account#
<br />07776002 51601 Permit Fee
<br />07116002 57770 lvlicrofilm Records
<br />07176002 s7672 Bldg. Stds. Revolving
<br />07716002 57600 Cenetal Plan Update
<br />07116002 51501 lssuance
<br />$333.06
<br />$3.91
<br />$1.00
<br />$22.95
<br />$57.20No
<br />Fire lnsp. Req'd:
<br />Police lnsp. Req'd
<br />Flood Zone Cert. Req'dr No
<br />Every permit issued shall become invalid unless tho wo* on the sile aulhorized by
<br />such pemit is commenced within360 days aftet its issuance.or if the work authorized
<br />on the site by such permit is suspendec! or abandoned lot a peiod of360 days after
<br />lhe time the wo* is commenced
<br />Total
<br />$22 95
<br />$390.26
<br />$1.00
<br />$3.91
<br />lnspector tMlD#: 2020-156953
<br />01 1 16002 51600
<br />01116002 51601
<br />01116002 51612
<br />011',16002 57770 Fee Total
<br />Paid to Date:
<br />Balance Oue
<br />Proiect Address: 1509 S Oak St Bldg Address Range:
<br />Block: NA
<br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
<br />Job Type: Reroof Constr Type: V B 2nd FL Area
<br />Nature of Work: Reroof Code: CBC 2019 other Areas:
<br />Existing Bldg & Use: 5pp yy1311 911396 Flood Zone: X-0602320276J Garage Area
<br />Proposed Use: # of Stories
<br />Total
<br />Description of Work: Reroof w/t.o.-Remove and apply comp shingles/sheathing to remain/handout given/auth on file
<br />iDr Niir
<br />$418.12
<br />$0.00
<br />$418.,12
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