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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: 1714) 667-2738 lnspector Section: (714) 647-5853 <br />Bu ild ing Permit #: I O{ I 0579{ <br />Pin #: 4/942fl <br />Project Address: 1314 S Shelley St <br />Assessor's Parcel 109-521-14 Lol '13 <br />Unit Bldgr Address Range Suite Range: <br />Zoning; R1Block NA Tract.3355 Hrslonc: No <br />Single Family 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 />x-0602320257J <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat <br />Patio: <br />T l.Area. <br />Yards Req'd <br />Valuation:$7,500.00 <br />Description of Work: Tear off existing, install 30 squares of built-up roofing <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Contractor. Pannicle Pro Roofing <br />Address 540 S Andersen Or <br />Escondido, CA 92029 <br />Phone: (760) 2944330 <br />State Lic # 988399 <br />Lic Type: C-39 <br />Bus Lic #r 377197 <br />Workers' Compensation lnsurance. <br />Carrier: State Fund <br />Policy #. 9073627 <br />Expires: Ogl2Al2O21 <br />Engrneer <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner <br />Addressr <br />Phonel <br />License # <br />Planning Approval By: <br />Plan Checked By; <br />Permil lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Daler Misc. Receipt <br />Date. Misc. Receipt <br />Oate OZtO2t2O21 Misc. Receipt <br />Subject to Field. <br />07716002 <br />07776002 <br />07776002 <br />07776002 <br />07776002 <br />57607 <br />57770 <br />57672 <br />5 7600 <br />5760 7 <br />$345.28 <br />$4.05 <br />$1 00 <br />$23.79 <br />$59.30 <br />Every permil issuod shall bocome hvahd unless lhe wo* on lhe sile authon2ec! by <br />such peinl B commenced wilhn360days aftor tts tssuance.or I the work aulhonzed <br />on the sle by such pemil ts suspended ot abandonad lot a ponod of360 days after <br />the lifie the wotk ts commenced <br />Fire lnso. Reo'd: No <br />Potice tnsp. Req'd No Account# <br />Flood Zone Cerl. Req'd: No N/A - No Batance <br />No <br />No <br />No <br />No <br />$433 42 <br />$433 42 <br />s0.00 <br />lnspector MtD# 2021-164044 <br />N/A - No Balance <br />N/A - No Balance <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Usel <br />Cheryl Wines <br />1314 s shelley st. <br />Santa Ana, CA 92704 <br />/'7141957-05',14 <br />,"r-ra( <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds Revolving <br />General Plan Updale <br />lssuance <br />Fee Total <br />Paid to Dale <br />Balance Due: <br />Total