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@ City nf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana CA 92702 <br />Permit Counter (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Sectron (7'14) 647-585 <br />Building Permit#: {Ol{OO754 <br />Pin #: 676646V <br />Project Address: 2329 N Siemon St <br />Assessor's Parcel 101-042-06 <br />Bldg Address Range <br />Tracl 3637 Historic. No <br />Building Use. Single Family Drvolling Occupancy. R-3, U 1st FL Area: Patio: <br />Job Type: Reroof Constr Type V B 2nd FL Area: T.l.Area: <br />Nature of Work: Reroof code: cBc 2016 other Areas: yards Req,d: o@o <br />Existing Bldg & Use: sFo w/att carage Flood Zone: x-o6o232o144J Garage Area: vatuataon: $s,soo.oo <br />Proposed Use # of Stories: <br />Total: <br />Oosc.iption of Work: Reroof. Tear off €xisting roof matorial and install new comp shingle roof material. Repair sheathing, fascia, rafters as needed. <br />Handout given. Owner-Builder form on file. <br />Planning Conditions: <br />Owner <br />Address <br />Phone <br />Tenant <br />Antonio Medina <br />2329 N. Siemon Street <br />Santa Ana, CA 92705 <br />(714) 750-8874 <br />Contractor <br />Address: <br />Owner-Builder <br />Engineer <br />Address: <br />.-n$ r. .ln a O-rqE If, <br />O^arr tr'rl I <br />I tl., t'tttto 4 .al <br />at1I <br />Phone: <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Phone. <br />License I <br />Architect / <br />Oesiqner: <br />Addressl <br />n^l O! F^ l16'l-+. <br />an.tn- ll al1nflnrr- <br />aaral'1- <t ai t rtrlrr- <br />cl,l- t^I^i t. i -r <br />adnt- ql al ir1a.n <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Fregoso, Vince <br />Chavez, Dave <br />Date: 07115/2019 <br />Date: <br />Date: 07/'15/2019 <br />Subject to Field: <br />Misc Receipt <br />Misc Receipt <br />Misc Receipt <br />$333.06 <br />$1.00 <br />$22.95 <br />$57 .20 <br />01776002 51601 Permit Fee <br />07776002 57672 Bldg Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />07776002 51601 lssuance <br />\-.- <br />Frre lnso Reo'd No <br />Polrce tnsp Req'd No Account# <br />Flood Zone Cert Req'd: No 01116002 51600 <br />Total <br />Evory poml tssuocl shallbecome nvahcl unless lhe $lork on tho stte authortzod by <br />such pormt $ comtuenced w hn 3il clays eftet tls tssuanco.ot tf the work authonzad <br />on tho s e by such permtt B suspondod or abandonad fot a period ot 3@ days alter <br />the time lho wotk ts commencecl <br />$414 21 <br />$0.00 <br />$4',t4.21 <br />lnspector MtD# 2019-152944 <br />01 't 16002 51601 <br />01 1 16002 51612 <br />$22 95 <br />$390 26 <br />$1 00 <br />Fee Total: <br />Paid to Date <br />Balance Due: <br />Lol 39 <br />Unit Suite Range: <br />Zoning: RlBlock NA <br />Phone <br />License # <br />atlt'1t <br /> ! !f l1.. ar..rq a rr.