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City <lf Santa Ana 20 civic center Plaza (M-19), santa Ana, c492702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspeclor Section: (714) 647-5853 <br />^/ <br />Permit#: {Ol{O{19{ <br />Pin #: 86948 <br />Project Address: 2122 W Eleventh St <br />Assessor's Parcel 004-173-07 Lot 70 <br />Bldg Address Range Suite Range: <br />Zoning: RlBlock: NA Tract 1685 <br />Occupancy <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320144J <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Total <br />Patro: <br />T I Area <br />Yards Req'd <br />Valuation:$9,000.00 <br />chi:51626 - 8/22/2n19 ID: nPINEDT <br />ice: (.TYH Trons?: 36 1 of it+r Ref+: l Dl l l:rt 19l <br />t+:(r272{33(r - 8/22,/2019 3:('rr f'n <br />Description of Work: Reroof w/t.o.-Remove and apply comp shingles/replacs sheathing as req'd/handout givBftl <br />RcePlanning Condition6:i823 .1 <br />Phone <br />Tenant <br />Jose fogquet <br />Cert if iPd Roofans SeeciolistsKarmen Zepeda <br />2122 W 11th Sr <br />Santa Ana, CA 927031925 <br />(714) 376-9170 <br />Contractor: CertifiedRoofingSpecialistl <br />Address. 9281 Larkspur Dr <br />Westmin3ter, CA 92683 <br />Phone: (714) 668-0757 <br />State Lic f: 956843 <br />Lic Type: C-39 <br />Bus. Lic #: 337515 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnaurance Fur <br />Policy #: 1949902 <br />Expires: 12J0112019 <br />Engineer <br />Address: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />6€nProl Flon Update Iee <br />01116(102- 3160000n- <br />Burlding <br />01116002- 51601U00- <br />BIde SLds Revolv an s <br />01115002- 51612000- <br />Ui50 <br />CCg r Irlrrrr rr rr18912 Authf :r-rJlr <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 />\$ <br />comez, Pedro Dale: 0812212019 <br />Date: <br />Hernandez, Kathy Oale 0812A2019 <br />Subjecl to Field <br />Fire lnsp. Req'dr No <br />Police lnsp. Req'd: No Ac <br />Misc. Receipl <br />Misc Receipl <br />Misc. Receipt <br />$333.06 <br />$1 00 <br />$22 95 <br />$57 20 <br />07776002 51501 Permit Fee <br />07776002 57612 Bldg. Stds. Revolving <br />07776002 57600 cenetal Plan Update <br />07776002 51501 lssuance <br />No <br />No <br />No <br />No <br />count#Total <br />Flood Zone Cert Req'd: No <br />Every pemil issuod shall bocome tnvahd unless lhe worr( on tha s/te aulhotized by <br />such pem 6 commencod wlhtn 360 days aftet tts tssuance.ot if the wotk aulho zeal <br />on tho s e by such pem $ suspondod or abandoned tot a penod ot 360 days aftet <br />the time lhe wod< ts commenced <br />lnspector MID#: 2019-'153872 <br />01 1 16002 5'1600 <br />01116002 51601 <br />01 1 16002 51612 <br />$22.95 <br />$390.26 <br />$1.00 <br />Fee Tolat <br />Paid to Date: <br />Balance Due <br />$414 21 <br />$0.00 <br />$414.21 <br />Unrt <br />Historic No <br />Building Use Single Family Dw6lling <br />Job Type: Reroof <br />Nature of Workr Reroof <br />Existing Bldg & Use: gf p rry1afi g112gg <br />Proposed Use <br />Owner <br />Address <br />Phone: <br />License #: <br />t39rl. 26 <br />31.U0 <br />|825 .42