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Project Address: 921 W Columbine Ave Unrl Bldg Address Range Suite Range <br />Zoning RlBlock NA Tracl 7000 Hrstoric No <br />City nf Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana cA92702 rrt Bu ild ing Permit#: lOl{O{{45 <br />Pin #: 79325Permrt Counter (714) 647-5800 lnspectron Requests \714) 667-2738 lnspector Section. (714) 647-5853 <br />:F <br />Burlding Use: Single Family Dwelling Occupancy R-3, U 1st FL Area: 0 <br />Job Type Reroof Constr Type V B 2nd FL Area 0 <br />Nature of Work: Reroof Code CBC 2016 Other Areas O <br />Existing Bldg & Use SFD w,att garage Flood Zone X-0602320259J caraqe Area <br />Proposed Use Residontial # of Stories: , aor",, O <br />D6scription of Work: Tear-off composition shingles & apply Eaglelite Malibu lightweight tile (5.5 psf). Handout giyen. <br />Patrol <br />T I Area <br />Yards Req'd <br />Valuation: <br />go[ch+r11561 - 8/ 1?/2til9 <br />0fr rce: CTYH Tronsi: 141 <br />$10,000.00 <br />I0: otronq1c5t <br />Planning Conditions: Replace sheathing, eaves, and fascia boards as needed. <br />Owner <br />Address <br />Phone <br />Tenant <br />Contraclor <br />Address <br />Owner-Builder <br />Engineer <br />Address <br />tic! t, i :02722r.138 - 8/L9/2flt9 2119 F'n <br />Tnoosoct aon Totol l4l4.2lJoel & Rosa Lopez <br />921 W Columbine Ave <br />santa Ana, cA 927073831 <br />(? 141 434-1147 <br />loel & RoEo Lopez <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus Lic #r <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expiresl <br />Bu,ld ine <br />r"r1116002- i1601[r00- <br />Bldr Std5 Revol v in s <br />01116002- 51612000- <br />Ger,eroI Plon Updote Fee <br />01116t102- 51600tr00- <br />1(:L Check 0|:120? <br />Phone <br />Lrcense # <br />Architect / <br />Desrqner: <br />Address <br />Phone <br />License # <br />lJvtl <br />,414 <br />,1 , (ril <br />Plannrng Approval By <br />Plan Checked By <br />Permfi lssued By <br />NPOES lnsp R <br />PWA lnsp. Req <br />Planning lnsp. Req'd: <br />Landscaping lnsp Req'd $22 95 <br />$390.26 <br />$l 00 <br />vat a rry Date 08f19/2019 Mrsc. Recerpt <br />Date l\,tsc Recerpt <br />07776002 5160I Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Gene|al Plan Update <br />01776002 5150I lssuance <br />$333.06 <br />$1.00 <br />$22 95 <br />$57 20 <br />No <br />No <br />No <br />i, Teri oate: 08119/2019 Misc Receipt <br />SubJect to Freld <br />Fire lnso. Reo'd. No <br />Potice tnsp. Req'd. No Account# <br />Flood Zone Cert. Req'dr No 01116002 51600 <br />Total <br />Every pem issued shall bocofie hvahcl unless the work orl ahe s,te authonzod by <br />such potmit 6 comm4nced wtthin360 days altat ls lssuance ot I lhe wo/k aulhorizecl <br />on the stle by such perml B suspenctect ot abancloned lor a penod 01360 days after <br />tho lmo the work tscommencod <br />lnspector MrD# 2019-153752 <br />Fee Total <br />Paid lo Dale <br />Balance Due <br />$414.21 <br />$0 00 <br />8414.21 <br />Assessor's Parcel 'lt0-20'l -01 Lot 29 <br />011 't6002 5160'1 <br />01 1 16002 51612