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Assessor's Parcel 109-091-03 Lot: POR I <br />Unil Bldg: Address Range Suite Range: <br />Zoning: R2Block B Tract 604 Historic No <br />City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CAs27o2 .,(\ <br />^ <br />Building <br />Permat Counter (714) 647-5Eoo lnspection Requests: (714) 667-2738 lnspector Seclon: (7141 647-5853 <br />Permit #: {02{O{4OG <br />Pin #: 66693 <br />Buildrng Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Singls Family Owelling <br />Reroof <br />Reroof <br />SFD w/att Garage <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Storiesl <br />R.3, U <br />VB <br />cBc 2016 <br />x-0602320257J <br />i st FL Area: Patio: <br />2nd FL Area: T.l.Area: <br />Other Areas: Yards Req'd: <br />Garage Area: Valuation: $4,000.00 <br />Total: <br />Ropair any damaged wood, aheathing, fascia boards,Doscription of Work: Toar off existing roof matelial and install nerY comP shingle roof material <br />eavea as needed. Handout givsn. <br />Planning Conditions: <br />Owner: <br />Address <br />PIone <br />Tenant: <br />Contractor <br />Address:Address <br />Phone: <br />Slate Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Phone: <br />License # <br />Planning Approval By. <br />Plan Checked By: <br />Permit lssued By; <br />NPOES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />o777 500 2 <br />0 77 7600 2 <br />0 77 7600 2 <br />07775002 <br />0 77 76002 <br />0777 500 2 <br />57607 <br />57607 <br />57607 <br />57672 <br />5 7600 <br />5 7607 <br />$333.06 <br />$100.57 <br />$252.69 <br />$1.00 <br />$22.95 <br />$57 20 <br />Permit Fee <br />lnvesligation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Updale <br />lssuance <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No 01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />$22.95 <br />$743.52 <br />$l.00 <br />Account#Total <br />Ewry permil issued shall becomo nvalid unloss lho work o, lho s,le authoized by <br />such perml 6 comfienced withn 3@ days aftor is lssuance.ot il lhe wo* authonzed <br />on the site by such peml $ suspendad ot sbandoned for a poiod of 360 daysaftor <br />the time lhe wofi is commoncod <br />lnspector MID#: 2019-154256 <br />Fee Total. <br />Paid to Date: <br />Balance Oue <br />$767.47 <br />$0.00 <br />$767 .47 <br />Project Address: 1113 S Golden West Ave <br />Botch+:51893 - 9/9/2t11? I0: NGAR(:Irofl ice: CTYH Tr(ne+: 1fi I of <br />Engineer: <br />Phone: <br />License # <br />Archilecl / <br />Desiqner: <br />Address: <br />R(pt+tt'r2715459 - 9/9/2tt19 <br />Trdnsoct i orr Totol <br />Rn lph R Pere: <br />1', <br />Ralph R Perez <br />1133 S. Golden West <br />Santa Ana, CA 92704 <br />Owner-Builder <br />Gen€roI Pl(ln Updote Fer <br />rr1116tr02- 516(rtrtl0rr- <br />Buildins <br />tt1I l6t:[-t2- 51601r:r00- <br />BIds Stds Revo] v ine <br />trl 1 16r:lir2- 51612r-rtru- <br />Co sh <br />(:h0n9e <br />Graham, Jeffery Date. 09/09/2019 Misc Receipt: <br />Date: Misc. Receipl <br />Chavez. Dave . Date 09/09/2019 Misc Receipt: <br />_.,<1 t/- <br />/ ' sub,ect lo Field