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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA727O2 Building <br />Permit Counter: i.714) 647-5800 lnspection Requests: (714]| 667-2738 lnspector Sectionr (714) 647-5853 <br />Permit#: 101{05219 <br />Pin #: 51069 <br />Project Address: 3614 S Ross St <br />Assesso/s Parcel.4',t0-141-20 Lot: 19 <br />Unit Bldg; Address Range Suite Rangef) <br />Zoning: RlTract: 6745 Historic No <br />Building Use <br />Job Type: <br />Nature of Work <br />Existing Bldg. & Use: <br />Proposed Use: <br />Single Family Owelling <br />Reroof <br />Reroof <br />SFD w/ det garage <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />R.3, U <br />VB <br />cBc 2019 <br />x4602320278J <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: $8,900.00 <br />0 <br />Description of Work: T/O existing roof material and replace with new comp shingles to SFD and detached garagc. Replace sheathing/plywood if needed. <br />Hand out given. <br />Planning Q6n(itiqns; Like for like material and color. <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Vinh Nguyen <br />3614 N Ross St <br />Santa Ana, CA 92707 <br />(7',t41244-8994 <br />Conlractor: CertiliedRoofingSpeclalistl <br />Address: 9281 Larkspur Dr <br />Westminster, CA 92683 <br />Phone: (714) 568{757 <br />State Lic #: 9558,13 <br />Lic Type: C-39 <br />Bus. Lic #: 337515 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 1949902 <br />Expires: 1AO1I2O2O <br />Engineer <br />Address <br />Phone; <br />License # <br />Architect / <br />Desiqner: <br />Address. <br />Phone: <br />License # <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 />Date: 11/1612020 <br />Date: <br />Oale:1111612020 <br />Subiect to Field; <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />Flood Zone Cert Req'd: No <br />Every perrnit issued shall becone nvalid unless lhe wotk on lha sit6 authonzed by <br />such permit is commenced within360 days after its issuance.ot if the wod< authonzed <br />on the site by such permil is suspended ot abandoned for s peiod of 360 days afler <br />the hme lhe work ts cotumenced <br />0 77 7600 2 <br />0 77 75002 <br />0 77 76002 <br />0 77 76002 <br />017 76002 <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 />Permit Fee <br />Microrllm Records <br />Bldg. Stds Revolving <br />General Plan Update <br />lssuanceNo <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />lnspector MtD# 2020-162755 <br />$404.58 <br />$1.00 <br />$4.05 Fee Total <br />Paid lo Datel <br />Balance Due: <br />$433.42 <br />$0.00 <br />$433.42 <br />Block. NA <br />;x_"v <br />Total <br />01 1 '16002 51600 <br />01 1 '16002 51601 <br />01 1 16002 51612 <br />01116002 57770