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101100616 - Permit
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101100616 - Permit
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Last modified
6/3/2021 2:49:47 PM
Creation date
6/3/2021 2:49:47 PM
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Permit
Permit Number
101100616
Full Address
1926 W Jan Way
Permit ID
255488
Master ID Number
2019-152595
Project Name
Jacobson Residence Reroof
Street Number
001926
Street Direction
W
Street Name
Jan
Street Suffix
Way
Building Use Code
Resid-1 unit
Job Types
Reroof
Permit Type
Building
Applied Date
6/27/2019
Issued Date
6/27/2019
Finalized Date
9/27/2019
Flood Zone
X-0602320257J
Description of Work
Apply composition shingles over 1-layer of comp shingles. Handout given. Remodel (e) kitchen & bathroom, drywall where necessary.
Nature of Work
Reroof & Drywall
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Proj ect ACdress: 1926 W Jan Wav <br />Assessor's Parcel 't09-524-01 Lot 59 <br />Unrl Bldg: Address Range Suite Range. <br />Zonrng: R'lBlock NA Tracl 3355 Hrstonc. No <br />@ City nf Santa Ana 20 crvic center Plaza (M-19)' Santa Ana. c492702, <br />Permit Counter (714) 647-5800 lnspectron Requests: \7'l4l667-2738 lnspector Section: (7'14) 647-5853 <br />Bu ildin s Permit #: { Ol I OOGI6 <br />Pin #: 37764w <br />Burldrng User Single Family Dwelling 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 & Drywall code: cac 2016 other Areas: yards Req,d: <br />Existrng Bldg. & Use Std w/att garage Flood Zone. x-0602320257J Garage Area. Valuation: $8,300.00Proposed User # of Stofles: , ,or., <br />OescriPtion of Work: Apply composition shinglss over 1-layer of comp shinglos. Handout given. Remodel (e):iitchorr&'tathroom, drywall where <br />necessary. <br />Planning Conditions: Replacement of fascia as needed only. No changs in floor plan. ' : ' ' <br />Owner: <br />Address <br />Phone. <br />Tenant <br />Tr Thomas <br />2010 S Angell Heights Dr <br />Hurricane, UT 847370000 <br />(435) 635-8613 <br />Contractor EmpowerBuildingCompan' <br />Address: 1534 North Madera Avenue <br />Ontario, CA 91764 <br />Phone: (909) 570-7638 <br />State Lic #: 1009367 <br />Lic Type: B <br />Bus Lic #. 373238 <br />Workers' Compensation lnsuranceCarner: State Fund <br />Policy #. 9245629 <br />Exprres OTllOl2Ol9 <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 />lnspector <br />Go o Dale: 06127/2019 Mrsc. Receipt <br />Date: Misc. Receipt <br />ki, Teri Date: OE/27l2019 Misc. Receipt <br />Subject to Field: <br />Fire lnsp. Req'd No <br />Pohce rnsp. Req'd No 19"o{q <br />Flood Zone Cert. Req'd No 011.16002 51600 <br />MrD# 2019-152595 <br />07776002 51601 Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 51500 General Plan Updale <br />07776002 51502 lssuance <br />$480.75 <br />$1.00 <br />$22 08 <br />$5s 04 <br />No <br />No <br />No <br />No <br />Total <br />Every peinil tssuecl shallbecome nvaltd unlesslhe wort on the sle aulhonz1d by <br />such pe fitt ts commenced wtlhn 360 days after ls tssuance ot i lhe wotk authonzecl <br />on the sle by such perml B susponded ot abandoned for a penod ol 360 daysaner <br />the ume the work is commenced <br />01 'l 16002 51601 <br />01 1 '16002 51612 <br />$22 08 <br />$535.79 <br />$1 00 <br />$558 87 <br />$0 00 <br />0558.87 <br />Fee Total. <br />Paid to Date <br />Balance Due:
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