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City of Santa Ana 20 civic center Pl <br />Permit Counter: (714) 647-5800 lnspectron <br />Project Address: 4222 W Hiohland Ave <br />Description of Work: Tear off existing roof material and i <br />Handout given. <br />Planning Conditions: <br />Assessor's Parcel 188-101-10 <br />Building Use. <br />Job Type: <br />Nature of Work. <br />Existang Bldg. & Use <br />Proposed Use. <br />Lot. 10 <br />Single Family Dwelling <br />Reroof <br />Reroof <br />SFD w/att Garage <br />Owner: <br />Address <br />Phoner <br />Tenant <br />Ho Phu Nguyen <br />4222 W. Highland <br />Santa Ana, CA 92704 <br />Phone: I <br />State Lic #: I <br />Lic Type: I <br />Bus. Lic #: I <br />Worters'CoJ <br />Carrier: I <br />Policy #: I <br />Expires: I <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 />Kelaher. Selena <br />Every pefin issuod shall becofio invahd unless lhe wo* on the site au <br />such pem $ comfiencecl wtnn 360 days after rls issuonce.or,/ the wolti <br />on lhe site by such perfiil is suspencled ot abandoned lor a poriod ol 3 <br />the tihe the work is commenced <br />lnspector MID#: 202 1-1653 <br />Chavez, Dave /_. <br />No -'-No Frre hsp. Req d: INo Police lnsp. Req'd:l <br />No Flood Zone Ced. C <br />o <br />S <br />(M-19), Santa Ana, CA 92102 <br />uests (714) 667-2738 lns#ctor Sectron (714) 647-5853 <br />Unrt Bldg. Address Range <br />Building <br />lock NA Tract 365E Historic: No <br />Suite Range: <br />Zoning: Rl <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />stall new comp shingle roof material 2l squares. Portion of roof to be flat roof 4 squares.. <br />D Roofing <br />751 1orh Sr Address <br />estminster, CA 92683 <br />fil 474-5072 <br />Permit#: lO{lO634a <br />Pin #: 95543 <br />Patio: <br />T I Arear <br />Yards Req'd: <br />Valuation: $8,750.00 <br />ccupancy: R-3, U <br />onsk Type: V B <br />ode: CBC 2019 <br />FloodZone X-0602320256J <br /># of Stones <br />nsatron lnsurance <br />tate Compensation lnsurance Fu <br />Phone: <br />License # <br />Phone: <br />License # <br />-39 <br />74175 <br />Architect / <br />Desiqner: <br />Address: <br />259920 <br />8t29t2021 <br />le. 0410612021 Misc. Recdpt <br />Misc. Recdpt <br />07776002 <br />017760 02 <br />o777600 2 <br />0777600 2 <br />0 777600 2 <br />57607 <br />s7770 <br />57672 <br />57600 <br />57607 <br />$345.28 <br />$4.05 <br />$1.00 <br />$23.79 <br />$59.30 <br />e <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />le: 0410612021 <br />bject to Field: <br />No <br />N.4isc. Recdpt <br />No Account# <br />'d: No Ot 1 <br />.t 6002 51600 <br />dbv 01 1 16002 51601 <br />d 01116002 5'1612 <br />ysafter 01116002 57770 <br />Total <br />Fee Total. <br />Paid to Dater <br />Balance Due: <br />$433 42 <br />$0.00 <br />$433.42 <br />Engineer: <br />Contractor: <br />Addressl <br />057607 <br />I <br />$23 79 <br />$404 58 <br />$1 00 <br />$4 05