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CitY of Santa Ana 20 Civic cen <br />Permit Counter: (714) 647-5800 lnsped <br />r Plaza (M-19), Santa Ana, CA\2TOZ Building <br />n Requests l.714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit#: lOl{06586 <br />Pin #: 35669 <br />Assessor's Parcel 405-081-02 Block NA <br />Bldg <br />Tract 33 <br />Unil Address Range: Suite Range: <br />Historicr No Zoning: Spl <br />Building Use <br />Job Type: <br />Nature of Work. <br />Existing Bldg. & Use <br />Proposed Use; <br />Commercial <br />Reroof <br />Reroof <br />Commercial/Restaurant <br />Description of Work: Tear off existing roof material an <br />Planning conditions: <br />Howard & Sons lnc <br />357 N Sheridan Sl #104 <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Addressl <br />Phone: <br />License # <br />Address. <br />Total <br />Phone: I <br />State Lic # I <br />Lic rype I <br />Bus Lrc *: I <br />Workers'CoJCarrier: I <br />Policy #: I <br />Expires: I <br />orona, CA 92880 <br />909) 762-7541 <br />011201 <br />, c-33, C-39 <br />5 <br />nsation lnsurance: <br />itate Comp lns Fund <br />152632 <br />2J1012022 <br />Graham, Jeffery <br />Chavez, Dave <br />Da 05/05/2021 <br />ost05t2021 <br />0777600 2 <br />0777600 2 <br />o1776002 <br />0777600 2 <br />o171600 2 <br />57607 <br />57770 <br />576 72 <br />57600 <br />57607 <br />$345.28 <br />$4.05 <br />$1.00 <br />$23.79 <br />$s9.30 <br />Permil Fee <br />Microlilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fire lnsp Req'd <br />Police lnsp. Req'd <br />Flood Zone Cert. Req' <br />ect to Field: <br />No <br />No Account# <br />No <br />Every peftn tssued shall become invalid unless the work on the sito by <br />such peml is commonced wtthh 360 days aftet tts tssuatlce,ot it the wo/k onzed <br />on the site by such ponlil is suspended ot abandoned tor a peiod of360 dF <br />the time the work $ commencecl <br />01 1 16002 51600 <br />01 116002 s1601 <br />01 116002 51612 <br />$433.42 <br />s0 00 <br />t433.42 <br />lnspector MID#: 2021-165910 <br />aftet 01116002 57770 <br />$23.79 <br />$404.58 <br />$1.00 <br />$4.05 <br />Project Address: 719 N Bristol St <br />Lol POR 2 <br />Occupancy: B 1st FL Area: Patio <br />Constr Type: V B 2nd FL Area: T.l Area <br />code: cBc 2019 other Areas: yards Req'd: <br />Floodzone x-06023201.t4J <br />Garage Area Valuation: E20,000.00 <br /># of stories <br />Totar: <br />install new asphalt roof material. Contractor letter of authorization on file. <br />Engineer: <br />Planoing Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'di No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Owner. Sam Abraham <br />Address. 63 Via Pico Plaza #535 <br />Trabuco Canyon, CA 92679 <br />Phone: ps1.l452-3222 <br />Tenant: Jack ln The Box <br />Contractor: <br />Address: <br />lvlisc Receipt <br />l\.4isc Receipt: <br />NIrsc. Recerpt: <br />Fee Total <br />Paid to Date: <br />Balance Oue: