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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 926 E Clemensen Ave <br />Assessor'sParcel. 396-412-08 Lot: 93 <br />Unit Bldgr Address Range Suite Range: <br />Zoning: RlBlock: NA rlact 4226 Historic No <br />Building Use: Single Family Dwelling Occupancy: R-3, U l st FL Area Patio: <br />Job Type: Roroof Constr Type: V B 2nd FL Area T.t.Area: <br />Nature ofwork: Reroof code: CBC 2016 other Areas: yards Req,d <br />Existing Bldg. & user sFDw/attgarage Flood zone: x-0602320t63J <br />Garage Area vatuation: S6,000.00 <br />Proposed Use: # of Stories: <br />Total <br />Description of Work: T/O oxisting roof material and install new com shingles to SFD with attched garage. Replace sheathing as needed. Hand out given <br />Planning Conditions: <br />Owner <br />Address <br />Phone: <br />Tenant <br />Dorine Kethley <br />925 CLEMENSEN AVE <br />Santa Ana, CA 927056712 <br />Contractor: E & E ROOFING INC <br />Address '18912 E CENTER AVE <br />Orange, CA 92869 <br />Phone: (714) 906-2369 <br />State Lic #: '1022071 <br />Lic Type C-39 <br />Bus. Lic #: 365395 <br />Workers' Compensation lnsurance <br />Carrier STATE FUND <br />Policy #: 9200284 <br />Expires 1211512018 <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 />Flores, lvan <br />Zuniga, Allissa v lvlisc. Receipt <br />[,,lisc. Receipt <br />lvlisc. Receipt <br />$308.52 <br />$1.00 <br />$21 .25 <br />$52.98 <br />Oale 0211212018 <br />Date <br />Oale 0211212018 <br />Subject to Field: <br />07776002 51601 Permit Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />07776002 51501 lssuance <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert Req'd: No <br />Every pemtt $sued shall become nvahd unless the wo* on the stte oulhonzed by <br />such pemit is commonced withh180 days aftet its issuance ot il the work authonzed <br />on the sile by such permit 1s suspended or abandoned fot a peiod o1180 days after <br />the ttme the wo* ts cofimenced. <br />$21 .25 <br />$361 50 <br />$1.00 <br />$383 75 <br />$0.00 <br />$383.75 <br />lnspector MtD# 2018-141435 <br />01 1 15002 51600 <br />01 1 16002 51601 <br />011 16002 51612 <br />Permit #: {O195536 <br />Pin #: 80897 <br />Fee Tolal <br />Paid to Date <br />Balance Due: