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bY <br />Project Address: 401 S Broadway <br />Assessor's Parcel 398-293-01 Lolr POR 2 <br />Unit Bldg: Address Range <br />Tract: PALMER'S ADD <br />Suite Range: <br />Zoningr SO40Block: 15 Hastoricr No <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building <br />Permit Counter: (714)647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 10593972 <br />Pin #: 74lJ92 <br />Building Use: Triplex Occupancy: R-l 1st FL Area: <br />Job Type: Reroof Consk Type: V B 2nd FL Area: <br />Natureof Work: Roroof Code: CBC 2016 Other Areas: <br />Exlsting BIdg. & Use: Triplex Flood Zone: X-060232O276J Garage Area <br />Proposed Use: # of Stories: <br />Totat: <br />Description of Work: Reroof Wt.o.-Remove and apply comp shinglss/replace sheathingrhandout given <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation:$8,000.00 <br />Owner. <br />Address <br />Robert M Peters <br />PO BOX I1721 <br />Santa Ana, CA 927111721 <br />Phone: <br />Tenant <br />Contractor: A E Roofing <br />Address: 745 Glenoaks RD <br />Thousand Oaks, CA 91360 <br />Phone: (805) 494-3186 <br />State Lic #: 8'l1439 <br />Lic Type: C-39 <br />Bus. Lic #: 366761 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 9030279 <br />Expires: 1111112017 <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 />NPOES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Guevara, Jerry <br />Hernandez, Kathy <br />Oale 0812812017 <br />Date: <br />Date: 08/28f2017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt\d <br />07776002 <br />0 7776002 <br />0 77 76002 <br />0 77 76002 <br />0 77 76002 <br />077 76002 <br />5760 7 <br />5760 7 <br />57607 <br />5 7672 <br />57600 <br />57607 <br />Permit Fee <br />lnvestigation <br />Penalty <br />Bldg. Stds. Revolving <br />General Plan Updale <br />lssuance <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd il: Account#Total <br />Flood Zone Cert. Req'dr No <br />Every pemit issued shall become invalid unless lho wo* on lhe site aulhorized by <br />such pormit is cofimenced within 180 days aftet its issuance,ot if the wo* authonzed <br />on lha site by such pemil is suspendad or abandoned lor a peiod o1180 days after <br />the lime the work is commenced . <br />lnspector MID#: 2017-138265 <br />521 .2s <br />$688.75 <br />$1.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />s71 't.00 <br />$0 00 <br />s71 1.00 <br />Planning Conditions: <br />2734rl. <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />$308.52 <br />$93.1 7 <br />$234.08 <br />$1.00 <br />$21.25 <br />$52.98