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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counten (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOl94509 <br />Pin #: 7lJ574 <br />WProject Address: 1901 W Camden Pl <br />Assessor's Parcel 408-352-26 Lot 58 <br />Unil Bldg: Address Range Suite Range: <br />Zoning: RlBlock: NA T.acl 4402 Historic: No <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: <br />Job Type: Reroof Constr Type: V B 2nd FL Area: <br />Nature of Work: Reroof Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: Sfd Watt garage Flood Zone: X-0602320257J Garage Area:proposed Use: # of Stories: , ,orr,, Bat, h+: rlr:,7 / <br />U {i,:e: (lYll <br />Description of Work: Tear-off & apply composition shingles & built-up roofing material to flat portion. Handoat,{liten. <br />Ii, r,l.i :r:r?r:ri,: 16 <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation:s9,000.00 <br />I0: (:(:Ut <br />1( <br />Ilr <br />Planning Conditions: <br />lrqnsqct ion Totnl <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />MARIA BAEZ <br />1901 W CAMDEN PL <br />Santa Ana, CA 927044715 <br />(714) 206-0079 <br />Conlraclor: West Coast Roofing <br />Address: 21600 Elton Ln <br />Nuevo, CA 92567 <br />Phone; (714) 585{968 <br />Stale Lic #: 1006601 <br />Lic Type: C-39 <br />Bus. Lic #: 352238 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 9140070 <br />Expires: 08/08/2018 <br />G€nerol Plon t pd0te Fe( <br />01 I I 6r-xl2- :i 16r-xlr',lrrr:r- <br />Build ins <br />0l I l6ntl2- il6t:lIt:ll[]- <br />Blds Stds Revolv ins <br />tll l l6tltl2- 516121[](r- <br />Visa <br />(:C+: rxrr*r*rrx* r 1,562 <br />Engrneer <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Planning Approval 8y: <br />Plan Checked By: '. <br />Permit lssued gv:r' U'l <br />NPDES Insp. Redd <br />Frealoso ce Dale 'lOnAlzO17 <br />No <br />PWA lnsp. Req'd: - No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No 01116002 51600 <br />Every pormil issued shall become invalid unless the wo* on the site authoizod by <br />such pemit is commenced withln 180 days aftet tts issuance,ot il the wotl< authorized <br />on tho site by such pemit ts suspendod ot ebandonad tor a peiod ol,180 days aftet <br />the tifie the work is commenced <br />B <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />nt# <br />07115002 51501 Permit Fee <br />07776002 s1672 Bld9. Stds. Revolving <br />07776002 57600 Gene.al Plan Update <br />07776002 51501 lssuance <br />$308.52 <br />$1.00 <br />$21.25 <br />$52.98 <br />i Dale: <br />ki. Teri Date: 1011812017 <br />Subject to Field: <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No Accou Total <br />$383.75 <br />$0 00 <br />$383.75 <br />lnspector tt/lD#: 2017-1394'18 <br />01116002 51601 <br />01 1 16002 51612 <br />$21.25 <br />$361.50 <br />$1 00 <br />Fee Total: <br />Paid to Date. <br />Balance Oue: <br />,JSi, <br />,2 <br />63C <br />I <br />T <br />Authir 12ii