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101101276 - Permit
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101101276 - Permit
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Last modified
7/29/2021 7:45:44 AM
Creation date
7/29/2021 7:45:43 AM
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Permit
Permit Number
101101276
Full Address
1121 S Golden West Ave
Permit ID
257569
Master ID Number
2019-153878
Project Name
Dao Residence Reroof
Street Number
001121
Street Direction
S
Street Name
Golden West
Street Suffix
Ave
Building Use Code
Resid-1 unit
Job Types
Reroof
Permit Type
Building
Applied Date
8/28/2019
Issued Date
8/28/2019
Finalized Date
9/27/2019
Flood Zone
X-0602320257J
Description of Work
Reroof w/t.o.-Remove and replace comp shingles/replace sheathing as req'd/handout given/auth on file
Nature of Work
Reroof
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City nf Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, cA9?702 Bu ild ing Permit #: 1lJ1101276 <br />Pin #: 55627Permit Counter (714) 647-5500 lnspection Requests \714) 667-2738 lnspector Section (714) 647-5853 <br />Proj ect Address: 1121 S Golden West Ave Ur)rl Bldg Address Range Suite Range: <br />Zoning: R2Assessor's Parcel 109-091-05 Lol POR 2 Block B <br />Buildrng Use: Single Family Dwelling Occupancy R-3, U lst FL Area <br />Job Type Reroof Constr Type V B 2nd FL Area <br />Nature of Work Reroof code CBC 2016 other Areas. <br />Exrsting Bldg & Use: SFO w/det garags Flood Zone X-0602320257J Garage Area. <br />Proposed Use: # of Storres <br />Totat <br />Ooscription of Work: Reroof w/t.o.-Remove and raplace comp shingles/replace sheathing as req'd/handout given/auth on fil6 <br />Patio <br />T.lArea. <br />Yards Req'd <br />Valuation:$7,075.00 <br />I Tron <br />Owner <br />Address <br />Andrew Oao <br />'120 E Rio Salado Pkwy #203 <br />Tempe, AZ 85281 <br />(619) 886-8101 <br />Contractor <br />Address <br />Owner-Builder <br />Address <br />Phone. <br />Tenant <br />Phone: <br />State Lic #: <br />Lic Type. <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrierl <br />Policy #: <br />Expires: <br />Phone: <br />License f <br />Architect / <br />Desioner. <br />Address: <br />Phone: <br />License # <br />Planning Approval By Gomez, Pedro Date: 08/28/20'19 Misc. Receipti <br />Plan Checked By: Date: Misc. Receipl: <br />Permit lssued By Hernandez, Kathy Dale 08/28/2019 Misc. Receipl: <br />NPDES lnsp. Req'd: No Subject to Field: <br />PWA lnsp Req'd No Fire lnsp Req'd: No <br />Planning lnsp. Req'd No Police lnsp Req'd: No t!99{t# <br />Landscaping lnsp. Req'd: No Flood Zone Cerl Req'd No 01116002 51600 <br />Every pemt r;suect shatt becono nvahct untoss the wo* on the s e authonzect by 91 1 1999? 11901 <br />such peml $ commencec! wtthn 360 ctays aftor ts issuance,ot t the wo* aulhonzed 01 1 16002 5161 2 <br />on lhe site by such pormtt is suspended or abandonad lor a penod 01360 days after <br />lhe lfie lhe wo* ts commenced <br />07776002 51501 Permit Fee <br />01776002 57672 Bldg. Stds. Revolving <br />07776002 5150O General Plan Update <br />07776002 51501 lssuance <br />$333.06 <br />$1.00 <br />$22 95 <br />$57 20 <br />Tolal <br />lnspector MID#: 20'19-153878 <br />$22 9s <br />$390 26 <br />$1 00 <br />Fee Total <br />Pard to Date <br />Balance Due <br />$414.21 <br />$0 00 <br />$4'.t4.2',1 <br />Tract 604 Hrstoflc No <br />1r:r <br />0 <br />1 <br />Planning Conditions: <br />A,:cL+ ! Rel+: lttl <br />Rcpt+1i12128644 - 8/28/2tJ19 3ti <br />Transoct ion Totnl l4l4 <br />Engrneer.t(ei <br />Andreu Doo <br />Geflerol Plon Update Fee <br />01116(102- 5l6ntlr.r0u- <br />Bu i 1d ins <br />t:r1 I l6ifl-r2- 5 16t:r 1 r10u- <br />Blde Stds Revolv ins <br />t1 116trtt2- 51612r:I:ti- <br />V is0 <br />CC+ : f rrrrllr*r*r45(r3
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