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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#: 10197429 <br />Pin #: 30068 <br />q <br />Proiect Address: 1401 N Bush St <br />Assessor's Parcel 398-133-08 Lot; 7 <br />Unit Bldgt Address Range <br />Tract: GOODWIN'S ADD.Historic; NoBlock: F <br />Building Use: Duplex Occupancy: R-3 1st FL Area <br />Job Type: Reroof Constr Type: V B 2nd FL Area <br />Natureof Work: Reroof Code: CBC 2016 other Areas. <br />Existing Bldg. & Use: puplsy Flood Zone: X-0602320163J Garage Area <br />Proposed Use: # of Stories: <br />Totat <br />Description of Work: Reroof Wt.o--Remove and apply comp shingles/sheathing as req'd/replace flashing on (e) skylight <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: $13,669.00 <br />8Fl*r'lf$;l - i/3lfl'!* 'o' 'fnlf'!'Engineer: Acct+: kef+: litlrl4?s <br />Owner: JohnMcoil Contractor: Petersen & Dean lnc dba Pe R,rpt+;02359050 - 8.1?u,/2r:r,t ?i4.{ Ffl <br />Address: 14Ol NBushSt Address: 39300 Civic Center Dr Address: Trqnsq,:t.ion Tot(l t.1i,"i,62 <br />Santa Ana, CA 92701 Fremont, CA 94538 <br />phone: (714) 566-5911 Phone: (714) 805-3903 Phone: Petersen & Deqn Inr dho t'ete' - <br />State Lic#: 468117 License #: General plan Uedote Fee l:1,1.1-tp,Tenant Licrype: c-16, c-10, c-20, c-3e Archlect/ Slllril?- s1600000- <br />$.t7r:r.ti4Bus. Lic #: 31ao74 Desiqner; 6iii;6iii- 51601006-workers' compensation lnsurance: Address: Btds stds Revolving gl.t. lCarrier: Dept of lndustrial Relations 0111600?- i16120(t0- <br />Policy #: sP4055778 Phone: ICL Chpch 00?819 t399.62 <br />Expires: 04l3Ol2O1S 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 />\r Hernandez, Kathy <br />Date: 08/20/20'18 <br />Date: <br />Dater 08/20/2018 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />$320.50 <br />$'1.00 <br />$22.08 <br />$55.04 <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 pemit issued shall become invalid unless the wotk on the site aulhoized by <br />such permil is commenced wtthin180 days aftet its issuance,or if lhe work authorized <br />on the site by such permit is suspended or abandoned fot a period of180 days aftet <br />the time lhe wo* is commenced. <br />$22.08 <br />$375 54 <br />$1.00 <br />$398.62 <br />$0.00 <br />$398.62 <br />lnspector l\nlD#. 2018-145525 <br />Fee Total <br />Paid to Date <br />Balance Due <br />Suite Range: <br />Zoning: SP3 <br />07116002 51601 Permit Fee <br />07776002 s7572 Bldg. Stds. Revolving <br />07116002 51600 General Plan Update <br />07776002 51601 lssuance <br />01 1 't6002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612