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Project Address: 2610 W Adrin Wav <br />Assessor's Parce!407 -034-12 Lot: 112 <br />Suite Bldg: Address Range Suite Range: <br />Zoning: RlBlock: NA Tract: 3423 Historic: No <br />Jl,,. <br />."' fi City of Santa Ana <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />Building Permit #: 1lJ14J,6,57 <br />Building Use: Single Family Dwelling - Detached Constr Type: VN 1st FL Area: <br />Type of Work: Reroof Occupancy: R3/Ul 2nd FL Area: <br />Nature of Work: Reroof Code: CBC 200i Other Areas: <br />Existing Bldg. & Use: SFD w/ATr GARAGE Flood Zone: Xq602320257H <br />Proposed use: Garage Area: <br />Total: <br />Description of Work: Tear-off composition & apply 15 sqs of Claylite Tile (ICBO 3523, 5.9 ps0 on sloped area only <br />Pla nning Conditions; <br />0 <br />0 <br />0 <br />Patio: 0 <br />T.l.Area: 0 <br />Valuation: 95.970.00 <br />0 <br />0 <br />Handout given. <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Teresa Salera <br />2610 W Adrin Way <br />Santa Ana, CA 927043128 <br />(7141 540-3162 <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carier. <br />Policy #: <br />Expires: <br />Planning Approval By: <br />Plan Checked By:\ <br />Permit lssued By: <br />Subject to Field: <br />PWA lnsp. Req'd: <br />Planning lnsp. R-eq'd: <br />Landscaping lnsp. Req'd <br />r I .KloE, Sergio Date: 06/04/2004 <br />Date: <br />Date: 06/04/2004 <br />077-07-5977 Permit Fee <br />0 7 7 - 0 7 - 5 97 1 Pre-lnspection <br />01I - 01-59t1 lssuance <br />l\4isc. Receipt <br />Misc. Receapt <br />l\risc. Receipt <br />$111.7s <br />$62.50 <br />$30.00 <br />$204.25 <br />$0.00 <br />$204.25 <br />\\ <br />Brddowski, Teri <br />No <br />No <br />No <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />This permit shall expie by limitation and become null and void if the work authorized by lhis permil <br />is not commenced within 180 days from the date ol lhis pemit, or if the work authorized by this <br />permit is suspended or abandoned at any time after the work is commenced fot a period ol 180 days <br />Belore such work can be recommenced, a new permit shall be tirst obtained to do so. <br />Account #: 01 1-01-5911 lnspector <br />Fee Total: <br />Paid 1o Oate: <br />Balance Due <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 ;( <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect: <br />Address: <br />Phone: <br />License #: