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Project Address: 1237 E Madison Ave Unrt <br />'/Lot 5 Block. NA Tract: 5085 <br />Bldg Address Range Suite Range <br />Zoning: MlHistonc. No <br />Building Use: Multi-Family (5 or more units) Occupancy R-1 <br />Job Type: Reroof Constr Type V B <br />Nature ol Work. Reroof Code: CBC 2019 <br />Existing Bldg. & Use: 3-Unit Apartments Flood Zone: X-0602320276J <br />1st FL Area: <br />2nd FL Area <br />Other Areas <br />Garage,Areal <br />Patio <br />T I Area <br />Yards Req'd <br />Valuation: $9,800.o0 <br />Proposed Use # of Stofles <br />Total: <br />Dsscription of Work: Tear off existing roof material and install new 30# felt paper and GAF comp shingles. HandOUt oiven. 20 squares <br />Planning Conditions <br />Phone: <br />Tenant <br />I <br />SIYETH YOTH <br />3738 HARRISON ST 3 <br />RiYerside, CA 925034203 <br />(7141414-7758 <br />Contractor Luis Mendoza Roofing <br />Address 2323 W 12th St <br />Santa Ana, CA 92703 <br />Phone: (714) 785-35,15 <br />State Lic # 972859 <br />Lic Type: C-39 <br />Bus. Lic #r 347079 <br />Workers' Compensation lnsurance: <br />Carrier Calilornia lns Co <br />Policy # 46728750 <br />Expires 0412012022 <br />Address <br />Phone: <br />License # <br />Architect / <br />Desiqner. <br />Address: <br />Phone: <br />License # <br />Planning Approval By Graham. Jeffery <br />Plan Checked By. <br />Permit lssued By: Chavez, Davey C/,. <br />NPDES lnsp. Req'd: No <br />0 77760 0 2 <br />o77760 0 2 <br />0 777600 2 <br />0 771500 2 <br />0 711600 2 <br />$345.28 <br />$4.05 <br />$1 00 <br />$23.79 <br />$59.30 <br />Date 06/10/202'l <br />Date. <br />Dale OEl1Ol2O21 <br />Subject to Field: <br />[,'lisc. Receipt <br />Mrsc. Receipt <br />Misc. Receipt <br />Permrt Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan update <br />lssuance <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp Req'dl <br />Police lnsp. Req'd ffi Account#Total <br />Landscaping lnsp. Req'd. No Flood Zone Cert Req'd. No <br />Evary pemt $sued shall becofio hvdhc! unless the wo on lho sto authonzed by <br />such pefinit is commenced wlhh 3@ days aftet ils issuanco.ot I lha wod< authonzed <br />on lho sito by such perfil ts suspanded or abandoned lot a ponod of 360 daysafter <br />the ttme the work is cofifiencecl <br />$23 79 <br />$404 58 <br />$1 00 <br />$4.05 <br />lnspector MID#: 2021-166677 <br />01 1 16002 s1600 <br />01 116002 5'1601 <br />01 1 16002 51612 <br />01 116002 57770 <br />CitY of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 Building <br />Permit Counter (714) 647-5800 lnspectron Requestsr 1714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOl {06923 <br />Pin #: 46274 <br />Assessor'sParcel: 014-321-05 <br />10111t69 <br />1 9:i? An <br />3133.42 <br />Lu is llendora Roof in <br />[r1116002- 5t601Ur:r0- <br />Gener(rl F lon tlDdote F <br />01116002- ll6Llut-tit(r- <br />8l ds Stds Revol v ine <br />lrll 160[2- 51612(r[r0- <br />n icrof i 1r ( Docunents <br />01116(102- 5777tr000- <br />ViEn <br />CCi: ***r.**x*rrr18719 <br />tn9 <br />Owner <br />Addressl <br />Engrneer. <br />Auth+;rl7l <br />57601 <br />57770 <br />57672 <br />57600 <br />57607 <br />Fee Total <br />Paid to Date <br />Balance Due: <br />s433 42 <br />$0 00 <br />$433.42