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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: 1O1107829 <br />Pin #: 5630{ <br />Qtv <br />''r <br />Proiect Address: 2017 N Williams St-a- -Unit:Bldg: Address Range:Suite Range: <br />Zoning: RlAssessor's Parce!: 396-1 05-21 Lot: 33 Block: NA Tract: 6501 Historic: No <br />Building Use: Single F.mily DwellinO Occupancy: R3, U 1st FL Area Patio: <br />Job Type Roioof Constr Type V B 2nd FL Area T. l.Area: <br />Nature ot work Reroof code: cBc mlg oher Arees yards Req.d <br />Existing Bldg. & use: sfd wr.tt g.r.ge Flood zone: x.o8o23zrl6d <br />carage Area vetu.tion: tt4,25o.ooProposed Usei # of Stories: <br />Tolal <br />Deacrlptlon ot Work Rerco, houra & atlachad ga.age - rcmovs comp, rsplacs any damagod shsathlng, lnBtrll naw comp ahlngla!. Handouts givon. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Deb Thompson <br />2017 N Williams St <br />Santa Ana, CA 927057842 <br />(7141 6584443 <br />Contractor: William J Burken <br />Address: 12975 Avenida Empresa <br />Riverside, CA 92503 <br />Phone: (7141 931-8618 <br />State Lic #: 574763 <br />Lic Type: C-39 <br />Bus. Lic #: 370158 <br />Workers' Compensation I nsurance. <br />Carrier: State Fund <br />Policy #: 1860441 <br />Expires'. 1210112021 <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />Planning Approval By.Jacinto, Heidi <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA Insp. Req'd: <br />Planning lnsp. Req'd <br />Landscaping lnsp. Req'd: <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days after ifs issua nce,or if the work authorized <br />on the site by such permit is suspe nded or abandoned for a period of 360 days after <br />the time the work is commenced. <br />lnspector MID#: 2021-168532 <br />Julie <br />Date: 08/31 12021 <br />Date. <br />Date: 08/31 12021 <br />Subject to Field: <br />Misc. Receipt. <br />Misc. Receipt: <br />Misc. Receipt: <br />07776002 <br />07776002 <br />07776002 <br />077760 02 <br />07776002 <br />57607 <br />s7770 <br />57672 <br />s7600 <br />57607 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />I ssuance <br />$345.28 <br />$4.05 <br />$1 00 <br />$23.7e <br />$5e 30 <br />Fire !nsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />Account#TotalNo <br />No 01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 s1612 <br />01 1 16002 57770 <br />$23 79 <br />$404.58 <br />$1.00 <br />$4.05 Fee Totat <br />Paid to Date: <br />Balance Due: <br />$433.42 <br />$0 00 <br />$433.42