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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 #: {01105888 <br />Pin #: ,OW <br />Project Address: 1139 W Santa Ana Blvd Bldg: Address Range: <br />TTact: SHELTON & DEUELS ADD <br />Unit: <br />Historic: No <br />Suite Range: <br />Zoning: PAssessor's Parcel: 008-084-11 Lot: 11 Block: B <br />Building Use: Commorcial Occupancy: F-2 1st FL Area Patio: <br />Job Typq R.ioof Constr Type V B 2nd FL Area T.l.Area: <br />Nature ot work Reroof code: cBc zll9 olher AreaE yards Req,at <br />Existing Bldg. & use commedcal Flood zone: x.o802320257J carage Area vatuafion: g25,ooo.oo <br />Proposed Uae: # of Stories: Total O <br />Ooacrlptlon of Work R R exlltlng roof wlth now GAP TPO high pefom.nco commorci.l gr.d. rcoflng ayatom to.xiating commorical building. Roplac. <br />aheathingrplywood a8 noedod, Hand out giverl. <br />Planning Conditions <br />Owner. <br />Address: <br />Phone: <br />Tenant <br />Samir Mughrabi <br />1139 W Santa Ana Blvd <br />Santa Ana, CA 927033832 <br />(7141 403-6067 <br />Contractor: Certified Roofing Specialist: <br />Address: 9281 Larkspur Dr <br />Westminster, CA 92683 <br />Phone: (7141 668-0757 <br />State Lic #. 956843 <br />Lic Type: C-39 <br />Bus Lic #: 337515 <br />Workers' Compensation I nsurance: <br />Carrier: State Compensation lnsurance Fut <br />Policy #: 1949902 <br />Expires. 1210112021 <br />Engineer. <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />l-LLr r <br />rIPt+:1131.-$g?6 <br />r on Scrrrt i on 'l <br />trerLtt r <br />I I6LuJ2_ <br />i ld ins <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd. No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd. No <br />Landscaping lnsp. Req'd: No <br />Kelaher, Selena / <br />Zuniga, AllissaV <br />Date: 0211612021 <br />Date: <br />Date. 0211612021 <br />Subject to Field. <br />07776002 57607 <br />07776002 57770 <br />07776002 57672 <br />07776002 57600 <br />07776002 57607 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />I ssua nce <br />Misc. Receipt. <br />Misc. Receipt: <br />Misc. Receipt: <br />$345.28 <br />$4.0s <br />$1 .00 <br />$23.7e <br />$se 30 <br />Fire !nsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert. Req'd: No <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within360 days afterifs issuance,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 />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <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 <br />lnspector MrD#'. 2021-164283 <br />I eC <br />, ALU ? <br />l.gr:ilJ?- <br />'ot ilm <br />l. 6t:ll:12 -