HomeMy WebLinkAbout101103472 - Permitcity of Santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CA127O2 Bu
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Sectionr (714) 647-5853
ProjectAddress: 1108 W Cubbon St Unrt Bldg:
Tracl: NININGER
Address Range
Permit #: 101103472
Pin #: 40997
Assessofs Parcel 010-274-'10 Lot POR 1 Block NA Historic. No
Suite Range:
Zoning: R1
ilding
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Usel
Single Family Dwelling
Reroof
Reroof
Occupancy:
Constr Type:
Codel
Flood Zone:
# of Stories:
R-3
VB
cBc 2019
x-0602320257J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patlo:
T I Area:
Yards Req'd
Valuation: $4,811 .00
Description of Work: Tear otf existing, install '17 squares of comp roofing
Planning Conditions:
Owner:
Address
Josefina Dominguez
1108 W Cubbon St
Santa Ana, CA 92707
(714) 878-7613
Contractor: Sal-NBRoofing
Address: 3702 E Chapman Ave #C
Orange, CA 92869
Phone: (71/r) 345-8745
State Lic #: 1044953
Lic Type: C-39
Bus. Lic #: 37113,1
Workers' Compensalion lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9150583
Expiresr 0610912020
Address
Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By;
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'dl
Landscaping lnsp. Req'd
web user
Date: Misc. Receipl:
Oate: Misc. Receipt:
Date: O3l2gl2O2O Misc. Receipt:
Subject to Field:
No
No Account#
N/A ' No Balance
N/A - No Balance
07776002
017 7600 2
0 7 7 76002
07776002
0 77 7600 2
$333.06
$3.91
$1.00
$22.9s
$57.20
57507
57770
57672
57600
57607No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Flood Zone Cert. Req'd: No N/A - No Batance
Every permil issued shall bscorne nvalid unless the wor* o, lh6 site authonzed by
such poflnl is cofifienced within360days aftot ils issuance.ot if the wo* aulhonzecl
on the sits by such pemit is suspended ot abandonod for a peiod of360 days aftet
the time the wo* is commenced
lnspector MID#: 2020-158491
Fee Total
Paid to Datel
Balance Due
$41 8.1 2
$418.12
s0.00
Engineer:
Phone:
Tenant
Permil Fee
Microfilm Records
8ldg. Stds. Revolving
General Plan Update
lssuance
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BUILDING. INSPECTOR RECORD
Rev.08'O/'2015
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