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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspectof Section: (714) 647-5853 <br />Permit #: 1Ot92865 <br />Pin #: 84035 <br />Project Address: 1111 W Santa Ana Blvd <br />Assessor's Parcel 008-084-24 Lot: 3-6, 15.'18 Block. B <br />Unil Bldg: Address Range: <br />Tract: SHELTON & DEUELS ADO Historic No <br />Suate Range: <br />Zoning: P <br />\{. <br />Euilding Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Multi-Family (5 or more units) Occupancy: <br />Reroof Constr Type <br />Reroof Codel <br />Apt Complox w/garages underneal Flood Zone: <br /># of Stories: <br />U, R-2 <br />VB <br />cBc 2016 <br />x-0602320257J <br />3 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $35,000.00 <br />Dsscription of Work: Apply 150 sqs of comp over'l-layer of composition shingles. Handout givon <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Jim Colombo <br />524 Fetn <br />Newport Beach, CA 92658 <br />(949) 9r4-7094 <br />Conlraclor: Lewis Roofing lnc <br />Address: 14047 Blue Ash Court <br />Corona, CA 92880 <br />Phone: (951) 273-0901 <br />Stale Lic #: 87'1236 <br />Lic Type: C-39 <br />Bus. Lic #: 353318 <br />Workers' Compensation lnsurance: <br />Carrier: State lnsurance Fund <br />Policy #: 9055456 <br />Expires: 03/06/2017 <br />Engineer <br />Address <br />Bs L,:ull, <br />K,;pt <br />Iron <br />l€pi <br />Refi: <br />, 2t:-t1 i <br />Irrli <br />ll r 1'r <br />2(rl7 ID: NG <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #l <br />berrer oI <br />tl1 I 16Ur,2 <br />Build ins <br />t-'r11i.Jr:rir2 <br />P.lds l.i J <br />6r-r.llJUr_r <br />orl l rlllr.l <br />Planning Approval By <br />Plan Checked By; <br />Permit lssued By: <br />NPDES lnsp. Req'd <br />PWA lnsp. Req'd: <br />e, Jill Dale. 05IO2J2O17 <br />Date: <br />Oale OSlO2l2017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />0777600, <br />o77 7600 2 <br />07776002 <br />07776002 <br />Permit Fdai <br />Bldg. Stds. Revolving <br />General Plan Updale <br />lssuance <br />57607 <br />57672 <br />57600 <br />57607 <br />$746.25 <br />$2.00 <br />$20.56 <br />$51.26ki, Teri <br />No Fire lnsp. Req'd: <br />Police lnsp. Req'd ffi Account#Total <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cerl. Req'd: No <br />Every perfiil issued shall become invalicl unless lho wod( on the sile authorized by <br />such pemit is commenced wilhin 180 days aftet ils issuanco,or if the wo* aulhonzec! <br />on the site by such pomit is suspended ot abandoned tot a peiod of180 days aftet <br />lh6lime the wo* iscofimenced. <br />$820 07 <br />$0.00 <br />$820.07 <br />lnspector MID#: 2017-135917 <br />$20.s6 <br />$797.51 <br />$2.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Planning Conditions: Like'for'like. <br />01116002 51600 <br />01 116002 51601 <br />01116002 51612