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Permit #: { Ol { 03068city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714], 647-5853 <br />Proiect Address: 5122W Davit Ave Unit <br />Assessor's Parcel 108403-01 Loi l Block: NA Tract: 5530 Historic No <br />Pin #: 97 <br />Suite Rangel <br />Zoning: Rl <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Reroof <br />Reroof <br />SFD WATT GARAGE <br />R-3, U <br />VB <br />cBc 2019 <br />A-0602320256J <br />1 <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area: <br />Totat <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: $17,000.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Planning Conditions: <br />P,ttt,:h* :54?67 <br />0ff i{e! (:TYH <br />2/6/2tt2t1 <br />Trrlns+l 35 <br />Rel+ I <br />ID: IlF,INEOA <br />1 c,f 1 <br />1 l:l I t r-r 5r16s <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Sean Pham <br />5122 W DAVIT AVE <br />Santa Ana, CA 927041707 <br />(714) 401-s109 <br />Contractor: CertifiedRoofingSpecialistr <br />Addressr 9281 Larkspur Dr <br />Westminster, CA 92683 <br />Phone: (714) 658-0757 <br />Slate Lic #: 956843 <br />Lic Type: C-39 <br />Bus. Lic #: 337515 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 1949902 <br />Expires: 1210112020 <br />Engineer: <br />Address <br />RrPt+f0?8988{( - 2/6/202tt 11::,1 An <br />Tronsodt ion Totol t4lS. 1:? <br />.iose Vctsc uer <br />Cert i I ied Rost'ine 6pEc iql i Ets <br />Phonel <br />License # <br />Architecl / <br />Desiqner: <br />Address: <br />P,[' i ]d ins <br />i1 I 161:ll]2- 5 16t-r1 t-lt:tlt - <br />6errErol f'l nn Updtrte FPe <br />rl11l60l.l2- 5 16l,ltll:lrll l-l " <br />lrlds Stds tievolvins <br />t:r I 1 1 6Llll2- 5 I 6l2t:fl1rl- <br />llicnof iI$ f, Do.ufientg <br />l-l1116t_ l2- 5 7 77t-lt:lt:t[l- <br />V isn <br />CC+ r *r*rr*rrrr*r9912 <br />$1.[rrl <br />$41S.1 <br />Au!h+:l|6J7gG <br />Planning Approval By <br />Plan Checked By <br />Permil lssued By <br />: I giann <br />LA\,C-, <br />, Melanie <br />ki, Ieri <br />0 77 76002 <br />0 7716002 <br />07776002 <br />01776002 <br />07776002 <br />5760 7 <br />57770 <br />57672 <br />57600 <br />5760 7 <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Date: 0210612020 Misc. Receipt <br />Date: Misc. Receipt <br />Date: 02106/2020 Misc. Receipt <br />Subject to Field: <br />No <br />No Account# <br />$333.06 <br />$3.9'l <br />$1.00 <br />$22.95 <br />$57.20NPDES lnsp. Req'd: (__,/No <br />PWA lnso Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp. Req'd: <br />Police lnsp Req'd Total <br />Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No <br />Every pormit issued shall becone invalid unlessthe work on lhe site authorized by <br />such permit is commenced within360 days after its issuance or if the work authorized <br />on lhe site by such permit is suspended or abandoned fot a peiod of360 days after <br />the time the wotk is commenced <br />$22.95 <br />$390.26 <br />$1.00 <br />$3.91 <br />lnspector MID#: 2020-1576'16 <br />01 1 '16002 51600 <br />01 1 16002 s1601 <br />01 1 16002 51612 <br />01116002 57770 $418.12 <br />$0.00 <br />$418.12 <br />Bldg: Address Rangel <br />Description of Work: Tear-off & apply composition shingles. Handout given. <br />Phone: <br />License #: <br />5.t?U. 26 <br />$3. ?1 <br />Fee Total <br />Paid lo Date: <br />Balance Due: