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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit#: 10189069 Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 Pin#: 49946 Project Address: 2121 N Grand Ave Unit: Bldg : Address Range: Suite Range : Assessor's Parcel: 396-201-04 Lot: SEE COMMENTSBlock: A Building Use: Job Type: Other Alteration Nature of Work: Roof Mtd Equip/Screening Existing Bldg. & Use: SCHOOL/CHURCH Proposed Use: Occupancy: Constr Type: Code: Flood Zone: # of Stories: Tract: S.A. GRAND AV N/A N/A CBC 2013 X-0602320163J Historic: No 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: o Zoning: R1 Patio: T.I.Area: Yards Req'd: O@O Valuation: $151,200.00 Description of Work: Install (12) new roof mounted HVAC systems on 2-rear buildings for school. Per contract price. Auth on file. Planning Conditions: Paint metal to match stucco Owner: Santa Ana United Methodist Churc Contractor: Owner-Builder Address: 2121 N Grand Ave Address: Santa Ana, CA 927057021 Phone: (714) 542-2219 Phone: Tenant: River Springs Charter School State Lie#: Lie Type: Bus. Lie#: Workers' Compensation Insurance: Planning Approval By: Plan Checked By: Permit Issued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd : No Carrier: Policy#: Expires: Guerra, Pamela So,Anson \CV Zuniga, Allissa Date: 04/26/2016 Date: 11/20/2016 Date: 12/19/2016 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: Fire lnsp. Req'd: No Police lnsp. Req'd: No Account# Flood Zone Cert. Req'd : No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance,or if the work authorized on the site by such permit is suspended or abandoned for a period of180 days after the time the work is commenced. 01116002 51600 01116002 51601 01116002 51612 01116002 57770 08901001 24000 Inspector MID#: 2016-128374 Engineer: Address: Phone: License#: Architect/ Desii:iner: Address: Phone: License#: 68763 Total $20.56 $648.26 $7.00 $7.00 $42.34 :!ic ~1..:;·1:i; :3,s1sg7 ~2/1 'i /2016 Uff":._e: (-.Yl-i ·,rGns:;!c: 60 A~:ct~: Ref~: t,1 __ l,·r·" l~tJ. "I J.Ch)..::) u ~l.;../ J. '/I..!.. c ID: ERIJB.lL 1 of 1013':iO/)'/ Anderson,~tf,U§t_1,1_r;~I <;rgi!J~~i;_ ·$3, 041 . 6 ·, Craig R Anderson 24632 San.;Juan ~v.em:ie.i#.240 net hod i st Dana Point, CA 92629 (949) 4 70!~~?3•' ':'; ,}" l i.l.l) /~;~, ~. 0 t. r; F ;~r:, SE 2609 ;:.i O :···:•JU,,· ·-'· c,,_11_,1_,1_11_1-• ,~•.-· . .:.t! I f13 ;iJ.l1G002· l' .. ' .. : : 1;,, I, .. : .. : .,(,(12 1J.6(1]. )1)0- ~' Doi::urn,~n ts _, 7T/U:J00 ·· !!. ... '--__ , :J ~ d ;: i::1~\,'(i .: • ... .-in .J fl_;_ l .,•.)C,02· .. J.6J.'.2:JOO·· Chu -· ' ·' Autb;: ci~ti oo $827.64 $7.00 $42.34 01116002 53600 Plan Check Fee 01116002 57770 Microfilm Records 08901001 24000 SMIP -Category 2 01116002 51612 Bldg . Stds . Revolving 01116002 51600 General Plan Update 01116002 51601 Issuance Fee Total: Paid to Date: Balance Due: $7.0 0 $20.56 $51.26 $1 ,552.80 $827.64 $725.16