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Project Address: 1610 W Twelfth St <br />Assessor's Parcel 405-152-15 Lot 26 <br />Unrl Bldg. Address Range Suite Range: <br />Zoning: RlBlock NA Tracl 1'146 Hrslonc No <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana CA92702 <br />Permit Counter: (714) 647-5800 lnspectron Requests (714) 667-2738 lnspector Sectron (7'14) 647-5853 <br />Building Permit #: 1O110277O <br />Pin #:22140 <br />{\ <br />Building Use <br />Job Type: <br />Nature of Work. <br />Existing Bldg & Use <br />Proposed Use: <br />Planning Conditions: <br />Sinqle Family Dwelling <br />Reroof <br />Reroof <br />SFO w/ att garage <br />Occupancy <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories <br />R-3, U <br />VB <br />cBc 2019 <br />x-0602320144J <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area <br />Total <br />Patio: <br />T I Area: <br />Yards Req'd <br />Valuation: <br />I/ 6/ lr,lt1 <br />$6,000.00 <br />lU:,li1(r,rl I <br />Description of Work: T/O existing roof and install new comp shingles to SFD with attached garage. Replace sh eathing/plywood as needed. Hand out <br />grven I'li ; <br />0n sq L] <br />.t <br />o <br />Owner. <br />Address <br />Phone <br />Tenant <br />lsabel Lopez <br />1610 w 12th st <br />Santa Ana, CA 92703 <br />(7141791-8429 <br />Contraclor ConcecretConstructionCor <br />Address. P.O- Box 2787 <br />Garden Grove, CA 92842 <br />Phone. 17141791-8429 <br />State Lrc #: 1040511 <br />Lic Type: B, C-8, C-39 <br />Bus Lic #: 374753 <br />Workers' Compensation lnsurance: <br />CaTTieT NATIONAL CASUALTY COMPANY <br />Policy # WCC332578A <br />Expires. 1210512020 <br />Engrneer <br />Address ,tlotn:l <br />r idttur <br />:n ero I <br />I l titrtr <br />.or Std <br />i i 6ti'i <br />Phone <br />License # <br />Architect / <br />Desiqner. <br />Address: <br />Phone: <br />License # <br />Siot-,rtiiii,i- <br />icn Updote FEe <br />rt ba,i iiiii- <br />tevolv in9 <br />ii6i;unii- <br />.\ io,:uments <br />.r7 ;;, ':,niiii- <br />Planning Approval By: <br />Plan Checked By <br />Permit lssued By: <br />NPDES lnsp. Req'd No <br />Graham, Jeffery <br />Zuniga Allissa <br />PWA lnsp Req'd: No Fire lnsp Req'd: No <br />Planning lnsp Req'd No Police lnsp Req'd: No <br />Landscaping lnsp. Req'd. No Flood Zone Cerl. Req'd. No <br />Evory petn Bsued shall become invalid unless lhe work on the sile authorized by <br />such peml is commenced wtthn360 days aftet its issuance.or il lhe wo* aulhon2ed <br />on lhe sie by such permil ts suspended or abandoned for a penod 01360 days after <br />the tine the wo* ts commenced <br />lnspector MID#: 2020-156932 <br />Date 01/06/2020 <br />Date <br />Date.0'l/06/2020 <br />Subiect to Fieldr <br />0 77160 0 2 <br />o7776002 <br />0 71160 0 2 <br />0 711600 2 <br />0 77760 0 2 <br />57607 <br />57770 <br />516 72 <br />57600 <br />5760 7 <br />Permil Fee <br />Microfilm Records <br />Bldg. Stds Revolving <br />General Plan Update <br />lssuance <br />[risc Receipt <br />[ilisc. Receipt <br />lvlisc. Receipt <br />$333 06 <br />$3.91 <br />$1 00 <br />$22 95 <br />$57 .20 <br />n"99yL_ _ <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01116002 51612 <br />01116002 57770 <br />Total <br />$22.95 <br />$390 26 <br />$1 00 <br />$3 91 Fee Tolal <br />Paid to Date <br />Balance Due: <br />$418 12 <br />$0.00 <br />$418.12