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I llcity of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,T7O? Building <br />Permit Counter: (714),647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714).647-5853 <br />Permit #: { O{ l0Ol Ol <br />Pin #: 35732 <br />Project Address: 410 W Keller Ave <br />Assessor's Parcel: 410-102-28 Lot: 32 <br />Unit Bldg: Address Range:Suite Range: <br />Zoning: RlBlockr NA Tract 5697 Historic: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Exasting Bldg. & Use <br />Proposed Use: <br />Single Family Owelling <br />Reroof <br />Reroof <br />R-3 <br />VB <br />cBc 2016 <br />x-0602320278J <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: $6,226.00 <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: Tear off existing, install 22 squares of comp roofing <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant <br />thanh <br />4'120 w keller <br />Santa Ana, CA 92707 <br />(714l.7134134 <br />Conlractor: WestminsterRoofing <br />Address. 9612 Sutherland Wy <br />Gard€n Grove, CA 92844 <br />Phoner (714) 541-5351 <br />State Lic #: 694940 <br />Lic Type: C-39 <br />Bus. Lic r: 168571 <br />Workers' Compensalion lnsurance: <br />Carrier: State Compensation lnsurance Fur <br />Policy #: 9043501 <br />Expires: O1lO1l2O2O <br />Engineer <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqnerl <br />Addressl <br />Phone. <br />License # <br />web user <br />Date: <br />Date: <br />Date: 05/13/20'19 <br />Subjecl to Field: <br />Misc. Receipl <br />Misc. Receipt <br />Misc. Receipt <br />$320.50 <br />$1.00 <br />$22.08 <br />$55.04 <br />07776002 51601 Permil Fee <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 cenercl Plan Update <br />07776002 51501 lssuance <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert. Req'd: No N/A _ No Batance <br />Evory pomit issued shall bocomo invalid unlass the wo* on lhe site aulhoized by <br />such pemit is conmenced within 360 days aftet ils issuenca,or it the wo* authonzod <br />oh the sile by such pe.rnit is suspended or sbandoned fot a peiod of 360 days aftot <br />the lime the work is commenced. <br />$398.62 <br />$398.62 <br />s0.00 <br />lnspector <br />N/A - No Balance <br />Fee Total <br />Paid to Date: <br />Balance Oue <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'dl <br />Landscaping lnsp. Req'd: <br />MltD# 2019-151474