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City of Santa Ana 20 Civic Centef Plaza (M-19), Santa Ana, CA127O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (7'l4l667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1()11o.2242 <br />Pin #: 72375 <br />Project Address: 1717 N Old Tustin Ave <br />Assessor's Parcel 396-311-04 Lot. NA <br />Bldg: Address Range: <br />Tractr A.B. Chapman <br />Unit <br />Historicr No <br />Suite Range: <br />Zoningr ClBlock B <br />Building Use <br />Job Type: <br />Nature of Workl <br />Existing BIdg. & Use <br />Proposed Use <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Description of Work: Tear off and replace with new BUR roof material. Handout given. B License contractor is peforming additional trades <br />Planning Conditions: <br />Commercial <br />Reroof <br />Reroof <br />Commercial <br />B <br />VB <br />cBc 2016 <br />x-0602320154J <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $18,000.00 <br />Owner. <br />Address: <br />Phone: <br />Tenant <br />Dr. Maryam Nazeri <br />1717 Old Tustin Ave. <br />Santa Ana, CA 92705 <br />(949) 300-3841 <br />Contractor: Golden Oaks Kitchen Bath a <br />Address: 5952 Chinook Oriye <br />Huntington Beach, CA 9264 <br />Phone: (714) 473-504'l <br />State Lic #: 838971 <br />Lic Type: B, C-54, C-15 <br />Bus Lic #: 194351 <br />Workers' Compensation lnsurance: <br />Carraer: State Compensation lnsurance Fur <br />Policy #: 9234000 <br />Expires: 0612712020 <br />Engineer <br />Address <br />Architect / <br />Designer: <br />Address; <br />Phone: <br />License f: <br />Phone: <br />License #. <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'd <br />Landscaping lnsp Req'd <br />Orozco, lvan <br />Chavez, Dave <br />Date: 11r13/2019 <br />Date: <br />Date: 11/14/2019 <br />Subject to Field: <br />Fire insp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cerl Req'd: No <br />Every pemil $suecl shall becomo nvahd unlossthe wo* on lhe slo authoflzed by <br />such pemil ls comfienced wilhin 360 days aftet ils issuance,or il lhe wo* aulhonzed <br />on lhe site by such pormil ls suspended or abahdoned lot a potiod ol 360 daysaftet <br />lhe lime the wo* ts commenced <br />0 7776002 <br />0 777600 2 <br />0777600 2 <br />0 77760 0 2 <br />0 777600 2 <br />57501 <br />57770 <br />5 7672 <br />57600 <br />57607 <br />$333.06 <br />$3.91 <br />$1.00 <br />$22.95 <br />$57.20 <br />Permit Fee <br />Microfilm Records <br />8ldg. Stds. Revolving <br />General Plan Update <br />lssuanceNo <br />No <br />No <br />No <br />No <br />No Account#Total <br />$418.12 <br />$0.00 <br />E418.12 <br />lnspector MID#: 2019-155852 <br />01116002 51600 <br />011 't6002 51601 <br />01i 16002 516't2 <br />01116002 57770 <br />$22.95 <br />$390.26 <br />$1.00 <br />$3.91 <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Fee Total: <br />Pald lo Date: <br />Balance Due: