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laza (M-19), Santa Ana, CA <br />Requests (714) 667-2738 t <br />Unit <br />Block NA <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone. <br /># of Stories: <br />R-3 <br />VB <br />cBc 2019 <br />x-0602320 <br />of comp roofing <br />nta Ana, CA 92704 <br />14) 381-1870 <br />007845 <br />-39 <br />rch-American <br />'t4-06-317-00 <br />1t2021 <br />2077 <br />salion lnsurance <br />@ CitY of Santa Ana 2o Civtc cen <br />Permit Counter: (714) 647-5800 lns <br />Assessor's Parcel.408-453-11 Lot 42 <br />Building Use. <br />Job Type: <br />Nature of Work <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwolling <br />Reroof <br />Reroof <br />Description of Work: Tear off existing, install 24 squa <br />Planning Conditions: <br />Owner. <br />Address <br />Robert Forsberg <br />2214 S Forest Ave <br />Santa Ana, CA 92704 <br />|.7141 42s-6458 <br />Contractor <br />Addressl <br />Phone: <br />Tenant <br />Phone: <br />Slate Lic #: <br />Lac Type: <br />Bus Lic #: <br />Workers'Co <br />Carrier: <br />Policy #: <br />Expires: <br />Planning Approval By: <br />Plan Checked Byl <br />Permit lssued By. <br />NPOES lnsp Req'd. <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd. <br />Landscaping lnsp. Req'd <br />S <br />Fire lnsp. Req'd. <br />Police lnsp Req'd: <br />Flood Zone Cert. R <br />Every pemit issued shall become nvalid unlossthe work on lhe stte au <br />such perm is commencod wtlhn 360 days after tts tssuance ot if the n/ork <br />on the sile by such petml 6 suspended or abandoned tot a peiod o1360 <br />the Ume the wo* ts commencecl <br />lnspector <br />Misc. Recei <br />Misc. Recei <br />OSl1gt2O21 Misc. Recei <br />N/A - No Balance <br />N/A - No Balance <br />N/A - No Balance <br />to Field <br />No <br />No <br />No <br />by <br />702 <br />ector Section: (714) 647-5853 <br />Bldg. Address Range <br />Permit #: I Ol { 0671 I <br />Pin #: 43543 <br />Bu ild ing <br />Hastoric No <br />59J <br />1st FL Area <br />2nd FL Area <br />Other Areas <br />Garage Area <br />Totat <br />Surle Range <br />Zoningr Rl <br />Patiol <br />T.l.Area: <br />Yards Req'd <br />Valuation: $6,792.00 <br />Phone: <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Engrneer: <br />Address <br />Total <br />077 760 0 2 <br />077 760 0 2 <br />07776002 <br />07716002 <br />0 777600 2 <br />57607 <br />57770 <br />576 72 <br />51600 <br />57607 <br />$345.28 <br />$4 05 <br />$1 00 <br />$23 79 <br />$59.30 <br />Permit Fee <br />Microfilm Records <br />Bldg Stds Revolving <br />General Plan Update <br />lssuance <br />s433 42 <br />$433 42 <br />s0.00 <br />Fee Total <br />Paid to Date. <br />Balance Due: <br />Project Address: 2214 S Fcrest Ave <br />Itacl 4572 <br />Roofing, lnc. <br />S. Mohawk Dr. <br />web_user <br />No <br />No <br />No <br />No <br />Account# <br />MID#: 2021-166236