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EProject Address: 1212 W Seventeenth St <br />Assessor's Parcel: 405-251-02 Lot: NA <br />Unrt Bldg: Address Range.Suite Range. <br />Zoning: CiBlock NA Tract: NA Hrstoric: No <br />@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA'27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Building Use: Commercial Occupancy: N/A 1 st FL Area Patio: <br />Job Type; Reroof Constr Type: N/A 2nd FL Area T.l.Area: <br />Nature of Work: Reroof code: cBc 2016 Other Areas: yards Req,d o@o <br />Existing Bldg & Use: Commercial bldg Flood Zone: X-06023201.14J <br />Garage Area Valuation: $18,000.00 <br />Proposed Use: Medical offices # of Stories: Total <br />Doscription of Wotk: Reroof ovor exiating roof with a new layer of single ply, cold fluid coating yo existing commsrcial buildin$ (Layer on top of exiting <br />roof) Hand out given. <br />Planning Conditions: <br />Phone: <br />Tenant Memorial Care Medical Group <br />Conlractor: Evans Roofing Co lnc <br />Address: 2020 S Yale Street <br />Santa Ana, CA 92704 <br />Phone (7r4) 285-1 180 <br />State Lic #: 610549 <br />Lic Type: c-39 <br />Bus. Lic #: 134596 <br />Workers' Compensation lnsurance: <br />Carrier: Calilornia lnsurance <br />Policy #: 46823460 <br />Expires: O1lO1l2O19 <br />Address: <br />ElTzlatrrgrons+l'j <br />Rel'+- ltt/12/2\ <br />Architect / <br />Designer: <br />Address: <br />Pnone <br />License # <br />Phone: <br />License # <br />tut,qI <br />I rr. <br />updote le€ <br />'r]0000- <br />Planning Approval By: Arabe, Jill <br />Plan Checked By: <br />Permit lssued Byr Zuniga, Allissa <br />NPDES lnsp. Req'd: No <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Oale 1011212018 Misc. Receipt <br />Date: Misc. Receipt <br />Date: 1O/1Z2O18 Misc. ReceiPt <br />Subject to Field: <br />No <br />No Account# <br />07776002 51501 Permit Fee <br />07776002 57672 Bldg Stds. Revolving <br />01776002 57600 Genercl Plan Update <br />07776002 51501 lssuance <br />$801.25 <br />$1.00 <br />$22.08 <br />$55 04 <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd Total <br />Landsc€ping lnsp. Req'd: No Flood Zone Cert. Req'd; No <br />Every pennil issuod shall become invalid unless the wolk on the sile authoized by <br />such petmil is commenced wtthinl80 days aftet its issuance ot il the wotk authonzed <br />on the site by such pemit is suspended ot abandohed for a peiod of180 days after <br />the ttfie the wotk is cgmilonced <br />lnspector MID#: 20'18-146866 <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />$22.08 <br />$856.29 <br />$1 00 <br />Fee Total <br />Paid to Date <br />Balance Due <br />$879.37 <br />$0 00 <br />s879.37 <br />Permit #: {Ol9802{ <br />Pin #: 13617 <br />Owner. <br />Address <br />Memorial Medical Group <br />1212 W. tTth St <br />Santa Ana, CA 92706 <br />Sotch i <br />UffrcEi <br />h[pla: t <br />Tron Eor <br />Engineer: <br />tot <br />uenetol I' <br />01116002 <br />Burldrne <br />u1l l60t'! <br />[.Ide Sli;! <br />uI11600?liL i hecl <br />: i.5u l r"J00- <br />i€volvins <br />51612000- <br />ir32578