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ProjectAddress: 1125 W Brook St <br />Assessor'sParcel 0l0-182-59 Lot: POR 5 <br />Unit: 2 <br />Block NA <br />Bldg: Address Range: <br />Tract: HIGHLAND STREEIHistoric: No <br />Suite Range: <br />Zoning: R3 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requesls: (714\ 667-2738 lnspector Section: (714) 647-5853 tzA <br />Permit #: 20{7O5OO <br />Pin #: 97264 <br />Owner <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address. <br />Alb€rto & Martha Flores <br />1423 S Birch St <br />Santa Ana, CA 927071706 <br />(714) 404-0803 <br />Owner-Builder <br />011 16002 51603 <br />01116002 51603 <br />01116002 51600 <br />01'116002 51603 <br />01116002 57770 <br />Amount <br />55.37 <br />16.98 <br />22.95 <br />57 .20 <br />3 91 <br />Fse <br />$ss.37 <br />$16.98 <br />$22.9s <br />$57.20 <br />$3.91 <br />Fse Typo <br />Serv Meter <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Microfilm Records <br />State Lic *: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />r.oichi:53591 - 12/23/2019 I0: (:(:Ul-.t.t.AR <br />irif ice; CTYH i|urr>!3 57 2 ol 7ri,:ct+: Rel+: 20170:ili(l <br />|,,:pti:(12841151 - i2l23l2u19 3:58 t,,n <br />;ronsocL ion Totol ll16114.29 <br />iberto f, hortiru Fiures <br />R-2 <br />VB <br />cEc 20't5 <br />pnercl Plqn Updote Fee <br />i il6('02- 5l60GGii(i- <br />iectr i co 1 <br />i r 16002- 516030C0- <br />iffof i lr & oocurPnts <br />i r 16002- 5777000(i- <br />iso <br />122.95 <br />3129 . 55- <br />13.91 <br />3l r604.2E <br />AJLhlru2372"l <br />Building Use <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subject to Field: <br />Building Permit, <br />Notes; Serv melA;rJf6lidJ.*r*r;r i 1'13 <br />i, Teri <br />Every pefinit issued shall become nvahd uhless the wo* on lhe s e <br />authonzed by such pormit $ confiencec! withn 360 days aftet its <br />issuance ot t lhe woi< authoized on tl,€ sle by such perfil is suspended <br />or abandoned lot a peflod o1360 days aftot the lfie the wo* ts <br />cofimenced <br />MID#: 2019-156780 <br />12t2312019 <br />Account# <br />01 1 16002 51600 <br />01 116002 sl603 <br />011't6002 57770 <br />Fee Total <br />Paid lo Dale: <br />Balance Due: <br />$ 156 41 <br />$0 00 <br />$156.41 <br />Qr) <br />1 .00 <br />100 <br />100 <br />1 .00 <br />1 .00 <br />Phone <br />Multi-Family (5 or more uni Occupancy: <br />Miscellaneous Constr Type: <br />Sery Meter Code: <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc Receipt: <br />Misc. Receipt: <br />Total <br />$22.95 <br />$129.55 <br />$3.91 <br />lnspector