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Project Address: 1125 W Brook St <br />Assessor'sParcel: 010-182-59 Lot. POR 6 <br />Unil: 4 <br />Block: NA <br />Bldg: Address Range: <br />Tract: HIGHLAND STREE lHistoric: No <br />Suite Range: <br />Zoning: R3 <br />City of Santa Ana 20 civic Center Plaza (M-'19)' Santa Ana, C492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853 <br />Electrical Permit #: 2O17O5O2 <br />Pin #: 477OG?q <br />Owner: <br />Address <br />Phone: <br />Tenant Namg <br />Contraclor <br />Address: <br />Albeno & Martha Flores <br />1423 S Birch St <br />Santa Ana, CA 927071706 <br />(714) 404-0803 <br />Owner-Builder <br />Feo Type <br />Serv Meter <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />55.37 <br />16.98 <br />22.95 <br />57 .20 <br />3.91 <br />Fee <br />$55.37 <br />$16.98 <br />$22.95 <br />$57.20 <br />$3.91 <br />01116002 <br />0'r116002 <br />01 I 16002 <br />01 I 16002 <br />01116002 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />State Lic #: <br />Lic Type. <br />Bus Lic #: <br />workers' Compensation Insurance: <br />Carrier: <br />Policy #: <br />Expires: <br />[ioichi:F3591 - 12/23/2019 I0: C(:UEt.t.Ati <br />n <br />t" <br />lf ic <br />:pli <br />n on5 <br />e: CTYH ilurrsli 57 4 ctl 7: Ref+: 2rll7r:tsi?:0284u53 - 12i23/2$19 3|tr8 Pn <br />oct ion Totol ll,6U{.29 <br />iberto A llortiru ilones <br />R-2 <br />VB <br />cEc 20r6 Notes serv m(lf{upgplgtr*iii I I iij <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 />Subjecl lo Field: <br />Building Permit # <br />Multi-Family (5 or more uni Occupancy: <br />Miscsllaneous Constr Type <br />Sery Meter Codel <br />Date: <br />Date: <br />Date:i, Teri <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />12J23t2019 <br />Account# <br />01 1 16002 sl600 <br />01116002 51603 <br />01116002 57770 <br />$22.95 <br />$129.55 <br />$3.91 <br />Fee Total: <br />Paid to Date; <br />Balance Oue <br />$156 41 <br />$0.00 <br />$156.4r <br />Every pemil issuod shall becorne invalid unless the work on lho sto <br />aulhonzod by such pemit is comfienced wtthin360days 1ftet its <br />$suanct, ot it the wo* aulhonzed on the stto by such pemit is suspended <br />or abanclono.t lot a penod of 360 days afret lhe tine the wotk ts <br />comfiencecl <br />lnspector MID#: 2019-156782 <br />Phone <br />- 122.95 <br />t ln. 55 <br />13.91 <br />t1r604.28 <br />Authi 3 (t23727 <br />aen€rol Plon Updote Feeli i 16(t02- sl6000t0- <br />aiectr ica I <br />r.,i i 16002- 51603ai06- <br />r I icrof ilr & oo,:urentg <br />rri i160tt2- 5777G000-