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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 />Permit #: {O{937{6 <br />Pin #: 7544lJ <br />q <br />Proiect Address: 1516 Brookhollow Dr <br />Assessor'sParcel: 016-151-05 Lot: NA <br />Brdg Address Range: 1504-'1528 <br />Hisloric: No <br />Suite Range: <br />Zoning: SD8Block: NA Tract: NA <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Miscellansous <br />Flagpole <br />Commercial <br />U <br />VB <br />cBc 2016 <br />x-0602320278J <br />1 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $4,000.00 <br />Occupancy. <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: lnstall (1)20'high aluminum flagpole in parking lot <br />Planning Conditions: <br />Owner <br />Address <br />Phone: <br />Tenant <br />Brookhollow LLC <br />1515 Brookhollow Dr <br />Santa Ana, CA 927055420 <br />(71416',t7-782s <br />VA SANTA ANA CLINIC <br />Conlraclor SOUTHERN CALIFORNIA FI <br />Address: 4551 YORK BLVD. <br />Los Angeles, CA 90032 <br />Phone: (3231257-8201 <br />Stale Lic #: 1005732 <br />Lic Type: C-61, C-34, D-31 <br />Bus. Lic #: '163925 <br />Workers' Compensation lnsurance: <br />Cat(ier STATE FUNO <br />Policy #: 90261792017 <br />Expires: 03/31/2018 <br />Engineer <br />Address <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #. <br />REVERENCE ENGINEERING <br />BRETT SAUERS <br />113 W G STREET, #404 <br />San Diego, CA 92101 <br />(6r9) 354-1152 <br />Phone: <br />License #: <br />Planning Approval By: Mar, Escarlet <br />Plan Checked By: So, Anson <br />Permit lssued 8y: ChaYez, Oaue€.Ol <br />NPDES lnsp. Req'd: No <br />07776002 <br />07776002 <br />0 777600 2 <br />08907001 <br />07776002 <br />07776002 <br />07776002 <br />57607 <br />5 3500 <br />577?0 <br />24000 <br />57672 <br />57600 <br />57607 <br />$154.26 <br />$213.86 <br />$10.86 <br />$1.12 <br />$1.00 <br />$21.2s <br />$52.98 <br />Date: 08/03/20i7 <br />Dater 09/05/2017 <br />Date: 09/18/2017 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />69883 <br />Total <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SlrrlP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cerl. Req'd; No <br />Every permil issued sha become invalid unless lhe wotk on lho sile authonzed by <br />such pemitis comfienced within 180 days sket tts issuanco,oril the wo* authoized <br />on tho sile by such pemit is suspended or abandoned tot a peiod of 180 daysatlet <br />the time lhe wo* is comfienced. <br />$455 33 <br />$213.86 <br />$24'.t .47 <br />lnspector MID#: 2017-137821 <br />01 1 16002 <br />0'1 1 16002 <br />01 1 16002 <br />01 116002 <br />08901001 <br />51600 <br />51601 <br />5161 2 <br />57770 <br />24000 <br />$21.25 <br />$207 .24 <br />$1.00 <br />$ 10.86 <br />$1 .12 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Unit: