HomeMy WebLinkAbout10192767 - Permit (3)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1lJ192767
Pin #: 65273
Project Address : 1825 3/4 W Ci vic Center Dr
Assessor's Parcel 405-121-11 Lot G Block. NA
unl, WCC02 Blds
Tractr 521
Address Range:Suile Range:
Zoning: OHistoric No
Building Use:
Job Type:
Nature of Work:
Existing 8ldg. & Use
Proposed Use:
N/A
N/A
cBc 2016
x-0602320144J
Patio:
T.l.Area:
Yards Req'd:
Valuation: $45,000.00
Other
Alteration
Anten na
Monopine
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:0
Description of Work: Add (3) RRUS to (e) monopine
Planning Conditions: All materials to match existing
Owner:
Address
Phone
Tenant:
Telecom PartneB Group
22542 Lambert St
Lake Forest, CA 92630
(949) s44-1621
T"Mobile
Contractor: R L Clotworthy Constructior
Address: 26079 Jefferson Avenue
Murrieta, CA 92562
Phone: (951)693-5130
State Lic #: 803626
Lic Type: B
Bus. Lic #: 197398
Workers' Compensation lnsurance:
Carrier: State Comp lns Fund
Policy #: 9073510
Expires: 1010112017
Jacobs Engineering Group, ln
Deep M Shah
5449 Belli Ferry Road
AcwoRlH, GA 30io2
(770) 701.2500
Engineer
Addressl
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
75't 00
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Dale 0412512017 Misc. Receipt: 69456
Date: 07/05/2017 Misc. Receipt
Oale. O7tO6l2O17 Misc. Receipt
Subject to Field:
No
No Account#Total
o7776002
0 7776002
0890700 7
o7176002
07776002
07776002
57607
53600
2400 0
57672
5 7600
57607
$617.04
$427 .72
$ 12.60
$2.00
$21.25
$s2.98
Guevara, Jerry
Mazaqi, Zac
Amsden, Julie
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
'd: .o
Fire lnsp. Req'd:
Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No
Every pemil issued shall becone invalid unless the tA/ot* on lho site authorized by
such pemit is commenced within 180 days aftet its issuance.ot if the wo* aulhon2ed
on the site by such peinit is suspended ot abandoned lor a penod o1180 days aftor
tho tne the wo* is commenced
$21.25
$670.02
$2.00
$ 13.90
$12.60
$1 ,133.59
$413.82
$719.77
lnspector MID#. 2017-135742
011 16002 5'1600
011 't6002 51601
011 't6002 51612
01116002 53600
08901001 24000
Fee Total:
Paid to Date
Balance Due:
BUILDING. INSPECTOR RECORD
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Set Backs
Forms/Steel/Holdowns
Erectron Pads
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
D rpvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 4lt='/'r >.'\t {L1ZM '6 iT-tCertificate of Occu pancy
Notes, Remarks Etc
I
UFER Ground
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