HomeMy WebLinkAbout20170502 - Permit (2)Project Address: 1125 W Brook St
Assessor'sParcel: 010-182-59 Lot. POR 6
Unil: 4
Block: NA
Bldg: Address Range:
Tract: HIGHLAND STREE lHistoric: No
Suite Range:
Zoning: R3
City of Santa Ana 20 civic Center Plaza (M-'19)' Santa Ana, C492702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853
Electrical Permit #: 2O17O5O2
Pin #: 477OG?q
Owner:
Address
Phone:
Tenant Namg
Contraclor
Address:
Albeno & Martha Flores
1423 S Birch St
Santa Ana, CA 927071706
(714) 404-0803
Owner-Builder
Feo Type
Serv Meter
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
55.37
16.98
22.95
57 .20
3.91
Fee
$55.37
$16.98
$22.95
$57.20
$3.91
01116002
0'r116002
01 I 16002
01 I 16002
01116002
51603
51603
51600
51603
57770
Qty
1.00
1.00
1.00
1.00
1.00
State Lic #:
Lic Type.
Bus Lic #:
workers' Compensation Insurance:
Carrier:
Policy #:
Expires:
[ioichi:F3591 - 12/23/2019 I0: C(:UEt.t.Ati
n
t"
lf ic
:pli
n on5
e: CTYH ilurrsli 57 4 ctl 7: Ref+: 2rll7r:tsi?:0284u53 - 12i23/2$19 3|tr8 Pn
oct ion Totol ll,6U{.29
iberto A llortiru ilones
R-2
VB
cEc 20r6 Notes serv m(lf{upgplgtr*iii I I iij
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By
Subjecl lo Field:
Building Permit #
Multi-Family (5 or more uni Occupancy:
Miscsllaneous Constr Type
Sery Meter Codel
Date:
Date:
Date:i, Teri
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
12J23t2019
Account#
01 1 16002 sl600
01116002 51603
01116002 57770
$22.95
$129.55
$3.91
Fee Total:
Paid to Date;
Balance Oue
$156 41
$0.00
$156.4r
Every pemil issuod shall becorne invalid unless the work on lho sto
aulhonzod by such pemit is comfienced wtthin360days 1ftet its
$suanct, ot it the wo* aulhonzed on the stto by such pemit is suspended
or abanclono.t lot a penod of 360 days afret lhe tine the wotk ts
comfiencecl
lnspector MID#: 2019-156782
Phone
- 122.95
t ln. 55
13.91
t1r604.28
Authi 3 (t23727
aen€rol Plon Updote Feeli i 16(t02- sl6000t0-
aiectr ica I
r.,i i 16002- 51603ai06-
r I icrof ilr & oo,:urentg
rri i160tt2- 5777G000-
APPROVALS DATE tD/stG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter o,[l,o)
FINAL 't'-1t*l I v t'-l)'7tz)
Notes, Remarks Etc.
OW ER AUILDI:X DELCARAIION
, hnctt' .Itm u'xlq FlDl'y ot FruD- thd I m qmpl no6 lh. Co Ed6 l.t@ I js for lh. folt s'ns r@n 156 ?01I !
Ituind .!d P,ofdirn ('o&) An} Cnr or Cddt $hEh r.q!n6 . Finir ro mdrud, .11., inFove ddmlilh or rqu oy
srtudue Ffl b n! i$ueq ilgi ctutrB th. +plicer lor rEh rEnn ro fiL.3Bnqj nnffir thli lr or lbc i n.d!.d geai
lo lh. Fovirions of lh. Contrrctois Lic6!.d L{w (( h.t d c, Comm..cir8 $nh Sclion 7l](D of Dvi.ion r of lh. Blsird ed
Ptuf*ionr Codc)orltor h. or th. n.r.opl rhg.from d th. hBi! for rhc ollcs.d .rmption Anyviolationolselion?011.5byd)
dppli.rd for r p6nil 3ubjcd! rh. lt)pli.er lo r .ivil p.Elry of ml m.r. rh!, fiE nundr.d dollm ttt00)
l.EosEotrlEFoFlr,orm,.mphrEs'hhr.g6-rlEn$L6npada..sill&,dErslrnftridE.d
inci.d d olrqtd foi $L lsa r$.1, BdtrB dd Pilr6i)B ( od. Tt Coiirrro ! Li(!e l^ &J6 r'r +r,ly ro D ou6 of
rlE FrrEry llD hiik! or insoE rt.Ea -d s'lF dE *t wt hiElf or hdElf or rlmrrh hi m lE om .iploy6.
pror iral rld uh i,a.o\ddr E E iddr.t d dolt rd for si. lf.lb$a6, ilE toildi,B or itrp.D\d i! sld $inii om
'-of.onp|llnl! rlE (xG RriHd *ill hr!. tu hdbr olF!\iis hlr lt or sh. did br hild or u!.o\t rh. FoFq tc, fi. F rd ol
L a osd oflh. Fopdrt, @ .r(lBiEly conrradins tr ilh li.o!.d ..rir..ro6 ro cointud trE prlj<r {S( 7o+r, &!i6
{rl hoki{Co&r Ttc ConrErorJ Lice L.r &6 mr.p9ly16 o*nd ofF.Fnr sh6 buildr or inpror6 ttE6r..d q h6 sdEr! fd sh F.Jet! *itn r Co'rr*rqlr) l.ssrj p{EUsr lo rlE ( ondroi3 Lig& L.w)
I hs.by {mm' unda Faltr of Fju.y on€ of
I h,t. rd $ ill Eidrh . c6rifrr. olcoNd b s.lf-lE4 ld wt6- onFdit r ! ForiLd 6r by S.tlhn lrm of {E
tler Cod., lu i,E Ff!.llre of t!. mrt ld $li<h rlE Fbh i s.d
I h.r. ud $ll mlinrlin f,ortd comFMlnn iElrkc. a r.qui'tn b, Sd! hn lrm of lh. L.bor Code for lh. pgfonrrm. ol
lh. ert ror shicfi lhts p6Dil n isal My wort6 omFBdhn ituurft. cMi6 ald policy n!mb6 e:
I catil rh.r in rh.Frolrle.ollrE ro* tur \ntt rtB Fnn s as.d I Jdlnn drploy ey p6e. i. e, orE
$ a
'o
h.<om tutid h rh. rrrl6 mnp@.io. l,u of Crlif.mie .d rsc rhd il I .lFuB bcoc ebi.rr to
'lE\o 6 onFdhnFoviri.B of Sdion l70ool E llbor Code I ilEll ftnhwnh (mdy *nh $or p,sltbB.
W,{RNlli(; Iidlur. k s(ur. \o'l.s .omp.nsar(,n c.\618. tr unlarl'ul. and shflll cul)t{r an mpl(Dr lo onnmrl r<ulris ud
civil lin6 ur r. o.. hund.d rh.@d dolls (ll in .dd tud ro rh< con ofcomr.@rbn, doasd ( p.o\id.n f.r rh.
rh. lit$ {tL rrdd mn m.l1E
7 z-411
I heby .fl],n und6 pqElly o I Frury 'hc
,lic. .d u.d6 FlltioD of Ch.pt6 I {comltffi4 q nfi Sdion 7Ux)) ot Dn isior 1
of lh. Iruind md Pmf*i)B ( oti., rnd m, lk6* r i. n'll fdc. at.rler
A?III(AILDECIJAAIII]!
I k r .rm ui&r Frlr, of prJ(ry on. of rlE aolh*68 dch@rir.r
D.molirion Pmir!-Asb6ror Norin. bn Fcdall R.sulir ionr tTnL 40. t6l6)
Ra|urcd I.udofNoriakdhn
r.auLlnN Eard'n3 ab.r8 t.mr.l rc mr .Frlk.bk ro rh6 prcF
. rsd lh6 qplrrlirn -d snc lhd rlE.tn\. 'nroturn 6cond I l8ralomndysnh lll( ily.,rl Cou r
irn.. ndcb !u'tFri* !.F.<d tr 6 of lhis Cil) &d ( ouID lo 616 ulon rlE
ELECTRICAL.INSPECTOR RECORD
All,rr^.\" ft.-,-t
Pole Bases
,,.:;y'irr;l
coNsTntc'ft(rn LEtDINc acfN( r
I hsrbr omrm und6 Fflall, of pgjury lhd lhsc is. codtudio. kndi.g aBdcy ny rh. Ffonrmc. ofrh. sort [n *hich rhis pdnh n
ku.d(sd r0q7.civ c)
I