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Project Add ress: 3779 S Plaza Dr <br />Assessor'sParcel: 412-131-12 Lot <br />U nit: <br />Block: NA <br />Btdg: <br />Tract NA <br />Suite Range: <br />Zoning <br />q <br />city of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg27o2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3lJ139771 <br />Pin #: 69983 <br />Phone <br />Tenant Name: <br />0'l 't 16002 <br />01116002 <br />01'116002 <br />01116002 <br />01116002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />5160C <br />51602 <br />Owner: <br />Address <br />Contractor: <br />Address: <br />BSG west Bristol LLC <br />5 Park Plaza <br />lrvine, CA 92614 <br />Goldline Construction <br />3004 Gainsborough Dr <br />Pasadena, CA 91107 <br />(6261222-6174 <br />Commercial <br />Tenanl lmprovement <br />T.t. <br />Foe Type Amount <br />Water Closet 14.22 <br />Sink 12.70 <br />Wtr Hlr (Comm up to 50 22.25 <br />Fee Exempt 24.21 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1 .00 <br />1 .00 <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />Fee <br />$14.22 <br />$12.70 <br />$22.25 <br />$24.21 <br />$22.08 <br />$55.04 <br />State Lic #: 994034 <br />Lic Type: B <br />Bus. Lic #: 370002 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fund <br />Policy #: 9134311 <br />Expires: 06/03/2019 <br />Building Use: <br />Job Type: <br />Nature of Work <br />4rr <br />ktcht:{502 - 7lfilzglg I0! CCt ELLAn <br />0ffice: CIYH lrsns+: {l 8 ol ?AcctSr RQffr 30139771 <br />Rcpt+:@34{{?9 - 71fi/m$ ll:15 An <br />Troncoction Totol tl r 693.20 <br />Goldl ine Consirl,Ct i on <br />Cren.rol Ploo lbdote Feeo t6lrc2- S!6IIIX|O- <br />Plu.b lns <br />ott t6fir2- 5t6(8flt0- <br />ICL Che* g}ZV,, <br />t22 .08 <br />t128.{2 <br />tl r693.20Occupancy: <br />Constr Type <br />Code: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: Zuniga, Allis <br />Subject to Field: <br />Buildins Permit #: 101 96857 <br />07 t3012018 <br />Account# <br />01116002 51600 <br />01116002 51602 <br />Fee Total <br />Paid to Date: <br />Balance Oue <br />Notes: T.l. - Demo partition walls and inslall new walls to <br />create festroom. <br />$150.50 <br />$0.00 <br />$150.50 <br />"( <br />Date: <br />Date: <br />Date: <br />lvlisc. Receipt: <br />lvlisc. Receipt: <br />lvlisc. Receipt: <br />Total <br />$22.08 <br />$128.42Every permit issued shall become invalid unless the wo* on the site <br />authoized by such permit is commenced within180 days aftet its <br />issuance, ot il the wotu authorized on the site by such pormit is suspended <br />ot ebandoned for a poriod ot 1 80 days after the time the wotu is <br />commencad. <br />lnspector MID#: 2018-'144079 <br />Address Range: <br />Historic: No <br />t\ <br />Phone: <br />DPEIE <br />M <br />V B, SPK <br />cPc 2016