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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAT27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1O19t121 <br />Pin #: 1IJ182 <br />Project Address: 3220 3/4 S Bristol St <br />Assesso/s Parcel 412-032-04 Lot. NA <br />Unir WCC02 BldS' Address Range <br />Tracl NA Historic: No <br />Suite Range: <br />Zoning; C4 <br />,# <br />Block: NA <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />N/A <br />N/A <br />cBc 2016 <br />x-0602320259J <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: <br />Commercial <br />Alteration <br />Change oI Contractor-Cell Site <br />Commercial <br />$0.01 <br />Description of Work: Change of contractor-letter on file Modify existing cell site <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />AT&T Towers <br />3220 3/4 S. Bristol St. <br />Santa Ana, CA 92704 <br />(9251 823-6227 <br />AT&T <br />Conlractor: RJ Daum Construction Co <br />Address: 11581 Monarch St <br />Garden Grove, CA 92841 <br />Phone: (714) 8944300 <br />State Lic #: 127760 <br />Lic Type: B, A, C-8 <br />Bus. Lic #: 161042 <br />Workers' Compensation lnsurance:Carrier: New Hampshire lns Co <br />Policy #: 22298341 <br />Expires: 0910112017 <br />lnfinigy <br />Joseph Johnston <br />140 FORTSVILLE RD <br />GANSEVOORT, NY 1283,I <br />Address <br />Phone: <br />License f <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />83098 <br />lnfiniqy Design Build Deliver <br />Daniel Connell <br />26455 Rancho Parkway <br />Lake Forest, CA 92630 <br />(949) 753-8807 <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Plannlnq lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Date: <br />Date; <br />Date: 05/30/2017 <br />Subject to Field: <br />Misc Receipt <br />Misc Receipt <br />Misc. Receipt <br />$61.57 <br />$0.00 <br />$0.00 <br />07776002 51501 Change Owner/Contr <br />07776002 51672 Bldg. Slds. Revolving <br />07776002 57600 Genetal Plan Update <br />[f\ nernanoez, xatny <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />NoNo Account#Total <br />Flood Zone Cert. Req'd: No 011j600251601 <br />Evory psmtt issued shall become invalid unless aho work o, lhe s,te authonzed by <br />such pennil is commencod ,ttilhh 180 days aftet its issuance,or il the wo* aulhoized <br />on the site by such permil is susponded or ebandoned fot a peiod of180 days aftet <br />the lime the wotk is commoncod <br />$61.57 <br />$0 00 <br />961.57 <br />lnspector <br />$61.s7 <br />Fee Total: <br />Paid lo Dale: <br />Balance Due: <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Planning Conditions: <br />Engineer: <br />MtD# 2016-132210