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q <br />Proiect Address: 3941 S Bristol St <br />Assessor's Parcel 410-301-18 Lot: NA <br />Unit: D Bldg Address Range: 37O'l -3941 <br />Historic: No <br />Suite Range: <br />Zoning: CRBlock NA Tract: NA <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 10195787 <br />Pin #: 83361 <br />Building Usel <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Commercial <br />Tenant lmprovement <br />TI <br />Commecial <br />Tea Shop <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />B <br />VB <br />cBc 2016 <br />x-0602320259J <br />1 <br />1 st 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 />0 <br />Description of Work: Tl-lnstall partition walls, t-bar ceiling and moveable seating <br />Planning conditions: <br />Engineer <br />Address: <br />h+ ;43s84 <br />re; (. JYll <br />- trl2ll2t11t1 <br />Tfong+; /l II <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Greenville Ranch LLC <br />2'125 E Katella Ave #100 <br />Anaheim, CA 928066078 <br />Ding Tea <br />Contractor: Ngoc Ky Nguyen <br />Address: 8822 Kennelly Ln <br />Anaheim, CA 92804 <br />Phone: (714) 261-3361 <br />State Lic #: '1014704 <br />Lic Type: B <br />Bus. Lic #: 369377 <br />Workers' Compensation lnsurance: <br />Carrier: Exempt <br />Policy #l <br />Expires: <br />ptlir [r?26810:i - <br />Clnsq,:t i(]n Totq I <br />lie l.le uven <br />i/ )11')itl! <br />Phone. <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />ilriBrttI Flon t pd(lbe <br />r t 1 I 6r:r:12- 5 I 6r:x:Ilor:t-l'rildins <br />r t l1611112- 5l6r-r l r:[](- <br />11ds Stds (evol v ins,l I 16r:ru2- Ii6lttnrr_r-'(: Euildins <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Orozco, lvan <br />Heidari, Fred <br />Hernandez, Kathy <br />No <br />No <br />No <br />Dale: 0512'll2O18 <br />Date: 04/19/2018 <br />Date; 05/21l2018 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />[Misc. Receipt <br />07776002 57607 <br />ottt aooz s36oo <br />o7776002 57 770 <br />07776002 57572 <br />01776002 57600 <br />07776002 57607 <br />Perrnit Fee <br />Plan Chdcr Fee <br />Ivlicrofilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />\A <br />$332.10 <br />$2.00 <br />$395 42 <br />$ 1 8.10 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />s279.12 <br />$790 84 <br />$ 1 8.10 <br />$2.00 <br />$21 25 <br />$52 98 <br />$1,164.29 <br />$395.42 <br />$768.87 <br />TotalFire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No <br />Every pemit issued shall becofie invalid unless lhe wo* on the sile authoized by <br />such pemit is commenced within 180 days aftot tts issuance ot if the work authonzed <br />on the site by such pemit is suspended or abandoned for a period of180 days after <br />the time the wotk is cofimenced <br />lnspector MID#.2018-143143 <br />01 1 16002 <br />01 1 16002 <br />0'1 1 16002 <br />01 1 16002 <br />01 1 16002 <br />51600 <br />51601 <br />51612 <br />53600 <br />57770 <br />.t .t 63 <br />3@40 <br />$35,000.00 <br />70686