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20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />Inspection Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853 <br />ElectricalCity of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Project Address: 3941 S Bristol St <br />Assessor'sParcel: 410-301-18 Lot NA <br />Unit: D <br />Block: NA <br />Bldgl <br />Tract: NA <br />AddressRange: 3701-3941 <br />Historic: No <br />Suite Range: <br />Zoning: CR <br />q <br />Owner: <br />Address <br />Contractor <br />Address: <br />Phone: <br />Tenant Name: Ding Tea <br />Greenville Ranch LLC <br />2125 E Katella Ave #100 <br />Anaheim, CA 928066078 <br />Ngoc Ky Nguyen <br />8822 Kennelly Ln <br />Anaheim, CA 92804 <br />(714) 261-3361 <br />0'1 1 't6002 51603 <br />01 116002 51603 <br />01 1 16002 51603 <br />01116002 51603 <br />01116002 51600 <br />01'1 16002 51603 <br />Fee <br />$1 1.65 <br />$18.20 <br />$9.12 <br />$37.37 <br />$52.98 <br />Fee Type Amount <br />Time Switch '1 L65 <br />125 Volt Receptacle '1.4O <br />Light Switches, Occ. Se 1 .52 <br />Light Fixlures 1.01 <br />General Plan Update 2'1.25 <br />lssuance 52.98 <br />Qty <br />1 .00 <br />13.00 <br />6.00 <br />37.00 <br />1.00 <br />1.00 <br />Pl]t.h+:43884 - tr12112tt19 I00lf icer CTYH Tnons+: 76Accti: Ret+! 2 <br />R,:pt+:(2268106 - 1/21/2ttlg I <br />l fonsoct ion lotql $IState Lic #: 1014704 <br />Lic Type: B <br />Bus. Lic #: 369377 <br />Workers' Compensation lnsuranceCarrier: Exempt <br />Policy #: <br />Expires: <br />l.lqoc Ke l,lgusen <br />6enerol Plon Upd(tt€ <br />r:r t I 16r:102- 5160ur"tr"1(r- <br />t- lectr icol <br />r_r1 I 1 60112- 5160300r:r- <br />I (:l Check 1r:156 <br />Fee <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Buildang Permit #: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 20't6 Notes: <br />[[nernanoez, <br />xatnv 05t2112018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />10195787 <br />Every pemit issued shall become invalid unless lhe wotu on the site <br />aulhorized by such permil is commenced within 180 days after its <br />issuance. ot if the wo* authorized on the site by such pefinit is suspended <br />or abandoned fot a petiod o1180 days aftet the tirne the work is <br />commenced <br />lnspector MID#: 20'18-143143 <br />0'1 1 16002 51600 <br />01116002 51603 <br />$21.25 <br />$129.32 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$150.57 <br />$0.00 <br />$1s0.57 <br />Permit #: 2O165330 <br />Pin #: 46.214 <br />Phone: <br />Planning Conditions: <br />Date: <br />Date: <br />Date: