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@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27OZ Plumbing <br />Permit Counter: (714) 647-5800 lnspeclion Requesls: (7141667-2738 lnspeclor Seclion: (714) 647-5853 <br />Project Address: 2201S Bristol St Unit: <br />Block: NA <br />Bldg: <br />Tract: I192 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: SPI <br />q <br />Assesso/sParcel: 015-194-23 Lot: 194 <br />Owner: <br />Address <br />City of Santa Ana <br />20 Civic Center Plaza <br />Sanla Ana, CA 92702 <br />Fee Type <br />01'116002 51602 Cap Sewer <br />01116002 51602 Fee Exempt <br />01116002 51600 General Plan Update <br />01116002 51602 lssuance <br />Amount <br />99.92 <br />-'t77.M <br />22.O8 <br />55.04 <br />Qty <br />1 .00 <br />1.00 <br />1.00 <br />1 .00 <br />Feo <br />$99.92 <br />$-177.04 <br />$22.08 <br />$55.04Tenant Name: <br />Contractor <br />Address: <br />J&Glnduatrieslnc <br />18627 Brookhurst St #302 <br />Fountain Valley, CA 92708 <br />(714) 903-2002Phone <br />State Lic #: 571859 <br />Lic Type: ASBS, A, HAZ, C-21 <br />Bus. Lic #: 1602,18 <br />Workers' Compensation lnsurance:Carrier: State lnsurance Fund <br />Policy #: 08028,17 <br />Expires: 10/01/2019 <br />Singla Famlly Dwelllng <br />Miscellaneous <br />Demo <br />Occupancy: <br />Constr Type <br />Code: <br />Notes: Demo structure and clear lot. AOMDon fllo. No fee <br />Clty proJect por memo. <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl lo Field: <br />Building Permit #: <br />Chavez, Dave <br />10199470 <br />Date: <br />Date: <br />Date:03/'t 8t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Ewry peinil issudd shall become invalid filess t s wolk on lho srite <br />autllotized by such Nmil is commetEed within 1 80 days efrer its <br />issuancc, ot il the wotu authotized on the site by such pomit is suspended <br />ot abandoned fgr a psiod ol 180 days after the lime the wo* is <br />cgimen@d <br />$0.00 <br />$0.00 <br />t0.00 <br />lnspector MID#: 2019-150133 <br />N/A - No Balance Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Permit #: 3lJ14ll712 <br />Pin #: 26401 <br />Phone: <br />Building Use: <br />Job Type: <br />Nature of Wort: <br />R-3, U <br />VB <br />cPc 2016