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City of Santa Ana <br />Permit Counter: (714\ 647-5800 <br />20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ166777 <br />Pin #: 52787 <br />Proiect Address: 3384 S Bristol St <br />Assessor'sParcel: 412-141-22 Lot: NA <br />U nit: <br />Block: NA <br />Bldg: <br />Tract; NA <br />AddressRange: 3300-3398 <br />Historic: No <br />Suite Range: <br />Zoning: C4 <br />q <br />Owner: <br />Address <br />Contractor <br />Address: <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 '1 16002 <br />01116002 <br />01'116002 <br />51603 <br />51603 <br />51603 <br />51603 <br />5'1600 <br />51603 <br />Qty <br />20.00 <br />4.00 <br />8.00 <br />1.00 <br />1.00 <br />'1.00 <br />Phone <br />Tenant Name: La Michoacana Universal <br />CP Bristol SA LLC <br />17870 Skypark Cir. Ste 108 <br />lrvine, CA 92614 <br />Hathaway Construction <br />141 N La Salle St <br />Redlands, CA 92374 <br />(9511 5224037 <br />Fee Type Amount <br />125 Volt Receptacle 1.45 <br />Light Switches, Occ. Se 1.58 <br />Light Fixtures 1.05 <br />Low Voltage/Comm 33.88 <br />General Plan Update 22.08 <br />lssuance 55 04 <br />State Lic #: 1033627 <br />Lic Type: B <br />Bus. Lic #: 370560 <br />Workers' Compensation lnsuranceCarrier: Exempt <br />Policy #: <br />Expires:tlndrrt <br />6r'rIrr[-rfl <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued Byi <br />Subject to Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />T.t. <br />Chavez, Dav Ue 't1120t2018 <br />Account# <br />B <br />V B, SPK <br />cEc 2016 <br />10197505 <br />Every pormit issued shallbecome invalid unlessthe wo* on the site <br />aulhorized by such permit is commenced within 180 days after its <br />issuance. ot if the wo* authorized on the site by such peinit is suspended <br />ot abandoned for a pariod of 180 days aftet lhe lime the work is <br />commenced <br />T.l. - Nely panltiong to create counter/service tr€a, <br />moveable seating for customers, accessible restroom, <br />partitions to create prep area, new equipment. No roof <br />mounted equipment or facade alterations. <br />$154.72 <br />$0.00 <br />$'154.72 <br />lnspector MID#: 2018-145673 <br />01116002 51600 <br />01 1 16002 51603 <br />$22 08 <br />$132.64 <br />Fee Total: <br />Paid to Date: <br />Balance Oue <br />Fee <br />$29.00 <br />$6.32 <br />$8.40 <br />$33.88 <br />$22.08 <br />$55.04 <br />Phone: <br />Bcr t0ff hi:47!-,16 - 11/?tJl:tr"r1g It); LRoSALES''Pi ,TYH Frqns+: ?5 2 0f ?+! Ref+! '.ttt1$6777 <br />,.0244??7,\ - 11./l(r/:it!18 .1r51 PHEr.:t Jr T,tf itl $r.9.3r_, <br />-.!t:':.i- : :1 6r.t3t .I-l <br />l) ft <br />Building Use: <br />Job Type: <br />Nature of Work; <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />l\4isc. Receipt: <br />Misc. Receipt: <br />lvlisc. Receipt: <br />Total <br />Notes