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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714\ 667-2738 tnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ16,4629 <br />Pin #: 5974tr{ <br />Proiect Address: 12125 Bristol St <br />Assessor'sParcel: 109-071-07 Lot: NA <br />Unit: 18 <br />Block: POR I <br />Bldg: <br />Tract: WEST <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C1 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name <br />Contractor <br />Address: <br />Roman Construction <br />P.O. Box I146 <br />Walnut, CA 9'1788 <br />(909) 229-2099 <br />01 1 16002 51603 <br />01116002 51603 <br />01 1 16002 51603 <br />01 't 16002 53601 <br />01116002 53601 <br />01't16002 s1600 <br />01't16002 s1603 <br />Fee Type <br />Low Voltage/Comm <br />Serv Meler <br />Subpanel <br />Plc - 650/0 <br />Revision <br />General Plan Update <br />lssuance <br />Qty <br />1 .00 <br />1 .00 <br />'1 .00 <br />191 .15 <br />1.00 <br />1 .00 <br />1 .00 <br />Fee <br />$32.61 <br />$139.86 <br />$51.29 <br />$124.25 <br />$213.86 <br />$21.25 <br />$52.98 <br />State Lic #: 971274 <br />Lic Type: B <br />Bus. Lic #; 363031 <br />Workers' Compensalion lnsurance:Carrier: Amguard lnsurance Company <br />Policy #: ROWC827054 <br />Expires: 09/15/2018 <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Commercial <br />Revision <br />Revision <br />B <br />VB <br />cEc 2016 <br />-r2 9" <br />10185999 <br />Every pemit issued shall becofie invalid unless lhe wo* on the site <br />authoized by such permit is commenced within 180 days aftet ils <br />is'uance, or if the wo* authoized on the site by such pemit is suspended <br />orabandoned for a peiod of 180 days aftet lhe time lhe work is <br />commenced. <br />$21 .25 <br />$187.13slz+fr- <br />Notes: Revistoi:td 90'trti!12.'thstdfirtta 6oor{thp Eeivrce <br />meter, <br />$636.'t0 <br />$213.86 <br />$422.24 <br />Davis, Scott <br />Chavez, Dave <br />Misc. Receipi: 70273 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />lnspector <br />2\#L <br />lnvestor's Property Services <br />15707 Rockfield Blvd. Ste. 225 <br />lrvine, CA 92618 <br />(949) 900-6160 <br />Flor De Mexicali Tortilleria <br />Amount <br />32.61 <br />139.86 <br />51 .29 <br />0.65 <br />213.86 <br />2't .25 <br />52.98 <br />Phone:Botchi:4?t-r57 - ?/ <br />0l{'ice: CTYH lr' <br />Ac,:ti I <br />Rcpl+:trz160t31 - <br />Tronstt,:t ioti ToLol <br />1/rL11e <br />ttnE+ i <br />Romqn (:snstrLrt:t i$l <br />0en€rfll Flfln lJpdnte F <br />r.1 I 1 16ur]?- i l6(t10(rr-l- <br />EIecLr' irnl <br />r:r1 1 16rlr-12- 5 I 6r:t3[l:ll:l- <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Conslr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />t/ <br />t:rl <br />vi <br />116rnl2- 536rJ1t[:r0- <br />5(l <br />o't t2412014 <br />01/30/2018 <br />Account# <br />Fee Total: <br />Paid to Date: <br />Balance Dua: <br />01'1'16002 51600 <br />01116002 51603 <br />0'11'16002 5360't <br />MID#: 20'15-123084