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ProjectAddress: 1023 N Bristol St <br />Assessor's Parcel: 405-262-33 Lot: I <br />Unrt Bldg Address Range: 1021-'1023 <br />Hisloric: No <br />Suite Range: <br />Zoning: SPIBlock NA Tract: 839 <br />city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA\27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1O195662 <br />Pin #:21321 t.$l <br />Building Use: Commorcial Occupancy: B 1st FL Area <br />Job Type: Demolition & Cl€ar Lot Constr Type; V B 2nd FL Area <br />Nature of Work: Demo & Clear Lo1 Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: COMM OFFTCE Flood Zone: X-0602320144J Garage Area: <br />Proposed Use: # of Stories: <br />Total <br />Deacription of Work: Domo existing building and cloar lot./AQMO on filo/ FEES WAIVED PER CITY MEMO <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: <br />0@0 <br />$10,000.00 <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />City of Santa Ana <br />20 Civic Center Plz <br />Santa Ana, CA 92701 <br />17141 647 -5627 <br />Contractor: J &G lndustries lnc <br />Address: 18527 BrookhuBt St *302 <br />Fountain Valley, CA 92708 <br />Phone: (714) 903-2002 <br />State Lic #: 57'1859 <br />Lic Type: ASBS, A, HAZ, C-21 <br />Bus. Lic #: 160248 <br />Workers' Compensation lnsurance; <br />Carrier: State lnaurance Fund <br />Policy #: 0802847 <br />Expires: 10/0'l/2018 <br />Engineer: <br />Address: <br />Phonel <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Planning Approval Bla <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />,:"v <br />Oale: 02126120'18 <br />Date: <br />Oate: 0212612018 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipl <br />Misc. Receipt <br />Guevara, <br />Zuniga, Al <br />$154.26 <br />$-229.49 <br />$1.00 <br />$21.25 <br />$52.98No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Flood Zone Cert. Req'd: No N/A - No Balance <br />N/A - No Balance tA-?,1 <br />^--/Every pomit issued shall becone invalid unless the wod< on lhe sile aulhonzed by <br />such pemit is commenced wilhin 180 days aftet ils issuanco,ot if the wot* authonzod <br />on the sile by such pemil is susponded ot abandoned lor a peiod of180 days after <br />the time the wo* is codmgnced. <br />lnspector MID#: 20'18-141668 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />$0 00 <br />$0 00 <br />$0.00 <br />07776002 51601 Permit Fee <br />07776002 516'01 Fee Exempl <br />07776002 51612 Bldg. Stds. Revolving <br />07776002 57600 Genetal Plan Update <br />07X.76002 51601 lssuance <br />[,,