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Project Address: 3923 S Bristol St <br />Assesso/sParcel: 410-301-18 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract NA <br />Suite Range: <br />Zoning: CR <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />Permit Counter: (/14) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3Ot3a4O3 <br />Pin #: 21321 <br />Owner: <br />Address: <br />Phone: <br />Tonant Name: <br />Coreland Companles <br />17542 E 17th St, Suite 420 <br />Tustln, CA 92780 <br />17141573-7780 <br />Mlchael's <br />Tri-North Builder3 lnc <br />P. O. Box 259568 <br />MADISON, W 53725 <br />(608) 27r-87r7 <br />01116002 <br />01116002 <br />0'1116002 <br />01116002 <br />01116002 <br />0'1116002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01'116002 <br />01116002 <br />01116002 <br />01't 16002 <br />5 t602 <br />51602 <br />51602 <br />5't602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />53602 <br />51600 <br />51602 <br />aty <br />3.00 <br />1.fi) <br />7.00 <br />2.00 <br />1.00 <br />'1.00 <br />1.00 <br />4.00 <br />2.00 <br />1.00 <br />1.00 <br />438.54 <br />1.00 <br />1.00 <br />Fee <br />$41.07 <br />$10.47 <br />$85.61 <br />$31.06 <br />$8.62 <br />$42.85 <br />$42.85 <br />$27.20 <br />$42.84 <br />$42.85 <br />$63.12 <br />$285.05 <br />$21.25 <br />$52.98 <br />FeeType Amount <br />Water Closel '13.69 <br />Urinal 10.47 <br />Sink 12.23 <br />Floor Drain '15.53 <br />Drink'g Fountain 8.A2 <br />Sewer Alter/Repair 42.85 <br />Gas System 14 42.85 <br />Gas Outlet, each Add'l 6.80 <br />Wtr Hlr (Comm up to 50 2'1.42 <br />Backflow > 2" 42.As <br />Sump Pump 63.'t2 <br />PIC - 65Yo 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: 917621 <br />Lic Type: B <br />Bus. Lic #: 353725 <br />Workers' Compensation lnsurance:Carrier: Amerisure Mutual lnsurance <br />Policy #: WC2081547 <br />Expires: 03101/2018 <br />Planning Conditions: <br />Commercial <br />Tenant lmprovement <br />TlrRoot Mld Equlp <br />Occupancy: <br />Constr Type <br />Code: <br />Botchi:40760 <br />0ff ice: CTYH <br />lt/3lt <br />1t-tNotes aulh on file <br />LI <br />Oate: <br />Dale: <br />Oate: <br />Wesl. Glen <br />Hemandez, Kathy <br />10t1?J2017 <br />1013012017 <br />Account# <br />Misc. Receipt: 69941 <br />Misc. Receipt: <br />Misc. Receipi: <br />Total <br />Ewry Nnnit issued shall bo(,,rno invald unhss the wo* on the sita <br />authodzed by such pennit is commencod within 1 80 days afler ils <br />issuancg, ot il the wo* aulhotizad on lhe sitc by such pomit is suwnded <br />ot abatrtoned fot e pe )d ol180days aftot tho timo tha wo* is <br />@mmatwd. <br />lnspector MID#: 2017-138'148 <br />011'16002 5'1600 <br />01 1 16002 51602 <br />$21.25 <br />$371.39 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$797.82 <br />$405.18 <br />3392.64 <br />10193901 <br />I <br />AddressRange: 3701-3941 <br />Historic: No <br />Contraclor: <br />Address: <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 />Building Permit #: <br />M <br />V B, SPK <br />cPc 2016