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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7 1 41 667-2738 lnspector Section: (714) 647-5853 <br />Mechan ica I Permit #: 411131325 <br />Pin #: 79t97 <br />Project Address: 3923 S Bristol St <br />Assesso/sParcel: 410-301-18 Lot: NA <br />Unil: <br />Block: NA <br />Bldg: <br />Trac{: NA <br />Suite Range: <br />Zoning; CR <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Coreland Companlos <br />'17542 E lTth St, Suite 420 <br />Tuslin, CA 92780 <br />17141 573-7780 <br />Michael'B <br />Tri.North Builders lnc <br />P. O. Box 259568 <br />MADtSON, Wt 53725 <br />(608) 271-8717 <br />Fee Type <br />O/D Pkg H/C <br />Unit Healer <br />Bathroom Fan <br />Envir. Air Other <br />PIC - 65o/o <br />General Plan Update <br />lssuanco <br />Amount <br />109.01 <br />62.47 <br />29.38 <br />33.89 <br />0.65 <br />21.25 <br />52.98 <br />Qry <br />7.00 <br />1.00 <br />1.OO <br />1.00 <br />8E8.8'l <br />1.00 <br />1.00 <br />Fes <br />$763.07 <br />$62.47 <br />$29.38 <br />$33.89 <br />$577.73 <br />$21 .25 <br />$52.98 <br />Phone <br />Slate Lic #: 917521 <br />Lic Type: B <br />Bus. Lic f: 353725 <br />Workers' Compensalion lnsurance: <br />Carrier: Amerisure Mutual lnsurance <br />Policy #: WC2081547 <br />Expires: 03/01/2018 <br />Botcht:10760 - L0/31/201? <br />off ice! CTYH Tronsi3 2Accti: Ref+: <br />Rcrti102060610 - Lg/st/zgl <br />Tronsoct ion Totol <br />n <br />I <br />Tr i-Horth Builders Inc <br />Euilding 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 />Commercial <br />Tenant lmprovement <br />Tl/Root Mtd Equip <br />Occupancy: <br />Constr Type <br />Code: <br />M <br />V B, SPK <br />cMc 2016 <br />Notes auth on file <br />Planning Conditions: Existing screening <br />w <br />Date: <br />Dale: <br />Dale: <br />West, Glen <br />Hernandez, Kathy <br />04t30t2017 <br />10t30t2017 <br />Account# <br />Misc. Receipt: 69941 <br />Misc. Recsipt: <br />Misc. Receipt: <br />Total <br />Buildins Permit #: 10193901 <br />Ewry pomit issued shall becprno invalid unless the wot* on the site <br />aulhoized by such ponnia is cgmmenc-ed within 1 80 days afrer ils <br />issuance, ot il the wod< euthoized on the site by such pemit is suspended <br />or abaMoned lot a pedod ol 1 80 days after he tjme the wo* is <br />c!,nn]p,n(t,d. <br />$1 ,54O.77 <br />$577.73 <br />$963.04 <br />lnspector MID#: 2017-138'148 <br />01 1 16002 51600 <br />01 1 '16002 51604 <br />$21.2s <br />$941.79 <br />Fee Total: <br />Paid lo Dale: <br />Balance Due: <br />I <br />AddressRange: 3701-39/al <br />Hisloric: No <br />01'116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01116002 53603 <br />011 16002 51600 <br />01116002 5'1604