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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 Rangei <br />Zoning: CR <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2O163952 <br />Pin #: 9{ 8{ I <br />Phone: <br />Tenant Namo <br />Contractor: <br />Address: <br />Coreland Companies <br />17542 E 17lh St, Suite 420 <br />Tustin, CA 92780 <br />17141573-7780 <br />Michael's <br />Tri-North Builders lnc <br />P. O. Box 259568 <br />MAD|SON, Wt 53725 <br />(6081.271-8717 <br />01 1 16002 <br />01116002 <br />01 1 16002 <br />01116002 <br />011 t6002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01 1 16002 <br />01'116002 <br />01116002 <br />Qty <br />77.OO <br />24.OO <br />316.00 <br />7.00 <br />,14.00 <br />1.00 <br />65.00 <br />1.00 <br />1.00 <br />2,318.19 <br />1.00 <br />'1.00 <br />Fee <br />$107.80 <br />$36.48 <br />$3'19.16 <br />$652.96 <br />$1,050.28 <br />$32.61 <br />$200.20 <br />$139.86 <br />$11.65 <br />$1,506.82 <br />$21.2s <br />$52.98 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />53601 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Volt Receptacle 1.4O <br />Lighl Switches, Occ. Se 1.52 <br />Light Fixlures 1.01 <br />Air Conditioner 93.28 <br />Dedicated Circuit 23.87 <br />Data Communications 32 61 <br />Add'l Data Comm 3.08 <br />Serv Meler 139.86 <br />Photo Cell 11.65 <br />P/C - 65% 0.65 <br />General Plan Update 21.25 <br />lssuance 52 98 <br />State Lic #: 917621 <br />Lic Type: B <br />Bus. Lic #: 353725 <br />Workers' Compensalion lnsurance:Carrier: Amerlsuro Mutual lnsurance <br />Policy #: WC20815/r7 <br />Expires: 03t01/2018 <br />Building Use: <br />Job Type: <br />Nature ol Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovemenl <br />TURoof Mtd Equip <br />Davis, Scott <br />Hemandez, Kathy <br />10193901 <br />10t26t2017 <br />10t30t2017 <br />Account# <br />Occupancy: <br />Constr Type <br />Code: <br />M <br />V B, SPK <br />cEc 2016 Notes <br />Planning Conditions: Existing screening :Iectr i <br />r1116ii0 <br />\ti <br />Date: <br />Date: <br />Date: <br />Every pemit issued shall become invalid unless the rvol( on the site <br />eulhotized by such pemit is commonced within 180 days aftot its <br />issuance, ot if the wod< authorizod on the site by such permit is suspended <br />ot abandoned lot a peiod ol 1 80 days aftet the time the wotu is <br />commenced. <br />lnspector MID#: 2017-138148 <br />$21.25 <br />$2.603.98 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />01 1 16002 51600 <br />01 116002 51603 <br />$4,132.05 <br />$1.506.82 <br />i2,625.23 <br />AddressRange: 3701-394'l <br />Historic: No <br />Ownerl <br />Address: <br />Phone <br />Misc. Receipl: 69941 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />tSt174.