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Project Address: 3050 S Bristol St <br />AssessofsParcel: 4'12-031-03 Lot: 'l <br />Unl: 8-R <br />Block: NA <br />Bldg: <br />Tract; '10165 <br />Address Range: <br />Historic: No <br />20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Mecha n ica I Permit #: 4O131688 <br />Pin #: 2632E,.] <br />\ <br />City of Santa Ana <br />Permit Counter: O14) il7-5800 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Shane & Crystal Martin <br />3050 s. Brlstol st, #8-R <br />Santa Ana, CA 927032543 <br />17't4l624-9111 <br />Baccaro Construction Co <br />,1020 N Palm St, Unit 201 <br />Fullerton, CA 92835 <br />(7r4) 870-805'l <br />Fee Type <br />01116002 51604 Add'lVent Sys <br />01116002 51600 General Plan Update <br />01'116002 5'1604 lssuance <br />Amount <br />41.99 <br />2',t.25 <br />52.98 <br />Fee <br />$41.99 <br />$21.25 <br />$52.98 <br />Qt)' <br />'1 00 <br />1 .00 <br />100Phone <br />Tenant Name: <br />Phone <br />State Lic #: 425570 <br />Lic Type: C-36, B, C-10, C6, c-54 <br />Bus. Lic #: 367973 <br />Workers' Compensation lnsurance:Canier: Sacurlty Nafl <br />Policy #: SWCi136087 <br />Expires: 0110112018 <br />BotchS:41{36 - 12/20/2917 I0: NiARCIAoffice. CTYH Tronsi: 39 3 of 4Accts: RQfi: 40131589 <br />Rccti:02111218 - 12/20/2917 lzl0 Pn <br />Tronsoct ion Totol t899.S0Peter Bo,:coro <br />Boccono ConBtnuct ion Co <br />Extend ductwork <br />t21.23 <br />t?4.97 <br />t8?9.80 <br />R-2 <br />VB <br />cMc 2015 <br />Notes: <br />Building Use; <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Multl-Famlly (5 or mor€ uni Occupancy: <br />Additlon Constr Type <br />Ductwork Code: <br />Date <br />Date <br />Date <br />Misc. Recsipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Amsden, Julie <br />Evory pemit issued shall becgme invalid unless the wo* on the site <br />authotized by such Nmit is comnencad within 180 days afret its <br />issuance. or if the wotk aulhorized on the site by such pemit is suspended <br />ot abdndoned lor a peiod of 1 80 days after the time the woft is <br />cg,rlnen(r,d. <br />lnspector MID#: 2017-140154 <br />1U2012017 <br />Account# <br />01 116002 51600 <br />01116002 5't604 <br />$21 .25 <br />$94.97 <br />Fee Total: <br />Paid to Oate: <br />Balance Dua: <br />$116.22 <br />$0.00 <br />sl't 6.22 <br />Suite Range: <br />Zoning: R4