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101100291 - Permit
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3940 S Bristol St Unit# 208
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101100291 - Permit
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Last modified
8/2/2021 11:06:38 AM
Creation date
8/2/2021 11:06:37 AM
Metadata
Fields
Template:
Permit
Permit Number
101100291
Full Address
3940 S Bristol St Unit# 208
Permit ID
254418
Master ID Number
2019-151876
Project Name
DMB Insurance Services TI
Street Number
003940
Street Direction
S
Street Name
Bristol
Street Suffix
St
Unit Number
208
Building Use Code
Retail/Service
Job Types
Alteration
Permit Type
Building
Applied Date
6/3/2019
Issued Date
1/6/2020
Finalized Date
5/4/2020
Flood Zone
X-0602320259J
Description of Work
T.I. - Partition walls to create offices, in fill windows.
Nature of Work
T.I. - Offices
Document Relationships
101100291 - Plan
(Plan)
Path:
\Building\Plans\B\Bristol St\3940 S Bristol St Unit# 208
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AddressRange: 3800-3950 <br />Historic: No <br />Suile Range <br />Zoning CRAssessor's Parcel 412-131-22 Lol NA Block: NA <br />Permit#: {011OO291 <br />Pin #: 95993 <br />lndustrial <br />Alteration <br />T.l. - Offices <br />Commercial <br />lnsurance Agency <br />B <br />V B, SPK <br />cBc 20t6 <br />x-0602320259J <br />'I st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area: <br />Total <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: <br />1683 <br />$60,419.70 <br />0 <br />Description of Work: T.l. - Partition walls to create offices, in fill windows. <br />Planning Conditions: lnterior work only. No exterior alterations or modifications. <br />Owner: <br />Address <br />Phone: <br />Tenant <br />SDC/Pacif ic/Young-Santa Ana <br />P.O. Box 3060 <br />Newport Beach, CA 92658 <br />(7'r4) 760-85e1 <br />DMB lnsurance Servicea <br />Conlraclor: GomezConstruclion <br />Address: 1151 S Alma Ave <br />Los Angeles, CA 90023 <br />Phone: (818) /r15-5719 <br />State Lic # 1049981 <br />Lic lype: B <br />Bus. Lic fr 374734 <br />Workers' Compensation lnsurance: <br />Carrier: NorguardlnsuranceCompany <br />Policy #: ADWC008254 <br />Expires: 0911812020 <br />Engineer <br />Address: <br />Architect / <br />Desrqner: <br />Address: <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPOES lnsp. Req'd: No <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />\( <br />Graham, Jeffery <br />Heidari, Fred <br />Hernandez, Kathy <br />Dale: 12103/2019 Misc. Receipt <br />Dale. 1112712019 Misc. Receipt <br />Date Oi/06/2020 Misc. Receipl <br />Subject to Field: <br />72670 <br />73837 <br />$437.58 <br />$605.88 <br />$19.55 <br />$3.00 <br />$22.95 <br />$57.40 <br />$1 ,146.16 <br />$589.05 <br />$557.11 <br />Permil Fee <br />Plan Check Fee <br />Microtilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceFte lnso Reo'd No <br />Police lnsp Req'd: No Account# <br />-Flood Zone Cert. Req'd: No 011160025i600 <br />Every permit issuod shall becofie invalid unless lho work on lhe sitg aulhonzed by <br />such peml ts commenced wthn360 days aftat ls issuance ot t lhe wod< authonzed <br />on the site by such pennl is suspended or abandoned for a period o1360 days after <br />the ttme the wotk iscommenced <br />lnspector <br />01 1 16002 51601 <br />01 116002 51612 <br />0'1 't16002 53600 <br />01 116002 57770 <br />s22 95 <br />$494.78 <br />$3.00 <br />$16 83 <br />$19 55 <br />Fee Totat <br />Paid to Date: <br />Balance Due: <br />,a cig of Santa Ana 20 Civic Center ptaza (M-19), Santa Ana, CA)27O2 Building <br />, <br />Project Address: 3940 S Bristol St unit. 208 Brds <br />Tract NA <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existlng Bldg & Use: <br />Proposed Usel <br />Occupancy: <br />Consk Type: <br />Code: <br />Flood Zonel <br /># of Stories: <br />lrttttso,:l I <br />Phone: <br />License #: <br />07776002 <br />0 7 7 76002 <br />0 7 7 76002 <br />0 77 7600 2 <br />0 77 7600 2 <br />0 7 7 76002 <br />57607 <br />5i600 <br />57770 <br />57672 <br />s7600 <br />57 601 <br />Total <br />MID#: 2019-15'1876
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