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City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cA927o2 Electrical Permit #: 2Ol7O53O <br />Pin #: 85383Permrt Counter: (714) 647-5800 lnspectron Requests (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 3940 S Bristol St unit: 208 Blds: <br />Block. NA Traclr NA <br />Suile Range: <br />Zoning. CRAssessor'sParcel: 112-131-22 Lot NA <br />Owner: <br />Address <br />SDC/Pacific/Young-Santa Ana <br />P.O. Box 3060 <br />Newport Beach, CA 92658 <br />(714) 760-8591 <br />DMB lnsurance Services <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />0'1 1 16002 <br />01 1 '16002 <br />01 1 16002 <br />01 1 16002 <br />5160: <br />5160: <br />5160: <br />5160: <br />5160C <br />5160:' <br />577 7{ <br />Foe Typo Amount <br />125 Voll Receptacle 1 .51 <br />Light Switches, Occ. Se 1.64 <br />Light Firtures 1.09 <br />tvlin Fee Adj 48.42 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />y1",o11, p6656i : ,.r . .:;, iS,t <br />Qty <br />500 <br />600 <br />600 <br />1.00 <br />100 <br />100 <br />100 <br />Fee <br />$7.55 <br />$9 84 <br />$6.s4 <br />$48.42 <br />$22 95 <br />$57 20 <br />$3 91 <br />Phonel <br />Tenant Name: <br />Contractor <br />Addressr <br />Gomez Construction <br />1151 S Alma Ave <br />Los Angeles, CA 90023 <br />(818) 415-5719 <br />State Lic #. 1049981 <br />Lic Type: B <br />Bus. Lic #: 374731 <br />Workers' Compensation lnsurance:Carner: Norguard lnsurance Company <br />Policy #r AowC008264 <br />Expires: 09/18/2020 <br />lndustrial <br />Alteration <br />T.l. - Offices <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />V B, SPK <br />cEc 2019 Notes T.l. - Partition walls to create offices, in fill windows <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />t(gernanoez, xatny <br />Date <br />Date <br />Date 01to6t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />101 100291 $ 156.41 <br />$0.00 <br />$156.41 <br />Every pefinil issued shall becomo nvalid unloss lhe work on lhe site <br />authonzed by such pormtt $ cofifiencecl wthh 360 days aket tts <br />$suahce. or if the wod< aulhonzea! on lhe site by such permt ts suspended <br />ot abandoned lot a penod o1360 days after the ttme lhe work is <br />lnspector MID#: 2019-153107 <br />01'116002 51600 <br />01116002 51603 <br />011 16002 57770 <br />$22 9s <br />$129 55 <br />$3.91 <br />AddressRange: 3800-3950 <br />Historic. No <br />Phone:Accti: Ref+: 2017r:riJl <br />Rcptir02859412 - 1/6/?it2tt 1r:r:59 All <br />Tronsoct ion Totol tl r353.3' <br />Go.'le; (:onstr uct iun <br />6( nerql P](ln [Jpdnte <br />[r1l 16002- St6trur-l[tr- <br />Electr icsl <br />r-'ll 16Qtr2- 5l6r.13tr0!- <br />Ili (rof i ln ( 0ocunent!l 11600?- t777r:rur:r0- <br />1(:L theck ir(llu 1 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Fee Total <br />Paid to Date: <br />Balance Due: