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City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Plumb <br />Permit Counter: (714) 647-d8OO lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />tng, <br />T/ <br />Permit #: 30141777 <br />Pin #: 12798 <br />Project Address: 3940 S Bristol St <br />Assesso/sParcel: 412-131-22 Lot NA <br />unit: 208 <br />Block: NA <br />Bldg: <br />Tract NA <br />AddressRange: 3800-3950 <br />Historic: No <br />Suite Range: <br />Zoning: CR <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractorl <br />Address: <br />SDC/Pacific/Young-Santa Ana <br />P.O. Box 3060 <br />Newport Beach, CA 92558 <br />(714) 760-8s91 <br />DMB lnsurance Services <br />Gomez Construction <br />'l 151 S Alma Ave <br />Los Angeles, CA 90023 <br />(818) 415-5719 <br />0't 1 't6002 <br />01 1 16002 <br />01116002 <br />011 't6002 <br />0'1116002 <br />01116002 <br />Amount <br />14.78 <br />'13.20 <br />31.17 <br />22.95 <br />57.20 <br />3.91 <br />Fee <br />$14.78 <br />$26.40 <br />$31.17 <br />$22.95 <br />$57.20 <br />$3.91 <br />5160i <br />5160i <br />5160i <br />5'160c <br />51602 <br />5777C <br />Feo Typo <br />Water Closel <br />Sink <br />Min Fee Adj <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Qty <br />1.00 <br />2.00 <br />1.00 <br />'1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: 1049981 <br />Lic Type: B <br />Bus. Lic #: 374734 <br />Workers' Compensation lnsurancel <br />Carrier Norguard lnsurance Company <br />Policy : ADWC008254 <br />Expires: 0911812020 <br />cpti:02859413 <br />ronsoct ion Toto <br />Building Use: <br />Job Type: <br />Nature ot Work: <br />Planning Conditions: <br />Planning Approval By; <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field; <br />lndustrial <br />Alteration <br />T.l. - Offices <br />B <br />V B, SPK <br />cPc 2019 <br />Occupancy: <br />Constr Type: <br />Code: <br />Notes. T.l. - Partitloh tvalls to cf€ate offices, infill windours. <br />$156.41 <br />$0.00 <br />i156.41 <br />Date <br />Date <br />Date 01106t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />lnspector MID#: 20't9-153107 <br />01116002 51600 <br />01116002 51602 <br />01116002 57770 <br />$22.95 <br />$129.55 <br />$3.91 <br />Fee Totat <br />Paid to Date: <br />Balance Oue: <br />Ln UP0GI <br />, I Arlr'rIrr'lr <br />0111601 <br />ll i crof <br />tr 1 I l6tlr <br />i1602u00- <br />r 0ocurentr <br />i777t1100- <br />Buildins Permit #: 1 01 100291 <br />Ewry pefinit issued shall become invalid unloss the wo* on the site <br />au lotized by such pemil is cofi.nenced within 360 days attet its <br />issuanca, or il tho 'ltotk aulhonzed on lhe sile by such pormit is suspended <br />ot aban<toned fgr a peiod 01360 days anot he time the wotu is <br />cgrntterced <br />\X xemanoe., xat v