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Project Address: 3779 S Plaza Dr <br />Assessor's Parcel: 412-131-12 Lot: <br />Unit: <br />Blockr NA <br />Btdg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning <br />E <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 20166547 <br />Pin #: 85680 <br />Owner: <br />Address: <br />BSG West Bristol LLC <br />5 Park Plaza <br />lrvine, CA 92614 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />01 'l '16002 <br />5160: <br />5160: <br />5160: <br />5160: <br />5'160: <br />5'160C <br />Amount <br />1.45 <br />1 .58 <br />1.05 <br />53.28 <br />'14.57 <br />22.O8 <br />Fee Type <br />125 Volt Receptacle <br />Light Switches, Occ. Se <br />Light Fixtures <br />Subpanel <br />Min Fee Adj <br />General Plan Update <br />Qty <br />200 <br />100 <br />100 <br />1.00 <br />100 <br />100 <br />Fee <br />$2.90 <br />$1.58 <br />$1 .0s <br />$53.28 <br />$14.57 <br />$22.08 <br />Phone <br />State Lic #: 994034 <br />Lic Type: B <br />Bus. Lic #r 370002 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fund <br />Policy #: 9134311 <br />Expires: 06/03/2019 <br />01116002 5'160: lssuance ktcnt:{iq77 -519totmn 1fft ccurl$#a <br />office: CIYH Trolle+! {l 7 of I <br />Accti: Rrff: 201665{7 <br />Rcott:0113{4{98 - TlNf)Ofi ll:15 All <br />Tronsoction Totol ll 1693.20 <br />Goldline Construction <br />3004 Gainsborough Dr <br />Pasadena, CA 91107 <br />(6261 222.6174 <br />r4rt 6oldl i ne ConsLrwl ion <br />Cen€{"ol Pton lbdote Fee <br />01r 16{x)2- 5t60dre0- <br />Ele<tr icol <br />0u t6ffn- 516{lls00-IcL Check fifiI29 <br />r22.08 <br />1t28.+2 <br />tl 1693.20 <br />Occupancy: <br />Constr Type: <br />Code: <br />M <br />V B, SPK <br />cEc 2016 <br />Planning Approval By: DAe: <br />Ptan checked By: I(,/tut", <br />Permit lssued By: Zuniga, Allissa I ' Date: 0713012018 <br />Subject to Field: Account# <br />Planning Conditions <br />Buildins Permit #: 10196857 <br />Every pemit issued shall become invalid unless the work on the sle <br />authoized by such permit is commenced within180 days aftet ils <br />issuanco, or if the wo* aulhorized on the site by such permit is suspended <br />ot abandoned for a penod of 180 days aftet the time the work is <br />commenced. <br />lnspector MID#: 2018-144079 <br />lvlisc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notest T.l. - Demo partition walls and install new walls to <br />create restroom. <br />$150.50 <br />$0.00 <br />$150.50 <br />01 1 16002 51600 <br />01 116002 51603 <br />$22.08 <br />$128.42 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Building use: <br />Job Type: <br />Nature of Work: <br />Commercial <br />Tenant lmprovement <br />T.t. <br />tr