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Project Address: 3779 S Plaza Dr <br />Assessor'sParcel 412-131-12 Lot <br />U nit: <br />Block: NA <br />Bldg: <br />Tract NA <br />Address Range: <br />Historic: No <br />Suile 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, C492702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 <br />Mechanical Permit #: 40{32386 <br />Pin #: 63700 <br />Contractor: <br />Address; <br />Amount <br />30.52 <br />42.86 <br />22.08 <br />55.04 <br />Fee <br />$30.52 <br />$42.86 <br />$22.08 <br />$55.04 <br />Phone <br />Tenant Name: <br />BSG West Bristol LLC <br />5 Park Plaza <br />lrvine, CA 92614 <br />Goldline Construction <br />3004 Gainsborough Dr <br />Pasadena, CA 91107 <br />(6261222-6174 <br />Commercial <br />Tenant lmprovement <br />T.t. <br />Fee Type <br />01116002 51604 Bathroom Fan <br />01116002 51604 Min Fee Adj <br />01116002 5160C General Plan Update <br />01116002 51604 lssuance <br />Qty <br />'l.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: 994034 <br />Lic Type: B <br />Bus. Lic #: 37OO02 <br />Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund <br />Policy #: 9134311 <br />Expires: 06/03/2019 <br />FER&rCN <br />INITIAL: <br />#/t?'S: V.\ <br />"\ <br />Illcq.I ED <br />tE <br />Botct?: {fr077 - 7lfi,lm18 ID: CCUEI-LAR <br />office: CT'ltll frohsi! {l I of IAact3: Rafi: t0132386 <br />Rcpti3023{{5fl) - 7lfilml3 ll.15 All <br />Tnonsoction Totol ll r693.2t1 <br />60ldl i ne Construct i on <br />Ctenerol Plon llpdote Fee <br />0l I l6&n- 5t6firno- <br />Fe<ton i col <br />olt16&?- 5t6{x000- <br />ICL Chec* 00202t <br />Notes: T.l. - Demo partition walls and install new walls to <br />create restroom. <br />$150.50 <br />$0.00 <br />s150.50 <br />t22.08 <br />t12S.42 <br />tIr693.20 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Constr Type: <br />Code: <br />M <br />V B, SPK <br />cMc 20r5 <br />Planning Approval By: Date: <br />Plan checked By: [l(\-zlOate: <br />Permit lssued By: zunlga, nttissa \\ Date: O7l3Ol2O18 <br />Subject to Field: Account# <br />Planning Conditions: <br />Buildins Permit #: 101 96857 <br />Every permit issued shall becgme invalid unless the wo* on the site <br />authodzed by such perfiit is commenced within 180 days after its <br />issuance, ot il the work authoized on the site by such pemit is suspended <br />o( abandoned br a pedod ol 1 80 days after lhe time the wo* is <br />commenaed. <br />lnspector MID#: 2018-144079 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$22.08 <br />$128.42 <br />Owner: <br />Address: <br />'q <br />01116002 51600 <br />01116002 51604