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City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building <br />Permit Counter: (714\ 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (714\ 647-5853 <br />q <br />Proiect Address: 3779 S Plaza Dr <br />Lot Block: NA Tract NA Historic No <br />Suite Range <br />Zoning <br />Unit Bldg: Address Range: <br />M <br />V B, SPK <br />cBc 20'16 <br />x-0602320259J <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />700 <br />Description of Work: T.l. - Demo partition walls and install new walls to create restroom. <br />Planning Conditions: <br />Garage Area: Valuation: S25,130.00 <br />Totat Botch?r{5ofi? - 7lfitzola I0: cct.lEl'LAR'''"' il;ie;;'ciii rrsnsf : {t 4 -el c <br />XIL{;;- -"' R!r+: 1ote68s7fliiiiuar+tn - Tnfrtmts lt:15 Arlii-oiiiliii'i'iitot tlr6e3'2tt <br />BSG West Bristol LLC <br />5 Park Plaza <br />lrvine, CA 926'14 <br />Phone: <br />Tenant <br />\ li-)- <br />\t <br />Contractor: GoldlineConstruction <br />Address: 3004 Gainsborough Dr <br />Pasadena, CA 91107 <br />Phone: (6261222-6174 <br />.- State Lic #: 994034.) Lic Type: B <br />Bus. Lic #: 370OO2 <br />Workers' Compensation lnsurance: <br />Caffier State Compensation lnsurance Fur <br />Policy #: 91343'l l <br />Expires; 06/03/20'19 <br />Crenerol PIon uPdote Fee <br />o1l16092- 516m000- <br />8ui ld ineolrl6ffn- 5l60lm0- <br />Bldg Stds Revolvin! <br />01,16(tr2- s1612000- <br />""n,."'ffiffii&moo-vrncenr l{flrrof lh f, 0ocurents <br />132a2 H{tllg r- 5?77!000- <br />Garden quuecftkl2B44 Og:2O7, <br />(714) 7194558 <br />Engineer t22.08 <br />t230.0{ <br />t2.00 <br />t7.00 <br />t30. u8 <br />t I r 693.20 <br />Phone: <br />License # <br />Phone: <br />License # <br />,,,",,"n1t{oi..Ilr%Ll <br />Plan Checked By: <br />Permit lssued By; <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />v\7 <br />- Soto. Rrcardo <br />Chehade, Nabi <br />Zuniga, Allissa <br />No <br />No <br />No <br />No <br />Date: 06/14/2018 <br />Dale.0712612018 <br />Dale: 07/30/2018 <br />Subject to Field: <br />71171 <br />07776002 <br />07775002 <br />07776002 <br />0 77760 0 2 <br />07776002 <br />0 77760 0 2 <br />57607 <br />5i600 <br />57770 <br />5 7672 <br />5760 0 <br />5760 7 <br />$175.00 <br />$245.00 <br />$30.08 <br />$2.00 <br />$22.08 <br />$55.04 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceFire lnsp. Req'd. <br />Police lnsp. Req'd <br />No <br />No Account# <br />Flood Zone Cert. Req'd: No <br />Every permit issued shall become invalid unless the work on the site aulhoized by <br />such peftnit is commanced within180 days aftet its issuance.or il the wo* authorized <br />on the site by such permit is suspended or abandoned fot a peiod o1180 days after <br />the tine lhe wotu is comnenced <br />$529.20 <br />$238.00 <br />$291.20 <br />lnspector l\AlD#. 2018-144079 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />51600 <br />51601 <br />516't2 <br />53600 <br />57770 <br />$22.08 <br />$230.04 <br />$2.00 <br />$7.00 <br />$30.08 <br />Permit #: {O{96857 <br />Pin #: 53461 <br />Assessor's Parcel: 412-131-12 <br />Building Use: Commercial <br />Job Type: Tenant lmprovement <br />Nature of Work: T.l. <br />Existing Bldg. & Use: gepmsTcialoff ices <br />Proposed Use: <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />Owner: <br />Address:Address: <br />Architect / <br />Desiqner: <br />Address: <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt; <br />Total