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qProject Address: 3750 S Bristol St <br />Assessor'sParcel: 412.'131-12 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />AddressRange: 3600-3798 <br />Historic; No <br />Suite Range: <br />Zoning C2 <br />20 Civic Center Plaza (NI-19), Santa Ana, C492702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 <br />Electrical Permit #: 20{ 66548 <br />Pin #: 84108 <br />Cify of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Owner: <br />Address <br />Contractor <br />Address: <br />Phone <br />Tenant Name: <br />MCG BRISTOL WEST LLC <br />PO BOX 28739 <br />Santa Ana, CA 927998739 <br />Goldline Construction <br />3004 Gainsborough Or <br />Pasadena, CA 91107 <br />(6261222-6174 <br />Commercial <br />Tenant lmprovement <br />Tl/New Restroom <br />10196606 <br />Fee Type Amount <br />125 Volt Receptacle 1.45 <br />Light Switches, Occ. Se '1.58 <br />Light Fixtures 1.05 <br />NIin Fee Adj 69.30 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$1.45 <br />$1.58 <br />$1.05 <br />$69.30 <br />$22.08 <br />$55.04 <br />State Lic #: 994034 <br />Lic Type: B <br />Bus. Lic #: 370002 <br />Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund <br />Policy #: 9134311 <br />Expires: 05/03/2019 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Eotchi!{so77 ' llfilmlB ID: CCUELLAR <br />0fficel CIYH TPoBsS: {l { of 9Acctir Ref+: m1665{g <br />Rcpti:l[84{{95 - Tmlm$ ll:15 All <br />fronsoct Iofl fotol ll r 6?3,20 <br />Goldl ire Constrrrt i on <br />G€oarol Plon tltdote Fee <br />011 16(m- 516flIXt0- <br />Elef,tr icol <br />0l t l60&t- 5r6Gm00- <br />ICL Chack ooloin <br />i22.08 <br />1t28.12 <br />tt r693.20Occupancy: <br />Constr Type: <br />Code: <br />B <br />V B, SPK <br />cEc 2016 <br />07130t20't8 <br />Account# <br />011 16002 5'1600 <br />01'1 '16002 51603 <br />Date: <br />Date: <br />Date; <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes New interior partitions to create an accessilble unisex <br />restroom. <br />$150.50 <br />$0.00 <br />$150.50 <br />$22.08 <br />$128.42Every permit issued shall becone invalid unless the wo* on tho site <br />aulhotized by such pemit is commenced within 180 days after its <br />issuahce, or if lhe wo* authoized on the site by such permit is suspended <br />or abandoned fot a period of180 days after the time the work is <br />cofimenced <br />lnspector MID#: 2018-143695 <br />INITIAL: <br />%\t4t( <br />01116002 5160: <br />01'116002 5160: <br />01116002 51603 <br />0'1116002 51603 <br />01 1 16002 5160C <br />01116002 5160: <br />Phone: <br />Zrnig", n,1,"., 0/ <br />Fee Total <br />Paid to Date: <br />Balance Due: