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city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requesls: (714\ 667-2738 lnspector Section: (7141647-5853 <br />Permit #: 40132347 <br />Pin #: 308{4 <br />Proiect Address: 3750 S Bristol St <br />AssessodsParcel: 412-'131-12 Lotr NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract NA <br />AddressRange: 3600-3798 <br />Hisloric: No <br />Suile Range: <br />Zoning c2 <br />E <br />Owner: <br />Address: <br />Contractor; <br />Address: <br />Phone <br />MCG BRISTOL WEST LLC <br />PO BOX 28739 <br />Santa Ana, CA 927998739 <br />Goldline Construction <br />3004 Gainsborough Dr <br />Pasadena, CA 91107 <br />(6261 222-6174 <br />Fee Type <br />01116002 51604 Bathroom Fan <br />01116002 51604 Man Fee Adj <br />01116002 5160C General Plan Update <br />01116002 51604 lssuance <br />Amount <br />30.52 <br />42.86 <br />22.O8 <br />55.04 <br />Fee <br />$30.52 <br />$42.86 <br />$22.08 <br />$5s.04 <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Phone <br />State Lic #: 994034 <br />Lic Type: B <br />Bus. Lic #: 370002 <br />Workers' Compensation lnsurance: <br />Carrier: State Compensation lnsurance Fund <br />Policy #: 9134311 <br />Expires: 05/03/2019 <br />PERMIT CANCELLED <br />INITIAL: <br />Eotch?:{5077 - Ufilm$ I0! CCIJELLAR <br />0ffice: CTYH TronBS! {l 3 ol 9lccti: Rsl+! 40132397 <br />Rcpil: (D3{4{9{ - 7lfilmla ll:15 All <br />Trooso(tion ToUql 111693.20 <br />Goldl i ne Gonstruct ion <br />Gsnerol PIon lbdot€ Fee <br />011l&t?- s16flIm0- <br />It€dlotr i col <br />olt tgx!?- 5I60{m0- <br />ICL Ch€cl &fm29 <br />t22.08 <br />t lzs. {2 <br />3l r 693 .20 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Condations: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />Tl/New Restroom <br />Zuniga, Allissa <br />10196606 <br />Occupancy: <br />Constr Type: <br />Code: <br />DatJ <br />$4:. <br />B <br />V B, SPK <br />cMc 2015 <br />07/30/20't8 <br />Account# <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 become invalid unless the work on the site <br />authoized by such permit is commenced within180 days aftet its <br />issuance, ot il the work authoized on the site by such pormit is suspended <br />ot abadoned for a peiod ol 1 80 days after the time the work is <br />commencod. <br />lnspector lvllD#: 2018-'143695 <br />01116002 51600 <br />01116002 51604 <br />Tenant Name: <br />DATE:t\ro\r <br />Fee Total <br />Paid to Date: <br />Balance Due: