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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 101971fl7 <br />Pin #: 65570 <br />q <br />Proiect Address: 3420 314 S Bristol St <br />Assessor's Parcel:412-'141-',t1 Block NA <br />unit, WCC01 Blds <br />Tract: NA <br />Address Range Suite Range: <br />Zoning: C4Historic: No <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Exasting Bldg. & Use <br />Proposed Use: <br />Commercial <br />Alteration <br />Cell Site <br />Comm <br />Cell Site <br />U <br />VB <br />cBc 2016 <br />x-0602320259J <br />Occupancy: <br />Consk Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area <br />Totat <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: $20,000.00 <br />Oescription of Work: Modification to an (e) wireless facility. Add (3) RRUS, remove/replace (1) Raycap, & relocate (12) antennas onto dual mounts. Per <br />contract Price. <br />Planning Conditions: Meet requirements to CUP 2015-14 & Resolution No. 20'15-23. No increase of antenna A 6,o;ffp ansion of equipment cabinet <br />Ownerl <br />Address: <br />Phone: <br />Tenant <br />Contraclor: C lK Power Distributors LL( <br />Address: 240 West Grove Avenue <br />Orange, CA 92865 <br />Phone: (714) 938-0297 <br />State Lic #: 969729 <br />Lic Type: B <br />Bus. Lic #; 351347 <br />Workers' Compensation lnsurance: <br />Carrier: HarttordlnsuranceCompany <br />Policy #: 72WEO10518 <br />Expires: 1011212019 <br />Nationat dishaihg'E doit$.l <br />Michael E O'Brien <br />Zz OrcnafU,brhttgb0r ' istr Itrut nrr <br />Ail ;flSFEft ;;Si,,#'.1:t -,' "', <br />Engineer <br />Address <br />Phone: <br />License #: <br />Archilect / <br />Desiqner: <br />Address: <br />S004468, <br />l'ttt <br />Sma rtlin k <br />Sydney Sykc3 <br />18401 Von Kerman Avenue, #100 <br />lrvine, CA 92612 <br />Phone: <br />License # <br />(949) 378-0900 <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />NPDES lnsp. Req'd;No <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Gomez. Pedro <br />Scott Fazekas & Assoc. <br />Hernandez, Kathy <br />Date: 07/31/2018 Misc. Receipl <br />Date: 10/04/2018 Misc Receipt <br />oate; ot/02/2019 Misc. Receipl <br />Subject to Field: <br />No <br />No Account# <br />( i i r rrr I lr) If-, },4,i, t: <br />07776002 51601 Permil Fee <br />07776002 53600 Plan Check Fee <br />07776002 57770 lvlicrofilm Records <br />08907007 24000 SMIP - Category 2 <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 57600 Genercl Plan Update <br />07776002 51601 lssuance <br />u\ <br />$641.00 <br />$222.16 <br />$26.32 <br />$5.60 <br />$'1.00 <br />$22.08 <br />$55.04 <br />Fire lnsp. Req'd: <br />Police lnsp Req'd <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every porfiit issued shall become invslid unless the wolk on lhg s,fe authonzed by <br />such pefinit is commaoced within 180 days altot ils issuance.or if the wo* authonzed <br />on the site by such pemit is suspandecl or abandgned lor a period ofl80 days aftet <br />the tirne lhe work is cofimenced. <br />lnspector MID#: 20'18-144880 <br />$22.08 <br />$696.04 <br />$1.00 <br />$26.32 <br />$5.60 <br />Fee Total <br />Paid lo Dale: <br />Balance Oue; <br />$973.20 <br />$222.16 <br />$751.04 <br />Lotr NA <br />MCG MacArthur Corner LLC <br />'1601 Dove St #145 <br />Newport Beach, CA 926601401 <br />(7141404-7867 <br />Verizon <br />t1.r'r,(7-r <br />Lt. ( <br />Total <br />011 16002 51600 <br />011 16002 51601 <br />01'1 16002 5'1612 <br />01116002 57770 <br />08901001 24000