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q <br />Project Address: 100 N Harbor Blvd <br />Assessor's Parcel 198-061-17 Lot: NA Block: NA <br />unit: C-1 Blds <br />Tractr NA <br />Address Range: 100-230 * <br />Historic: No <br />Suite Range: <br />Zoning: SP2 <br />city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Tenant lmprovement <br />Demising Wall <br />Commercial <br />B <br />VB <br />cBc 20t6 <br />x-0602320256J <br />'l st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />Description of Work: Legalize demising wall to create suite C-2lauth letter on file <br />Planning Conditions: <br />Owner: <br />Address: <br />Garfield Beach CVS LLC <br />1545 W 17TH ST <br />Santa Ana, CA 927063300 <br />Phone: <br />Tenant: <br />Contractoa FederalBuilding <br />Address: 15870 Curtis Ave <br />Fontana, CA 92336 <br />Phoner (909) 428-8007 <br />State Lic #: 374153 <br />Lic Type; B, C-39 <br />Bus. Lic #: 365882 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 9038073 <br />Expires: 0110112019 <br />Engineer <br />Address: <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval By: <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 />07776002 <br />07176002 <br />08907001 <br />01116002 <br />01116002 <br />o1776002 <br />5760 7 <br />53600 <br />240 00 <br />s7672 <br />57600 <br />57607 <br />Permit Fee <br />Subject to Field <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Gomez, Pedro <br />Hernandez, Kathy <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd: No <br />Every pemit issued shall become invalid unless lhe wotu on the site authorized by <br />such pefinit is cofirnenced within 180 days after its issuance,ot if the wo* authoti|ec! <br />on the site by such pemit is suspended ot abandoned for a potiod of180 days after <br />the time the wo* is cofinenced. <br />MID#: 2017-140384 <br />Date: 06/04/20'18 Misc. Receipt: <br />Date: MiSc. Receipt: <br />Date; 06/04/2018 Misc. ReceiPt: <br />Subject to Field: Jason Klodt <br />No <br />No Account# <br />\.* <br />!'lo <br />No <br />No <br />No <br />$154.26 <br />$154.26 <br />$0.70 <br />$1.00 <br />$21 .2s <br />$52.98 <br />Total <br />$21.25 <br />$207.24 <br />$1.00 <br />$154.26 <br />$0.70 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$384 45 <br />$0 00 <br />$384.45 <br />Permit #: 10196623 <br />Pin #: lOE56 <br />Patio: <br />T.l.Areal <br />Yards Req'd: <br />Valuation: $2,500.00 <br />Phone: <br />License #: <br />Phone: <br />License #. <br />011 16002 51600 <br />011 16002 51601 <br />01 1 16002 51612 <br />01116002 53600 <br />08901001 24000 <br />lnspector