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q <br />Proiect Address: 100 N Harbor Blvd <br />Assessor's Parcel:198-051-17 Lot: NA Block: NA <br />unit: C-1 Blds <br />Tract: 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 />Permit #: lO{95042 <br />Pin #: 20495 <br />Building Use: Commercial Occupancy: B 1st FL Areal <br />Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area: <br />Nature of Work: Tl Code: CBC 2016 Other Areas: <br />Existing Bldg. & Use: Commercial Flood zone: x-0602320256J carage Area: <br />Proposed Use: # of Stories: Total: O <br />Description of Work: lnstall partition walls and t-bar, install movable seating/No grcase interceptor required-letter on file <br />Patio: <br />T.l.Area: 1951 <br />Yards Req'd: <br />Valuation: $70,040.00 <br />Planning Conditions <br />Owner: <br />Address <br />Garfield Beach CVS LLC <br />1545 W 't7TH ST <br />Santa Ana, CA 927063300 <br />Phone: <br />Tenant: <br />Contractor: FederalBuilding <br />Address: '15870 Curtis Ave <br />Fontana, CA 92336 <br />Phone: (909) 428-8007 <br />State Lic #: 374153 <br />Lic Type: B, C-39 <br />Bus. Lic #: 366882 <br />Workers' Compensation lnsurance: <br />Carrier: State Fund <br />Policy #: 9038073 <br />Expires: 01/01/2019 <br />Engineer <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Planning Approval By <br />PIan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Gomez. Pedro <br />So, Anson <br />Chavez. Dave t,t <br />No 4/ <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Date: 0512212018 <br />Date: 01/30/2018 <br />Date: 05122120'18 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />07776002 <br />o7716002 <br />077 76002 <br />0890700 7 <br />07776002 <br />07776002 <br />0 77760 0 2 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />70391 <br />Total <br />s7607 <br />53600 <br />57770 <br />24000 <br />57672 <br />5760 0 <br />5760 7 <br />$468.24 <br />$663.34 <br />$21.72 <br />$19.61 <br />$3.00 <br />$21.25 <br />$52.98 <br />$1,250.14 <br />$663.34 <br />$s86.80 <br />Landscaping lnsp. Req'd: No Fiood Zone Cert. Req'd: No <br />Every pe.mit issued shall becone invalid unless the work on the site authotized by <br />such pemit is commenced wilhin 180days after its issuance or il the wotk authoized <br />on the site by such parmit is suspended or abandoned fot a peiod of180 days after <br />the time the wod< is commenced <br />lnspector MtD# 2017-140384 <br />01 1 16002 <br />01 1 16002 <br />0'1 1 16002 <br />01 1 16002 <br />0890'1001 <br />51600 <br />51601 <br />51612 <br />57770 <br />24000 <br />Fee Totali <br />Paid to Date: <br />Balance Due: <br />$21.25 <br />$s2'1.22 <br />$3.00 <br />$21 .72 <br />$19.61 <br />t.,i 2'L/ 2t11y, <br />lr.qingll 11.i <br />tlll? <br />nE(l,:ri ion IoLo]