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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853 <br />Mechanical Permit #: 40{3{675 <br />Pin #: 30292 <br />AddressRange: 100-230. <br />Historic: No <br />Suite Range: <br />Zoning: SP2 <br />srProject Address: 100 N Harbor BIvd <br />Assessor'sParcel: 198-061-17 Lot: NA <br />Unit: C-1 <br />Block: NA <br />Bldg: <br />Tractr NA <br />Owner: <br />Address: <br />Conlraclor <br />Address: <br />Phone <br />Tenant Name <br />GARFIELD BEACH CVS LLC <br />1545 W 17TH ST <br />Santa Ana, CA 927063300 <br />Federal Building <br />'15870 Curlis Ave <br />Fontana, CA 92336 <br />(909) 428-8007 <br />Fee Type <br />01116002 51604 Alter Vent Sys <br />01116002 51604 Min Fee Adj <br />01116002 51600 General Plan Update <br />01116002 516M lssuance <br />Amount <br />41.99 <br />28.65 <br />21.25 <br />52.98 <br />Fee <br />$41 .99 <br />$28.65 <br />$21.25 <br />$52.98 <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />State Lic #: 374153 <br />Lic Type: B, C-39 <br />Bus. Lic #: 366882 <br />Workers' Compensation lnsuranceCarrier: State Fund <br />Policy #: 9038073 <br />Expires: 0110112019 <br />Eqtch?:43901 - tr/22/2019 ID: osoffice: ITYH TrmE+: 113 3A,:ct+: Refi: 40131 <br />Rcpti:022691,t3 - 5/221201S 5301 <br />Tnonsoct ior Totol 111640 <br />Federol Bu i Ld ins <br />6enerol. Plon Updote Fee <br />01116002- 51600000- <br />llechon icsl <br />r.u116002- 51604000- <br />ICL Check 0(13281Building Use: <br />Job Type: <br />Nature of Work: <br />B <br />VA <br />cMc 2016 <br />Commercial <br />Tenant lmprovement <br />TI <br />Notes: <br />Planning Approval By: Date: <br />Plan Checked By: Date: <br />Permit lssued By: Chavez, Daven / . Oate: 0512212018 <br />Subject lo Field: "/ - Account# <br />Planning Conditions <br />Buildins Permit #: 101 95042 <br />Every permil issued shall become invalid unless the wor* o,l fhe site <br />authodzed by such permit is commenced within 1 80 days aftet its <br />issuance, ot it the wot* authotized on the sile by such permit is suspended <br />or abandoned fot a period of 1 80 days aftet the time lhe wo* is <br />commenccd. <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />01 1 16002 51600 $144.87 <br />$0.00 <br />$144.87 <br />lnspector MID#: 2017-140384 <br />01 1 16002 51604 <br />$21.25 <br />$123.62 <br />Fee Total: <br />Paid to Oate: <br />Balance Due: <br />Phone: <br />Occupancy: <br />Constr Type: <br />Code: