The URL can be used to link to this page

Home My WebLink About10196623 - Permit (2)q Project Address: 100 N Harbor Blvd Assessor's Parcel 198-061-17 Lot: NA Block: NA unit: C-1 Blds Tractr NA Address Range: 100-230 * Historic: No Suite Range: Zoning: SP2 city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Commercial Tenant lmprovement Demising Wall Commercial B VB cBc 20t6 x-0602320256J 'l st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: Occupancy: Constr Type Code: Flood Zone: # of Stories: Description of Work: Legalize demising wall to create suite C-2lauth letter on file Planning Conditions: Owner: Address: Garfield Beach CVS LLC 1545 W 17TH ST Santa Ana, CA 927063300 Phone: Tenant: Contractoa FederalBuilding Address: 15870 Curtis Ave Fontana, CA 92336 Phoner (909) 428-8007 State Lic #: 374153 Lic Type; B, C-39 Bus. Lic #: 365882 Workers' Compensation lnsurance: Carrier: State Fund Policy #: 9038073 Expires: 0110112019 Engineer Address: Architect / Desiqner: Address: Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd; PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd 07776002 07176002 08907001 01116002 01116002 o1776002 5760 7 53600 240 00 s7672 57600 57607 Permit Fee Subject to Field SMIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance Gomez, Pedro Hernandez, Kathy Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No Every pemit issued shall become invalid unless lhe wotu on the site authorized by such pefinit is cofirnenced within 180 days after its issuance,ot if the wo* authoti|ec! on the site by such pemit is suspended ot abandoned for a potiod of180 days after the time the wo* is cofinenced. MID#: 2017-140384 Date: 06/04/20'18 Misc. Receipt: Date: MiSc. Receipt: Date; 06/04/2018 Misc. ReceiPt: Subject to Field: Jason Klodt No No Account# \.* !'lo No No No $154.26 $154.26 $0.70 $1.00 $21 .2s $52.98 Total $21.25 $207.24 $1.00 $154.26 $0.70 Fee Total: Paid to Date: Balance Due: $384 45 $0 00 $384.45 Permit #: 10196623 Pin #: lOE56 Patio: T.l.Areal Yards Req'd: Valuation: $2,500.00 Phone: License #: Phone: License #. 011 16002 51600 011 16002 51601 01 1 16002 51612 01116002 53600 08901001 24000 lnspector BUILDING. INSPECTOR RECORD SITE-WORK DATE tD/stG.COMMENTS OWNER AUILDDR DELCARATION I h.lchy atfirm dndcr l..rlry ol trrjury lhnt I am cxcmpr rinm rhc ConradoN Liccnsc tjw ior ihc follos'ins rca$n (s..7011 5 Busnrss and Pror.rsi.n Codc): Afy Cir, or Cour, *hich r.quirc\ n Fnnil io construct. .lls. im *c. &rmlish nr Ertrir my slodurc.,tior ro ils issuancc. a\. rcqun.srlt amli.r r ror su.h pcnni o ile l si3md srrrcmnl rh,r b.or shc is liccnscd Nruld ro rhc ptuvisions orrh. Conttrdols Liccn\cd Llw (Chufrcr 9. ComnEncins wirh sc.rion 7fi)0 ol Dilision:l oa rh. Busirrcss rnd Pmn$ions Codc) or lhar hcorshc iscxco,fl rhcruti(nnand rhc hasn lorrhcrllcgcJcrcmplion AnyviolsrionolSc.ridnT0ll.5by.ny lmlicanr turarcrmir \lhjccrsrhc rml'cdnr b r .ivil p.nnlry or troLRtrc lh{n iivc hund,ed dollm (S5m). l. ns owRr or rhc r$Irny. or my cmplo)ccs wilh w!sc\ !s rhct $1. co rNnsar ion. s ill do itE $ork ud rhc nmrm s mr nc cd.roficrcdforsL(Ss7044,BusircsrndP,'.Ls\ioisc.d.ThcConrochi\t,icetrEtj*docsnotrptlyloanoNncrof rhc pR,IFny wh) hikls.i itr{trorcs rlTmn. a.d Nho docs sEh *o!t himsclror h.r*lfor rhn,ueh hn orh$ o$n enrpbyccs, lrovidcd rhat such imlrorrrcna aE nol inlc .d o, olibrn for st li. h,*dcr, rh. bui i.8 .r i'iprcremnt h stl wirhir orE )tr of compLri)n. rh. Osncr BuiklLJ wi)l hurr thc budctr of pmving rh.r hc or shc dil ftn huiu o' itrrmlt rh. Popcny lor rhc PITnE ol -l. rso*ncrolrhcnmpcnt, amcxchrivclyconricrins rilh licensdcoir!,ct,Et,.onslruclrhc projccl(SN.' 7l|r]l, Busnc$ ml Pml6sbn Codc: rhcCo racrofil,iccn\.I-rsdocsioitrptlyk,an.qncrolpii,pctlywnohuild\.tnnrrolcsrhcrcon. ,!d $ho conr,ac( for such pn,FcR with r Conh.lor( t lic.nâ‚¬d prsuunl l(' rtu Conkrt \Li.cns.tiw). I Jnercmnr undcr Sc.rio n ,ll & P( li,rlhi\ rcxvtr, lvaaa!8slaufENlarloN DECLA&IIII)N I hcr.by.llirnrundcr l{nalry ot p.rjrryoncofrhc tulk,wiig c.hrdriorr l hn\cadwillroi 3inaCenificarcolCoisnrios.lllnsurcntrworkcs coorll{nslrion. as providcdforbrsc.riotrllmofrhc bhi, Codc. r.rrhc Frrorm,nccollhc work forwhich thc pcrmil is hsucd IhilcoDd*ilimrinlainworkcr\'compcnsnrn,ninsurtrcc.nsrcquncdhyScdi,)n3?(nolrlrI;lhorCbdc.rotlh-PconNncol thc *ork io $hichlhisp.rrir i\ n\xcd Myworkcis .onl).nsdn inntrnncc cadcr lnd policy tumb.r d. R,licy Nun,bci-Errnci: CANEIIIJCIION.LINIINCAGEIIT I hcrhy !I6rn undc! Fnahy of Pcrjory lhdr rhcrcisa.onndcrkn hndiryaacncy rdrhc!. ormnccoflhcso fot whkh rhis Fmir Lr i\sucd(S.c. 1097. Civ. C.) AITIIIANLO&ELINAID! I hcrby afim undcr p.trrllyoipcrJuryonc ol rhd rolk,qing dc.l-ariotrt Dcmolirion Pcrn,ih A\rE{os Notiication rrdcralRc8ullrions (Tirlc 40, Pd6r R.quircd t.xcr of Noil'rcorion -l ccnifyrhar rhc acdcr,l rcgu ld idN rcgddnrS lsbc(osrcmvalm nor,prlicibrc ro tht lmirr. lceniftrhdlhr\.r.idrhisrntli,:rri.niBlslxrcrhrrll,crh)!c,dn)nnrtr!ti!..rrccr I rCrLr t, mn'lly $ [h xl Cilyr]rdCo!nry odinrnc.\Jid Srnrc trqsrcl rn!ro huildin!cotr aulktrizc rcprc\cnl,livcsorrhkCiryindCoutrryk,cnlcrulxlnrhc $.v. nEniiomd proFny lnr ^,, 6 - t/-/g Aopli.{nl {r Aaâ‚¬nl sixn,l!ft f.milee mmâ‚¬(pnnl): Sel Backs Forms/Steel/Holdowns Erection Pads UFEFI Ground SLAB Floor Subf loor/Vent/l nsulation Roof Sheathino Shear Wall ,{ Framing tr-v.4'1[) lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat It/asonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif. A FINAL 2-n-r,kJl-{,l{l Certilicate of Occupancy Nqtes/ Remarks, Etc. . L6F .L r:(u'4 VLcss'' n,n TalWl lPv L -n-t\ l.dnifyrhrr idrhc pcrlbrumc ollhc worlt forshkh rhis tcrnrir il issucd.l shlllnol cnDloy uy pc^on inany mmner $ !r lo bcconr sul,jecr ro rhc sorkcA ..nD.trsar'on laws oic.lilornia. .n{l larcc 'har itI \hould k{ont subF;r to lhe wortcF compctrsrion povtion( orscdion:17{x)ofrhc lrh.r Codc.lsttrll- fonhwnh.onq,ly wirh rh.s prolisions WARNING: FiluR ro NUrc trorkcr compcnsrion covcm-qc i\ unlawtul, ud \hdl subl.ct an c rployc! to dminrl l*ndhics md civil fin.\ ur b on. hxndrcd lhousond dollnn lslo0-Ou,). in lddnion b ihc.on olcoflqEnsllion, danEscs as Iiovidcd f.r rhc Sccrion 11076ofrh. titff Codc. inrcrc atrdarlorrcv sfes ;",, i--il-ii :;^:^", x#- LI!.INSEO_COrrA6!ruf, DICIAMIIgN Ihcrchy.firorunderpcnalryot!.rjuryrharladli..n*Jund.rPn,vhionofChnprsg(c.nftmingwirhSccrhnT{m)olDivi\ion.) oi rhc Bu\incs and Prorc$iors Codc. md aryliccn$ h in rull ror.c &xl cilccl lxnd.r'r NMc -