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101102922 - Permit
Project Address: 208 N Harbor Blvd Assessor's Parcel 198-061-17 Unit Address Range: 100-230 * Hisloric: No Suate Range: Zoning: SP2Blockr NA Tract: NA 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 Permit #: 1l)11o2922 Pin #: t"Ur".,,./ Building Use: Commercial Occupancy: M 1st FL Area: Patio: Job Type: Miscellaneous Constr Type: V B, SPK 2nd FL Area: T.l.Area: Natureof Work: OT lnspection Code: CBC 2019 other Areas: yards Req,d: Existing Bldg. & Use: Commercial/Rotail Flood Zoner X-0602320256J Garage Area: Valuation: $0.01 Proposed Use: # of Stories: Totat: Oescription of work: OT lnspection Building Permits Saturday 0112512020 Code #34, Contact > Georye @424-228-0784 lnspector > Danny @7144574175' F,ri:,-i,,[::irrrr/r.i 1l:].i,i;ir-r,rri lt)r I. : ( r l l i- l t ii t:l fill ice: (:TYH lpqnsi: 92 1 of IPlanning Conditions: Contractor: Owner-Builder Address: Phone: State Lic #: Lic Typei Bus. Lic #: Workers' Compensalion lnsurance Carrier: Policy #; Expires: Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: 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 Chavez, Dave 9 l/ Fire lnsp. Req'd: Police lnsp. Req'd Date: Date: Date 0112312020 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07776002 57770 Microfilm Records 07716002 51601 Ofi lnspection 07116002 51672 Bldg. Slds. Revolving 07775002 515O0 General Plan Update $0.00 $666.12 $0.00 $0.00 No No No No Total Flood Zone Cert. Req'd: No 01.116002 51601 $666.12 U Account# Every permit issued shallbecome invalid unless the work on the site authorized by such permit is commenced wilhin 360 days aftet its tssuance,or if the work authoized on the site by such permtt is suspended or abandoned fot a period of 360 daysaftet lhe time lhe wo* is cofifienced lnspector MID#: 2020-157325 Fee Total: Paid to Date: Balance Due: $666. 12 $0.00 $666.12 LoI NA Bldg: Owner: Mccalla Centre Address: P.O. Box 7545 Newport Beach, CA 92650 Phone: (213) 259-9115 Tenant: WSS Shoes Taewon khd:+Ilr?ilt]1ir1r.l 1,/?1./lllr?tr l,rii f'll Taewon Xirf,]e(i,:L iort [oLctl i666'1? 1735 Weatmont Drive san Pedll,,t* S75Y't' n (3r0) s8fre1qi I r," x.r66. 1 r C-80632 111n,r,-r,j ',l a.r r1 r,rrljii..t,.;l: irr,,,,,'" 1.566.1. JNC Oesign 1463 S. Norton Av€. Los Angeles, CA 90019 (213) 595-2622 SITE-WORK DATE COMMENTS OWNIiI' BUILDEN DELCARATION I hcrchy amrm lodcryenalry {'f p.rjory rhd I d cxcnl,l fron Ihe Cont&k f Li..ns. trw ro. lhc ioltosirs rcosn (Scc.7oil 5 Busincss nd Ptur.\sion Codclr Any C y or Coumy whi.h rcqui(s ! ,).iinit b connruct. ulrs. iryrrorc- dcmli\h nr rFn rny *ru.rurc. prio. ro ns isuancc.0l$ rcquircsrhc apnlic!fl l'or su.h pcrnir ro,ilc ! sisncd sraremnr rhd tr.rshc ic liccnlcd puNuonr ro rhe Fnlhions of rhc Conrrictoa\ l-ien\ed Llw (Charrcr 9. Comfto.ing wnh sc.rio. 70(x,.f Division.l otlhe Alsinc( lnd Ptur.sion* Codc ) or lhnr h.orrhc rcrcrpr rh.rcfro Md rh. basis for rhc rlk8cd cxcmplion. Anyviol.liooofSc.rioi70.ll5bytrny aptlicanr for opcrnir sunjccrs rht applic,nt b!ci!illcnalryofnor morcrhan fi!. butulhd dolldr (!5U)) -1. $ owrcr ol thc lm,ltny, ,tr nry cnulo)rc\ \'il! $rgc\ rs thcir lrlc compctrL i,nr. will do rh. e.rk rM llr {rtlu c k ml inr.'rl .rontrcn itr {L (Sn'. 7([.1, BrsimrslDd Pn,t s\i()nsCodc: Th. (-(n r..kr'sLi.cnsctjsdocs.or.pflrioanowmrof rhc Dtutrory who huilds or irnDrovcs thcr$tr. ndwhod.cs{rhworkhnnsclforh.^cliorrhrou8hhkorhcrowncmpk,ycc\. n(,vid.d rld sr.h i'npmvcmnrs m Rn inhnlcd or oficrcd for sak lL ho*ct r. rh( t{ildi'r8 or i,n ruvcftd i\ vrld wirhin.nc r{ .f.onlpLrt)n. rh. OqNr Buill& wiU hr\r rh. hurd. of!tu n! rhd hc or stu did ftn t{lrkl .r iDprnlc rhc pDrcny lor rhc purlD* ol Lns.wicrorrhcnn,p.ny.ricx.lu\ivdlycora.ringwirhli.ctrt.d..r.ror\hcoll\lrxdrhcfmjcd(Sc.70{4.Bu\i'tr\\ aRl Pmt\{ir Cod.: lhc Conkocro!'r l-iccnsc Lrs docs nor {tly ro in owncr olpnpcn} sho huild\ or imln,vc\ rhdcon, and *ho coikck fDr \uch fmiccr\ wirh r ftmrebn n liccn{d porsur k,rh. C.*rttr s LEctrsc Lawl I dlcrd rpr u.d$SL\rio. .8.&PC lnrrhisr.rnnr IABf,EIII.CAMIEN,SA:I,IIIN DESAAAT!,N I hcrcby aflnm under ltcnlltyoipcrjuryorc ot rh. followinB dc.larcrions: Ihrmr *illnHinfuinaCcniicrrcofCon\cnrhScllln\urtursorkcraconD.n\rri,r.d\lnr!trlcdfdhySe.liur3r(x)olrl( ItrIxxCodc. ior rhc nc.hnnlnccol'hc work rbr whi.h lhcfcni is n\ucJ I hdvc rnd *ill raim.in *orkcfl cunDcn$rion insuturrc. r\ rcquircd hrSNn,nlT(x)oIthc Lrti]r Codc, f.rrhc p.rroflnin.. nr rhc work lnr whkh rhis !.rmn is issuci. Myworkcn oml.trsdion insur cc coricr !.d toli.y nunbcr m: -l ccnily lhtrt in rhc pcrr'ororancc oflhc work rhr Nhicn lht ocrnrir i\ nsud. I \hrll noi.mphy itry Pcson nr any nmncr s. nsro bt.onr ruhjccr t, rhc w.*cn .ompctrsilion lnws orcdliLnri,.ond rgrcc thor ii I shoukl l,cco'nc srhjccr t, rhc w.lkds co rFnsdrion ,mvhn'trs ot Serio. -17I)0 oi rhc tih, Cqlc. l shrll. fonhwi'h comply *irh rlx,* pk,vtmns WARNINC: F0ilurc lo sclre workcr'compcnsarn,n covcrrsc is unlawtul. rnd shdll sublc.l arl c.lllolq k) riflrinall4mllts ann ciril fincs tp tr onc hundrcd rhoosrnd dollaF ($lm.m0). i. nddnnrn ki ihc.oi olc.mprrs.rion. dcDu8c\ a\ pmvnkd nn rhc S.dion 10?6ofthc lihr Cdic. intcrc{ and aiiorfty\ tucl IICENIDILCONIBACIAA DECIAMIIO! I hcEby affilmundcr pcnrltyolpcljury rnal I u lier$t under po$ioi ofCh,fld 9 (sNEn.i.8 enh Sccrion 7(x)0) ofDivnion.l ol rhc Burinc\s d Pofcslio.s Cod., .rxt Dry liccne k nr tull lbre and cfid CONSINIII:II!)NIINDIXC.dIiEI.CI I hctoby rlllrn u.dd lrtr{lrynl |{ juryrhal lhcrc is u.onsrucrion Lndins rscn.y ntr rh. rrrarrrrtr.c orrhc work fot +hich rhi\ Pco,ir ir isrucd (Sc. 109?. Cl! C ). dIIUCAILD&q.AAAIION I hcdry aninn u Mcr Fnalty oi lcrjury orc of rh. followin8 dcclarllionsl Dc.Dlirion Pcmirs^sb.{or Nori6. io. F.d.rol RcguLtions (Tnbn0. Pfi6) Rcqurcd lrrl$ of Noliicrlbn -l ccnilythat lhc icdcralrcsuhlionsrcsudins ast8(osrcDn,vrl c nor amli.,hlc ro rhk pm,cct. l.cniry rhm l h.vc.cd rhis 0pplicorion dld nd. rhd thc 0hrvc inioirnolion h cotrcc!. I lsrcc ft, co.r/y snh,l Cityund C.unr, ordinrnccsa Sr.rc ll*s rcl,tinB ro huildinS construcrion. o,n hcrch, lurho.irc reEcsiurivcs orrhis cirymd Counly t, cn'.r u['on thc rh,vc nf,nri,)ncd pn,runy lar i'rsnc.rnr Nrf-scs Appli(ml or,\gcnl Signotuc: A tr lt," Hra D,," tfzlf 2C/ Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Sublloor/VenVl nsu lation Roof Sheathinq Shear Wall Fra mrng lns u lation/En ergy Drywall Ext./lnt. Lath Brown Coat It/lasonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certil FINAL ').-l-244,k-!-.t:r) Certificate of Occu pancy Notes, Remarks, Etc. BUILDING- INSPECTOR RECORD ID/SIG. Liccosccl s: Li.c.s. Numh.r: - Drr. L'nn.' . NJn'. knd.i\ Addr$ - - -T------ II