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5BIIILDING <br />PERMIT <br />ACCOUNT NO. 011-O1-5911 -- PERMIT VAUDATTON <br />- INSPECTOR COPY _ <br />g9/78/fr S:lPl.l -5911 t10?.m <br />TI <br />cs-605 <br />SUITE T: 22 SUITE <br />RANGE:JoB wPE: RES /RP <br />ADDRESS <br />RANGE:61 1-663 *EUILDING I:REROOFNATURE <br />OF WORK: <br />1 Block: NALEGAL <br />D€SCBIPTION: Lot:( 1 )12-UNIT CONDO W/CRnprNO. OF EXISTING <br />EUILDINGS & USE: <br />10861Tiact:VNTYPE OF <br />CONSTRUCTION R'lOCCUPANCY <br />GBOUP: <br />405-08 1-23ASSESSOR'S <br />PARCEL <br />': <br />TENANT IMPROVEMENT <br />AND / OR BEMOOEL AREA:x-oFLOOO <br />ZONE: <br />I hd.by rttirm th.t I am .x.mpl lrm tha contractor'a li6rc bw tor thc <br />tollmi.tg rsEon: <br />_ S.clim 7044l., l, E owr ot tha propcrty, or my amdoyB whh wrgct! lh.lr toL compoBrtion, will do tha work, ri thc .tructurc ir not intcndcd ot <br />oltc.cd tq rd.. <br />_ Srstion 70448, l, 6 ffiE ot th. prop.rly. .m rxc[ivcly cmlrrctino <br />wlth lioBtd cont rcldt to cor.trGt tha pioicct. <br />h..-_ nE-r <br />:ownERi <br />, vIILAGEWAY NEW / ADOL. <br />lrt FLR. SO. FT.: <br />NEW / ADOL. <br />OTHER SO. FT.: <br />AooREss: 1 CORPORATE PARK *2O0 NEW / ADDL. <br />GARAGE SO. FT.: <br />NEW / ADOL. <br />2rd FLR. SO. FT.: <br />IRVINE, CA 92714 zoNrNG: C- 5/SP- 1 ,(E[uarolr, 1 200.00I h.rcby .fiirm thtt I m li€[cd rnd., /oyirioil of Ch.ptcr 0,3 ol th. <br />ItBuirc md Prof6ri@ Codc, r.d <br />PHoNE: 714/553-197e PLANNING LDYAPPROVAT BY: <br />CoNTBAcToBT WILLIAM H. LAVEY & ASSOC <br />ADDBESS: 1240 s. WRTGHT STRFFT [T[[,,, ilvnu DATE:no loa loE. <br />SANTA ANA. CA 92705 N <br />IMPBOVEMENTS <br />REOUIRED:N <br />LANDSCAPING <br />R€OUIRED: <br />2222 MEYERS AV,EI i'C0fii 7't4/s7s-623s <br />409233 TYPE:c39 <br />o15s 182 bDSAT{TA ANA <br />SUSINESS LICENSE <br />': <br />E'{GINEEB/ARCHITECT: <br />I h.,3by .ltiim th.t I h.v..orliric.tr of corent lo rclt-iBw.. or a C.,tificrta o, <br />Wo.kcr'r Cmpcrtti@ lru.n6. Crnitisd copy it lilcd with th. City Buildinc <br />lrpaction Dlparlmmt. <br />I ccnily th.l in thc pcrlorm.nc. ol ttE wo,k ror wtich thit pcrmit ir irt6d, I .h.ll <br />nol cmploy any pcrton in rny mamr ro x to bcomc aubioct to ttE Work..'t <br />CompcB.tion lmr ot C.lilorni.. <br />NOTICE TO APPLICANT: ll, .firr m.king thir Ccrtilic.t. ol Exrmptim. you <br />thodd brcomc rubrcct to thc Wdkq'r CompcB.tion provitioB of thc L.bor <br />Coda, .you m€t lqrhwirh cmdf with reh provirim or thir p.rmit rh.ll b. <br />dmGd rrvokrd, <br />?e*Dttr ol <br />Sign.tuG ol <br />Ott. <br />hqtrca <br />ADORESS: <br />PHONE: <br />LICENSE <br />' <br />REROOF W /T .O. -REMOVEB.U.R. AND APPLY NEWFLAT PORTION ONLY <br />sMo[E PErEcToRs <br />REQUIRED - '- <br />CITY OF SANTA ANA <br />BI,JILDING SAFE,TY DIV. M.I9 <br />P.O. BOX 1988 <br />SANTAANA, CA. 92701 <br />JOB DESCRIPTION <br />HANDOUTS GIVEN <br />TIN.TEXISB.U.R <br />I harGby .ttirm that thcrc i! a coEtrwtion lcnding .Ocrcy lor th. pqrrorm.ncc ot <br />th. wqk tor wtich rhh pcrmit ir irwd lscc. 3O97. Civ- Codc). <br />DGmolitlm P.imitt-A!bG.t6 Notiric.tion F.dcr.l BGgul.tioil (Titl. 40, P.rt 8) <br />_Bcquircd lcnGr of notificrtion. <br />_l orlity thrt tha F.dc[l Blorl.tior rco.rding Bbol6 rcmov.l .rG not <br />rpplic.bl. to thit proicct. <br />/ anilv thtt I h.vr rc.d tlir rpplic.lion rrd.t.t. thrt .ll thc tboyc <br />inlo,mation lt col.csl. I rgila lo cmply with all th. city o.dinanc.t, rt.t. rnd <br />tcda.l lawa r.latirE to building cortrEtio rrd tE..by arnhorir. rGprocnt.tivG. <br />of tlit city to Gntcr upon thG abovlmanliomd <br />Lc.tdcr't <br />-7f <br />tor lmpcction purpola. <br />Signrtu. ot <br />Applicml ot <br />AMOUNT QTY <br />FEE TOTALPAID TO DATEBALANCE DUE <br />1 <br />1 <br />1 <br />00 <br />00 <br />00 <br />FEES: <br />PERMIT FEEPRE-INSP FEE <br />ISSUANCE <br />41.0051.0017.00 <br />109.0.109. <br />FEE41.0051.0017.00 <br />OWNER.BUILDER OECLARATION <br />LICENSED CONTRACTOR'S DECTARATION <br />WORKER'S COMPENSATION DECLARATION <br />CONSTRUCTION LENDER <br />APPTICANT'S DECLARATION <br />Mailins Address:Public Counler: <br />lN3 permit thcll crtire by limll.don .nd become null cnd yold ll the wotk <br />lulhorired b, ttit pcrmil lr mt cmm€nced within t8O dsy! frm rha d6te of lhat <br />pemit. o, i, th€ work rulhoiired by lhis permit is suspended or obandoned lor <br />180 dr?r, !t any time ofter work wos commenced. ln such ca3e o new pemll <br />shall liBt b€ obtdined betore such worl cen be recommemEd. <br />Dn v u> t, /usrrr<cc rT 4)14 <br />619 N. BRISTOL ST <br />DArE: Og / 28 / 95 <br />BLOG. SAFETY <br />PLAN CHECR BY:DATE: <br />STATE <br />LICENSE ': <br />206 W.4TII. STREET <br />2nd FLOOR <br />P}IONENUMDER <br />(714) 647-rtOO <br />ffi#ry+