Laserfiche WebLink
615 N. BRISTOL STPRO.'ECT <br />AOORESS: <br />SUITE #:JoBrypE: IIULTI/AL <br />RANGE; <br />ADDRESS 611-563 DECK WORKNATURE <br />OF WORK: <br />1 NA <br />Bl@k; <br />LEGAL <br />DESCRIPTION: Lot: <br />CONDOS I.I/DET GARAGESNO. OF EXISTING <br />BUILDINGS & USE: <br />rncr 10861 VNTYPE OF <br />CONSTRUCT]ON: <br />R1/U1@CUPANCY <br />GROUP: <br />I haroby .ffim undcr p.nalty of p.rjury that I am cxGmpt Irom th. ontFcloE' <br />liccn$-lr{v ior thc iollffing rca$n: <br />V(*on7O44A. l, as mr ot ths pop.rty, or my .mploy6 with mgcs as <br />thcir $1. comp.netion, will do thc mrk, and l,l. structurc is not intcndod or <br />ofi.r.d ,or sl.. <br />contracting withamthe <br />405-08L-23ASSESSOR'S <br />PARCEL *: <br />TENANT IMPROVEMENT <br />AND / OR REMODEL AREAI <br />x-oFL@D <br />ZONE: <br />owNER: sHA,DoI{ wooD HoA <br />NEW / ADDL. <br />1st FLR, SQ, FT <br />NEW / AOOL, <br />OTHER SO. FT, <br />ADDRESS: 611 N BRrsroL sr NEW / AOOL <br />2nd FLR. SQ. FT <br />NEW / ADDL. <br />GARAGE SO, FT <br />zoNlNG: R- 1 t500.ooVALUATION:SAI{TA AI{A, CA 927O3 <br />7L4/542-3s2sPHONE LLPLANNING <br />APPROVAL BY;DATE:LL /02 /ee <br />CONTRACTOR:BLDG. SAFETY <br />PLANCHECKA DATE: <br />[=#[.",( ft1.rxeADDRESS:Lt /02 / eeDATE: <br />H&?IET'*lJ N NLANOSCAPING <br />REQUIRED: <br />PHONE: <br />OYINERSTATE <br />LICENSE #:TYPE: <br />SANTA ANA <br />BUSINESS LICENSE #: <br />I hcrcby .tlim under p.nalty ot poriury ona of th. lollming DcclaEtions: <br />lha6 and will maintain a Certiticat! Ot Cons.ntto Sclt-lnsurc torWork6s' <br />ffipansation, as pBidsd for by Scction 37OO ot tho Labor Codc, for thc <br />p.rform.ncc of tha rcrk tor which this Pcmit is issuod. <br />_l haw and will maintain WorkrB' Compcnstion lnsuEnce, as rcquircd bykion 3700 ol the Labor Codc, tor the pcrfomancc of thc mrk tor which thisp€mit is issucd. My Worke6' Compcnsation lnsuranca canicr and policy number <br />arc: <br />Policy Number:_ <br />(this iection nua <br />or ls$). <br />in the performance of the rcrk for which this pcrmit is issued, I <br />any p€Bon in any manner rc as to become subject to the Worke6' <br />shall <br />that <br />not <br />ol Calilornia, and agree that if I should bocome subject to tho <br />of th6 Labor Codc. I shallprwisions ol Section 37@ <br />Failure to <br />prryided tor in Section <br />with tho* Prdisions <br />ENGINEERYARCHITECT: <br />ADDRESS: <br />PHONELiccn$ Class:_ Licensc <br />of Division 3 of the <br />is in tull and effcct. <br />Oat6:_Contractor: <br />prwisions of <br />Businass and <br />LICENSE #: <br />/WEATHERPROOF DECKS.Ivnn. <br />IJOB DESCRIPTION: <br />RESURFACE <br />HAI{DOUT G <br />City of Santa Ana <br />Building Safety Div. M-I9 <br />P.O. Box 1988 <br />Santa Ana, Ca.927Ol <br />206 W. 4th. Street <br />2nd Flmr <br />(714) 647-s8OO <br />@o <br />oo <br />FEE TOTALPAID TO DATE <br />BALANCE DUE <br />FEES: <br />oo <br />@o <br />oo <br />5 <br />2 1 <br />PERMIT FEE <br />ISSUAI{CE <br />so <br />2L <br />7L <br />o <br />7L <br />I hcrcby af{im under p.nalty o, pcrjury that ther. rs a @nstruction landing agoncy <br />tor thc pcrfomanc. ot tha rcrk for which this permit is issued S*. 3097, Civ. C.) <br />D6mdition Pcmits.Asb.stos Notification Fcdcral Rcaulations Oide 40, Pan 6) <br />_Requircd L.tbr ot Notifiation. <br />is <br />I, <br />Applicant or agcnt sig. <br />Pcmitto nama (prino: <br />Lcndc/s <br />Lcndc/s <br />OWNER-BUILDER DECLARATION <br />WORKERS COMPENSATION DECLARATION <br />LICENSED CONTRACTORS DECLARATION <br />CONSTRUCTION LENDING AGENCY <br />APPLICANT'S DECLARATION <br />Mailing Address Puhlic Counter <br />This permil shall expire by limitalion and b€come null and void if the work aulhorized <br />by this pemil is nol commenc€d wilhin 1E0 days from lhe date of lhis permil, or if the <br />work aulhorized by this permil is suspended or abandoned for 180 days, al eny time <br />affer r rork was commencad, ln such case a n€rv permil shall lirsl be oblained before <br />such work can be recommenced. <br />BUILDING PERMIT PERMIT NO.LOL22865 aq <br />Account No. 011-01-5911 - Pemit Valdation <br />5A1151110299S060 371.tXIs{_ rlrsPEcroB coPt _ <br />cs-60s <br />Qa4/\/ <br />City of Santa Ana <br />lsurre <br />I Raruce, <br />| <br />,r,,o,"o o, <br />9TY <br />1 <br />1