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City of Santa Ana PROJECT <br />ADORESS: 4 E. HUTTON CENTER DR <br />SUITE #:iXilS= ro rH FL JoBTYPE: Cotll,t /FS <br />NAADORESS <br />RANGE:BUILOING #:FIRE SPKNATURE <br />OF WORK: <br />NA Btck NALEGAL <br />DESCRIPTIO}{: Lot OFFICE TOI{ERNO. OF EXISTING <br />BUILDINGS E USE: <br />rnct NA ITYPE OF <br />CONSTRUCION:BOCCUPANCY <br />GROUP: <br />I harcby .ffirm undcr pcn.lty ol pcrjury th.t I am mmd lm thr co.lf.cbE' <br />liccn$ law tor thc iollming rcasn: <br />_ S6ction 7044A, l, as mcr ot thc pEp€rty, o, my mployoGs with MC6 G <br />thsir sl. ompGnstion, will do thc rcrk. .nd thr struArr! is ncl inbnd.d d <br />offcrcd for elc. <br />_ Scction 70448. l, as omcr of thc prcpcfty, am ffiinly cont-ecling with <br />lrcGnsGd @ntectoE to construcl thc prcicct <br />Oatc:_4LL-092-30ASSESSOR'S <br />PARCEL T <br />TENANT IMPROVEMENT <br />ANO / OR REMODEL AREA:i:ffi' x-o <br />OT,'iINER:tr f, !F DADITINTDq}ITD <br />NEW / ADDL <br />1st FLR. SQ. FT.: <br />NEW / AOOL, <br />OTHER SQ, FT <br />RNN S E'T(?IItrPr)A STAODRESS:NEW <br />' <br />AODL, <br />2nd FLR. SQ. FT.: <br />NEW / ADDL, <br />GARAGE SQ, FT,: <br />ZONING: ?._)sTE 11AO 450 -AOVALUATION: <br />I.OS ANGEI.F:S . (]A PHONE PLANNING <br />APPROVAL BY:DATE: <br />coNTRAcroR: HARRTs FrRE pRorEcrroN rNC <br />BLDG- SAFEW <br />PLAN CHECK 9r1 DATE: <br />AD'RESS: g2o n FLETCHER Av "ftY.rp <br />PERMIT <br />ISSUED 05 /o.7 /98DATE: <br />rupnova{rEftTs (neourc€d, NORANGE,cA 92865 NLANOSCAPING <br />REOUIREO: <br />PHoNE: 7 Lo / 6Bs-oL7 6 <br />7 4006LSTATE <br />LICENSE f:c- 15TYPE: <br />o148036 D \L.SA!{TA ANA <br />BUSINESS LICENSE #: <br />I hsrcby affirm undsr ponalty of pcrjury onc of thc foll*ing OcclaEtims: <br />ate <br />or l.ss) <br />WARNING: Failure to <br />prqided for in Scction of the Labor ENGINEER/ARCHITECT: <br />ADDRESS: <br />PHONE: <br />I hGrcby altirm undcr pGnalty of pcrjury that I .m liccnr.d undcr pmisions o, <br />Chapt.r 9 (commcncing with Scclron 70OO) ot Dinsioo 3 oa th. Busiffi and <br />Profcssions Codc. .nd my liccnse is in tull torcG and cllcct <br />Liens Class:-- Lic.n$ l,lo.: <br />Oat.: Co^rr.^*@ LICENSE fr <br />Ftr< 9/.r,tt( lcr E <br />JOB <br />Santa Ca.92701 <br />206 W. 4th. Street <br />2nd Floor <br />(714) 647-5E00 <br />City of Santa Ana <br />Building Safety Div. M-I9 <br />P.O. Box 1988 <br />FEES:AI{OUNT20.oo oo <br />o@ <br />oo <br />FEE TOTALPAID TO DATE <br />BALANCE DUE <br />o@ <br />oo <br />oo <br />FEEPERIIIT FEE <br />P lC 65r <br />ISSUANCE <br />20.13.20. <br />53 <br />o <br />53 <br />9TY <br />1 <br />20 <br />1 <br />0.5s20.oo <br />I hcrcby aftirm undGr pcnalty ot pcrjury that thcrc is a @nstuclim lcnding agcnca <br />lor thc pGrfomancc of thr rcrk for which this prmit is issuGd Sc. 3@7, Civ. C.) <br />Demolition P.rmits-Asb€sios Notification Fcdcral Rcgulatios (titc 4O, Part 6) <br />that thc fcd6ral rcAulations regarding asbcstos rcmml .ra not <br />to this prcjcct. <br />ccrtify that I ha€ <br />Lcndc/s <br />_Roquircd ol Notification. <br />Applicant o. a9.nt <br />Pcmitt6 nama <br />OWNER.BUILDER DECLARATlON <br />WORKERS COMPENSATION DECLARATION <br />LICENSED CONTPACTORS DECLARATION <br />GONSTRUCT!ON LENDING AGENCY <br />APPLICANT'S DECLARATION <br />Mailing Address Public Counter <br />This permil shall expire by limilation and become null and void if the work authorized <br />by lhis permil is nol commenced within 160 dat6 from the date of lhis permit, or if lhe <br />wotk aulhorized by lhis permit is suspended or abandoned for 180 days, al any lime <br />afler work was commenced, ln such case a new permit shall lirst be obtained before <br />such work can be ,ecommenced. <br />,a <br />BUILDING PERMIT pERMIT NO. 1o117288 q <br />Account No. 011-01-5911 - Pemit Validation Cs-6os <br />2:13Fr,r cHE!fuPEc |1frffi, _ck|rfz -br* <br />I