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t crrY oF sANrA ANA <br />PERMIT AND INSPECTION SERVICES <br />20 CIVIC CENTER PLAZA i,I19 <br />t <br />l'0-" <br />APPLICATION/PERMIT <br />GRADING <br />SANTA ANA, CA. 92701 <br />( 834-4186 ) <br />o <br />PU 8EJOB ADDRESS <br />3?oo .-Sf,ntra La(tlnee M <br />PLANIIIXO DEPTLEOAL OESCA|PTIOX <br />(o, rlt.ch) <br />LOr ELOCK TRACT <br />zollE VAR.c!r.M. EXC <br />^'' bo gg^r+q <br />WL-o rr oOUIlli .t A <br />S.rr.r [/a,Jr,€ l*Sso v <br />Vi'u^ A/)r,l <br />ZIP CODE4il^l tn <br />ADORESS }L <br />2a +4 <br />ATE LICENSE tt <br />v <br />itl <br />P <br />torL <br />FIRI <br />'t.1.€f <br />LAXD U8E APPiO <br />TRACT <br />P <br />O.t. <br />r-EOl{D E Nor BEo'o E REounEo a <br />AOND <br />AIIT. <br />TITE LICENSE ''+ -t-u<BONOTNO CO.BOND ' <br />E surt, E c.rt O Bl.nr.t bond E c.71. ol d.po3lt <br />cEoLoor8T <br />5 T- <br />LETTER OF CREDIT (Erplr.rlon drr. ) <br />IYPE OF PERIIT <br />3aztP cooECITY <br />^DORESS \-.1R'Slo <br />one6lrto <br />co]arRAcloR <br />STATE LICENSE 'PHOTIE ' <br />I rlo aurotr,ro PERurrS ro BE <br />ISSUED UNTIL THIS PEFMIT IS,' <br />sUP€RCEOEO BY A PRECISE <br />ONAONG PERXIT. <br />fi/rr'.o,no pERMr rAY BEz \ rssueo AFrEB RouoHI on^o,nc HAs BE€N <br />APPBOVEO. <br />CITY ZIP CODE <br />TUIAEi OF CU8!C YABDS <br />CEBTlFICATIOI{ FON BEOULATIOII PERITT CUT:EOFROW FILL: <br />EXPORT NATURAL FILL: <br />vau^r0 0r cuB. Yos.rOTAL FEE <br />YARDAOE <br />ONADINC FEE8 <br />a_ <br />TOTAL <br />P/C <br />PLAX CHECT <br />GNAOll{O: <br />ITPROVEIET{TS: <br />lrSC. RECEIPT <br />I] <br />GRAOINO: <br />U'PROVEIEilTS: <br />II8C. RECEIPT <br />ORADIl'O PEBTIT <br />toI <br />a <br />?21.5- <br />rOTAL <br />PENIIT <br />FLOOO ZOl{E <br />corPLlAl{cE To t zot{t D.t. <br />APPNOVED <br />APPiOYED <br />FlltAL <br />colr?RAcToRS <br />fl t cenrrrv IHAT THE FoLLorvrr{o coNTRAcroR's LrcENsE ,_ANo <br />CLASSIFICATIOI{ IS IN FULL FOBCE AND EFFECT. WONXMEN'S COUPENSATION <br />CERTIPICATIOI{ OF EIEIPIIOX FROI 8ECTIOI{ SSOO <br />OF THE GALIFOR!|IA LAEON CODE, ANTICLE !, COI{STRUCTIOI PEBIIT: <br />Q'r cenrrrv IHAT rN THE pERFonMANcE oF THE woBK FoR wHrcH rHE pERMrr rs rSsuEo r SHALL <br />lrOT ETPLOY ANY PERSON IT{ ANY MANNEN SO AS TO BECOME SUBJEC? TO IHE IYORXMAN'S <br />coilPeNsATtoN LAWS OF CALTFORNTA. <br />IF. AFTER TTAXNO SUCH CENTIFICATION THE APPLICANI FOE THIS PERMIT SHOULO EECOI'E <br />SUEJECT YO THE YTONXTEI{'S COIIPENSATION PNOVISIONS OF IHE LAEOB CODE. THE <br />APPLTCANT SHALL FORTHW|TH COT.PLY W|TH THE PROVTSIONS OF sEcloil 3roo oR THts <br />PERUIT SHALL 8E OEEI{EO REVOKEO. <br />DATE:8IONATURE <br />EXETPT FROU SECTION <br />'03t.59. CONTFACTOF'S LIC€NSE LA$' <br />BOI{D <br />NELEASE <br />OrTlI HEREAY ACXNOWLEDGE THAT I HAVE F€AO THIS APPLICATION AND S'ATE THAT THE INFORTATION I <br />HAVE PfiOVIOED 13 CONNECT ATO AOREE TO COT'PLY WITH ALL CITY OROII{ANCE8 ANO SIATE LAWS <br />n€ouLArNG SUrLOra{O COr{SiRUCTloN. <br />TO IXE CITY OF 8A}ITA ANA ANA. IT'S OFFICENS. AOENTS AND EI'PLOYEES. <br />oF SUOH r{sPECTrOtr8, |r|VE8rtoAt|ON9. OA OORFECTTVE <br />OEETS NECESSARY./- t-g ? <br />OWNEN OR AUTHONIZED AOEIIT <br />rXE <br />OATE <br />CONS€ilT IS HEBESY <br />FOR THE <br />AFXS: <br />/ <br />rHls APPLICATIOI{, WHE}I PFOPERLY VALIOATED. IS A PERMIT TO OO THE WORK <br />FOR A PERIOD OF ItO OAYS FROil DATE OF ISSUANCE.oEscRrEEo <br />AccT. , <br />I l-,4 ltYALIDATION <br />THIS PERXIT SUPERCEDES <br />PNELITTINAAY ORAOINO PERYIT-_-qe1u- <br />PLAII CHECI( , <br />Alt g <br />PERIIT ' <br />00369 <br />P On--,5q.7 <br />OTHER APPLICAXTA <br />EEIAf,f,g: <br />rallmlntrr P?ac <br />,).<to -