Laserfiche WebLink
ANDPERMIT N <br />19APPLICATION/PERMIT <br />GRADING <br />SANTA ANA, CA. 92701 <br />( 834-4186 ) <br />faJOB ADDBESS ""'o"ll4nt krltNe e moE <br />(or aitrch) <br />t-EoAL ELOCX UTNACT <br />zotaE VAR.clrr.ll. €Xc <br />TRACT PU OIHER <br />A.P. <br />PBOPOSED UBE3 <br />"b^re rl*,q 9x"tL <br />ZIP CODE,WTEN'8 AOOBE8S . A <br />33tS fsP*/''t,J I <br />STATE LICENS€ 'Lt lqL <br />PfIONE <br />'bbo -88t9- <br />ZIP CODE?zt4t'b<r', <br />Ny'-ffi"ir ilt9Dit*actTE 'D *L <br />APPiOYIO <br />'OIL / Arllnxo rtir {4. rthiurJ c /Bc(,- <br />STATE LICENSE 'heo-attS <br />I -\[tr <br />LAXD U3E <br />REIARXS: <br />D.l. <br />S*trn Anlft <br />CITY zrP cooE?zn-f aBONO <br />AUT.ltso b*nt,lz* <T gIADORESS <br />BOI{D E Nor REo'o E REourREo <br />PHONE ll <br />Zsc-7/ l,S <br />BONOINO CO.BOND 'a*,"d+LICENSE <br />'iorll rrotxr:i. <br />)-hr rrt Nr rlYa <br />E Surrty O ctrt E Bhnt.r bond E c.rr. ol d.Do.llCITY <br />9*\mL lr,,r'fi <br />ZIP CODEAlzof <br />LETTER OF CREOIT (ErDlrrtlon d.l. )PHONE 'TYP! OF <br />lL0t]aEERD{O <br />oEoLoorST <br />STATE LICENSE ' <br />P / PraclaaCITYZIP CODE <br />^ooREss <br />LICENSE <br />''ffh'-MdooRADll{O , -coxrnlcron tl,t{ g.e TnO <br />,X NO AUILDINO PERMITS TO 8E <br />ISSUEO UNTIL THIS PERTIT IlP <br />SUPEBCED€O BY A PR€CISE <br />ORAOINO PERXIT. <br />^ <br />EUILOINO PEBI'IT ITAY BE <br />ISSUED AFTER ROUOH <br />ORADING HAS BEEN <br />APPBOVED. <br />t'loll B6rc$ A,)) Fr.loo Kn,v,r.* ?rrdr <br />zrP cooE <br />4tt"*7 TUTAEE OF CUBIC YARDS <br />SORROW FILL:cur: <br />EXPORT NATURAL FILL: <br />v4uarm ofmorlcIfll olYrclt <br />!!ao reov€lefrt I <br />cua. YDs,rOTAL FEE <br />YAROAOE <br />ORAOIIIC FEES <br />GRAOll.to: <br />TTPAOVEIEl{T3: <br />I'SC. RECEIPT <br />PLA| CHECX U? <br />t <br />erc 7Oy' <br />TOTAL <br />aqo <br />onADttlo PERIlr <br />ORAOII{G: 3 <br />IIPROYEIENTS: 3 <br />,\stt,oLDtoaY <br />oTISC. BEC€IPT <br />?OTAL <br />PTRIITw <br />E"".??,iii='t+0-l zoral D.t. <br />j--...-. <br />APPLtCAttOX <br />APPROVED -=\ <br />O.t. <br />I CERTIFY THAT THE FOLLOWII{O CONIFACIOR'S LICENSE tr <br />OTHIR APPLTCAXTS <br />I r xeneav cEnrFy , As owNEn. THAI uilDER sEcrrotr ?0... I AL ExEupr Fnora SEcnoN 70rr.6 <br />OF THE BUSINEES A1{O PROFESSIONAL COOE. OIVISION 3. CHAPIEE E, COTTRACTOR'S LICENSE lAT <br />cERTlFtCAllOta oF EIEItrrOil FROI tECTrOil ttOO <br />OP THE CATIFORXTA LABOR CODE, AiTICLE !, COXSTRUCTIOT PERITT! <br />I C€RTIFY THAT IN THE PERFORMANCE OF THE IVORK FOR IYHICH THE PERUIT IS IoSUEO I SHALL <br />NOT EXPLOY ANY PERSOIII IN ANY IIANNER SO AS TO EECOME sUAJECT TO THE WORXMAN'S <br />couPEtls^iloN LArvs oF cAlrFoRNrA. <br />ATION THE APPLICANT FOh THIS PERMIT SHOULD AECOIIE <br />CITY OF SANTA AIIA ANA. IT'6 OfFICERS. AOENTS AND EITPLOYEES. <br />PUFPO8ES 0F EUOH |NSPECrrot{8, tnvESrtOAT|ONS, OR COFRECnVE <br />'/57 s1 A>bta <br />l-tt-sr <br />ot <br />tF. <br />TEi <br />SIONATURE <br />DATE <br />l- rt-(q <br />8KT{ATURE <br />COMP€NSATION <br />AND <br />CERTIFTCATIOT{ FOi REOULATIOX <br />coxTRAcToRS <br />INSURANCE CENTIFICATE ON FILE VERIFIED B <br />Y WITH THE PROVISIONS Or SECilON 3rOO OR TH|S <br />rION PROVISIONS OF THE LAEOR CODE. IHE <br />I HEREEY ACXNOWLEDOE REAO THIS APPLICATION AND STATE THAT TION I <br />LAYVS13 coRnEcT ANO <br />coNsTRucTtoN. <br />THE <br />SUCH CITY OEEI'S NECESSARY <br />13 IN FULLcLABorFrcArroN D <br />F!IIAL tL/qP <br />BOIlO <br />NgLEAtg <br />D.ta <br />REIAFI(8: <br />00 <br />THIS PERHIT SUPERCEOES <br />PRELITNAAY ORAOINO PEATTIT <br />01/11189 3:3t <br />IS A PERITIT TOTtIS <br />YALtOATtOl. <br />IYhEN <br />OESCRIBEO FOR A <br />ACCT. 'I t-ar8 <br />cltEcx , <br />334 <br />I <br />I <br />nalv <br />*