Laserfiche WebLink
City of Santa Ana PRO'ECT <br />AIX)RESSi:631 N. BRISTOL ST <br />st tTEf SUITE <br />RANGE:JoBTYPE: HULTr /RR. <br />51 1 -663ADORESS aRAi{GE:BUILOING #:REROOF <br />NATURE <br />OF WORK: <br />1 Blck:NALEGAL <br />OESCRIPTION: Lot <br />NO. OF EXISTING <br />BUTLoTNGS & use: 8 -tlNIT CONDO/RESIDEIITIAL <br />R-1OCCUPANCY <br />GROUP:10861Tr.ct TYPE OF <br />coxsrnucnoN,VN <br />I hcrcby qwm undci pcnalty of pcrjury thet I am @rn?a it,m th. oflb.cbs' <br />liccngtlSw for thc tolliling r6aen: <br />pf_*cton 7044A, l, as mcr ot lhc popsty, d my mploF6 with mocs a <br />th6ir $lc @mp.nstion, will do th6 rcrk, and th. stuct E b nd inbndGd q <br />oltar.d for $lc. <br />wi0rol thc propcrty, am ffiiEly <br />cos-081-23ASSESSORS <br />PARCEL *oTENANT IMPROVEMEMI <br />ANO / OR REMODEL AREA: <br />FL@OZoNE: X-O <br />otlrNER: StlADOll IIOOD H.O.A.oNEW / ADOL, <br />1st FLR. sO. FT.:oNEW/ADDL. <br />OTHER SO, FT,: <br />oNEW / AODL, <br />GARAGE S, FT,]511 N BRTSTOL ST/OTFICEAOORESS:oNEW / ADDL. <br />2nd FLR. Q. FT.: <br />zoNrNG:$p-1 (EL)VALUATION:L2L8.OOsAtfTA At{A, CA 92703 <br />PHoNE: 7Ll/502-3525 PLANNING <br />APPROVAL BY:DATE] <br />CONTRACTOR:BLDG. SAFEry <br />PLAN CHECK 9\ <br />vrr -rt -v <br />DATE: <br />,,ffP) ,nPERMIT <br />ISSUEO DATE: <br />tlq <br />ADDRESS: <br />IMPROVE,IET{TS <br />REourREb/II t <br />LANDSCAPING <br />REOUIREO: <br />PHONE: <br />a OWNER 'STAIE <br />LICENSE 't <br />ryPE: <br />SAAITA ANA <br />BUSNNESS LICENSE #: <br />ENGlNEER/ARCHITECT: <br />AOORESS: <br />PHONE: <br />LICENSE * <br />I hcrcby aftirm undcr pcnalty ol pcrjury that I am li(us.d undGr Fwisirc oa <br />Chaptcr 9 (commcncing with Section 7000) of Oivision 3 d thG Buiffi and <br />Prolcssions Codc, and my licensc is in lull tor@ .nd Gficct <br />Liccnt il.$:_ Lk r. 15.:frOatc: Contraclor: <br />PARTIAL RER@F W/T.O..REXIOVEB. U. R. A}ID APPLY NEH B. U. R,. TOFLAT AN,E,A ONLY <br />HA}IDOUT GIVEN <br />JOB DESCRIPTION: <br />B <br />City of Santa Ana <br />uilding Safety Div. M-19 <br />P.O. Box 1988 <br />Santa Ana, Ca.92701 <br />206 W.4th. Street <br />2nd Floor <br />(714) 647-s8OO11ilb .bo <br />FEES: <br />I <br />1 <br />oo <br />o <br />oooo o <br />o <br />6 <br />o <br />QTY FEEL ttl.oo <br />1 <br />52 .30n:ffi,bi00 <br />o.oo <br />AilOUIiITr4.oe52.30 <br />I hcrGby atfirm under p"natty of periury that thcrc is a msfiuclim lGndir! agprcy <br />lor thc p.rformancs of thc mrk for wtlich this pcmit is issuGd 56. 3(107, Civ. C.) <br />Oemolition Permits-Asbostos Notification FcdcEl Regutilims (fidc 40, Part 6) <br />not <br />lrE <br />tris City <br />Lcndc/s <br />Applient or ag6nt sig. . <br />Pcmino n.mc (print): <br />OWNER.BUILOER DEC LARATION <br />WORKERS COMPENSATION DECLARATION <br />LICENSED CONTRACTORS DECLARATION <br />CONSTRUCTION LENDING AGENCY <br />APPLICANT'S DECLARATION <br />Mailing Address Puhlic Counter <br />This permit shall expire by limilalion and become null and void if the work authorized <br />by this permit is nol commenced within 180 days from the date of lhis permil, or if the <br />vrork authorized by lhis p€rmit is suspended or abandoned for 180 days, al any lime <br />after v;orl was commenced, ln such case a new permit shall lirsl be oblained b€fore <br />such work can be recommenced. <br />BUILDING PER]VIIT <br />I hcrcby atfirm undor p€natty ot p6riury one ot th. iolbwing OGc{arrtids: <br />haw and wll maintain a Certificate O{ Conerit to Salt-ln$rc fo{ Wdtffi' <br />pcdormancc <br />as puidcd lor by S€clion 37@ oa lhc L.bd CodG, tq tE <br />thc rcrk for which this Pcrmil is isuGd- <br />atc: <br />or <br />-ertify that in the pedormance of the rc.t ior whidr lhas pcmit is isucd, I <br />n not <br />forthwith <br />ol California, and <br />provisions of <br />I agree that if <br />Section 37q)of the <br />I shald <br />those <br />OE <br />is unlilful. and <br />b m hundrcd <br />damagG 6 <br />ie6. <br />Account No. 011-01-5911 - Pemit Vafidation cs-oos <br />_ INSPECTOR COPY - <br />PERMIT NO. 10116?1e e< <br />c L5l