Laserfiche WebLink
CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Bldg.App.Worksheet <br />PROJECT ADDRESS:-305- 1-- St.c-4 +SUITE:SAPIN # <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />MASTER ID# <br />NATURE OF WORK:NEW ADD ALTER/T.I.DEMO REROOF REPAIR'SIGN gMISC j <br />NFW/ADDITION/Al TFRATION· <br />1ST FL.SF BASEMENT. YES/NO SF NO. OF STORIES' <br />2ND FL..SF PATIO/ENCL. PATIO:SF BLDG. HEIGHT: <br />TOTAL OF OTHER FLS: SF RES. REMODEL:SF PROPOSED USE: <br />GARAGE/CARPORT: SF ALTER/T.I.SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) :0-gmrk 9-kce-0 U <br />-67 Ret-'45 74,1 4 ·6010¥u,f <br />BUILDING OWNER'S NAME:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />TENANT'S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR'S NAME:9-Le Plob 30 STATE CONTR. #LICENSE CLASS:HONE NO4,4, 34-0,19 <br />U <br />ADDRESS.22 50 5. 6«42 9-/CITY 14 A.c STATEA- ZIP: 92 704 <br />WORKERS COM EXP. DAT ,INSURANCE COMPANY SANTA ANA BUS. LIC. #:Ip*50%-8 3 1 It( 1 51*1-2-- FU'WD - <br />ARCHITECT/ENGI R , STATE LICENSE #:PHONE0/9 630 --59 30'FE>*961- 54,O\A6230-,h. A _3 €9-79 <br />V V v it/ <br />ADDRESS:300 LKs\-a De,9 N«r CITY)&.fo Jo Beak ST,h-z'1900 77 <br />CONTACT NAME:P\An v tb( flUA,vk---PHONE NO:(7¥_) 390 -4563 <br />E-IVIAIL ADDRESS:9-A<69 los (69 &01. Com <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />OCC. GROUP:RECEIPT#P/C FEE PD $ <br />TYPE OF CONSTR:VALUATION: $SUBMITTAL DATE: <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE:PROCESSED <br />RES. DEV. FEE: YES/NO PRIOR DWELLING UNIT: YES / NO COMMENTS: <br />PLANNING OK TO CHECK& DATE BLDG. DEPT. APPROVAL & DATE <br />PLNG CONDITIONS: <br />4%. <br />jl