Laserfiche WebLink
CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Bldg.App.Worksheet <br />PROJECT ADDRESS:'02-11-+ U. Tosr-/ A A>CE,SUITE:SAPIN #101€Oll-119 <br />USE OF BUILDING:RESIDENTIAL OMMERCIALL--INDUSTRIAL OTHER <br />MASTER ID# <br />NATURE OF WORK: GE@ ADD ALTER/T. I.DEMO REROOF REPAIR SIGN MISC <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 ALTERIT.I.SF <br />JOB DESCRIPTION (non-residential pr6jects see reverse side of this application) : <br />1 5'er CK#-AAt Ua-CE-7722,2 V <br />BUILDING OWNER'S NAME: 64 *-7*1 4-0;4»4 ''b'4293 PHONE NO:Baco£€ € A-%50-rATU I f-/C .949 9 133 -2240 <br />ADDRESS:21€00 7-USTAL A«L.25At#rE A-U ACITY STATE: A ZIP: <br />TENANT'S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR'S NAME:DAV tb € I 6,1-97%-fi STATE CONTR. #:LICENSE CLASS:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />WORKERS COMP. POLICY#:EXP. DATE:INSURANCE COMPANY:SANTA ANA BUS. LlC. #: <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME:PHONE NO: <br />E-MAIL ADDRESS: <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 FLOODZONE: PROCESSED <br />RES. DEV. FEE: YES/NO PRIOR DWELLING UNIT: YES / NO COMMENTS: <br />PLANNING OK TO CHECK & DATE BLDG. DEPT. APPROVAL & DATEL A tri-rec <br />PLNG CONDITIONS:i.\\\41©