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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS: 3118 S Lowell Street <br />USE OF BUILDING: RESIDENTIAL COMMERCIAL <br />SUITE: <br />INDUSTRIAL OTHER <br />3/2/05:forms/Bldg.App.Worksheet <br />SAPIN #I o 1 -€) 1 .Ce <br />MASTERID# <br />NATURE OF WORK: NEW ADD ALTERIT.I.DEMO REROOF REPAIR SIGN MISC <br />NEW/ADDITION/ALTERATION· <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) : 4 .15 k.w @60+ 'nY]Jr¥hfil36\Oten n pAW,W\,t; 17 m<C.¥-0-\YWEEk.AS, 1 dITS conritck, LOF>cow; 4 <br />BUILDING OWNER'S NAME:PHONE NO:714-545-5280Eric Dalhes <br />ADDRESS·CITY·STATE:CA ZIPr 927073118 S Lowell Street ·Santa Ana <br />TENANT'S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR'S NAME: <br />Vivint Solar STATE CONTR. #: <br />973756 <br />LICENSE CLASS:PHONE NO: <br />C-46 657-600-8252 <br />ADDRESS:CITY:STATE:ZIP' <br />1529 E MeFadden Ave Suite A Santa Ana CA 92705 <br />WORKERS COMP. POLICY# <br />WC 029342335 <br />EXP. DATE: <br />11-1-2014 <br />INSURANCE COMPANY: <br />AIG Claims, Inc. <br />SANTA ANA BUS. LIC. # <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME: Amber Steinbeck PHONE Ne: 657-600-8252 / 714-815-5772 <br />E-MAIL ADDRESS: amber.steinbeck@vivintsolar.com / OrangeCountySolar@vivint.com <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />49- <br />OCC, GROUP:RECEIPT#:P/C FEE PD $ <br />TYPE OF CONSTR:VALUATION: $71 , 150.03 SUBMITTAL DATE: H,-46 -44 <br />FIRE SPKR: YES / NO A/C: YES / NO ,FLOOD ZONE.PROCESSED (-6 <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: