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CITY OF SANTA ANA A Oftil_31 <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS: 710 S Gates Street <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL <br />SUITE: <br />INDUSTRIAL OTHER <br />3/2/05:forms/Bldg.App.Worksheet <br />SAPIN # <br />MASTERID# <br />NATURE OF WORK:NEW ADD ALTEFUT.I.DEMO REROOF REPAIR SIGN MISC <br />NFW/ADDITION/Al TFRATION <br />1 ST 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) :1.15 1:IN QOP)%- mmntrd <br />CO\(111- 1 01 p/511A1,1 K; 9 mi'(Jel, -*W-*·-erLS j I /;INCOOT\10(jl- 4-1 03*AA/A- <br />BUILDING OWNER'S NAME:Olga Ponce 714-775-2682PHONE NO: <br />ADDRESS·CITY:Santa Ana STATE:CA ZIP:710 S Gates Street 92707 <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 McFadden 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 NO: 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 ONF)HRS PER BLDG. FEE $ <br />OCC. GROUP:RECEIPT #P/CFEE Be-$- <br />PLANNING OK TO CHECK& DATE BLDG. DEPT. APPROVAL & DATE <br />PLNG CONDITIONS: <br />0-4 <br />0 <br />-k \ I- <br />TYPE OF CONSTR:VALUATION: $ \ \1 220,00 SUBMITTAL DAM: g Z <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 />'4 <br />U