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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Bldg.App.Worksheet <br />PROJECT ADDRESS:SUITE:SAPIN # <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />MASTERID# <br />NATURE OF WORK:NEW ADD .ALTER/T. I.DEMO REROOF REPAIR SIGN MISC <br />NFW/ADDITION/Al TFRATION <br />1ST [1 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 projects see reverse side of this application) : <br />BUILDING OWNER'S NAME:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />TENANT'S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR'S N*tlf:STATE CONTR. #:LICENSELASS: PHONE NO:AIFHfi \Ke,Yn 0,1£ 40mlitrulTon (.n - 960833 ?14 6 4 39(26 <br />ZIP.or *4,nci 2, 6-Ct I-0 AY, 1 927 09 <br />ADDRESS' <br />WORKERS COMP. POLICY#:EXP. DATE:INSURANCE COMPANY:SANTA ANA BUS. LlC. #: <br />1.knonil91,1/51 5? //3 Ex Ip resd- bood-*O,. .,AA 532206-0 <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 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: