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CITY OF SANTA ANA tr-»1422 <br />BUILDING PERMITAPPUCAHON WORKSHEET\ <br />PLEASE PRINT <br />PROJECT ADDRESS:330\ 2 406*o<- 9104 SUITE: EUSE OF BUILDING: RESIDENTIAL L- INDUSTRIAL OTHER <br />3805:forms/Bldg.App.Worksheet <br />SAPIN # <br />MASTERID# <br />NATURE OF WORK: NEW GE)ALTER/T. I.DEMO REROOF REPAIR SIGN LMED <br />NFW/ADDITION/Al TERATION <br />1ST FL.. <br />2ND FL.. <br />TOTAL OF OTHER FLS: <br />GARAGE/CARPORT <br />SF BASEMENT: YES/NO <br />SF PATIO£NCL PATIO: <br />SF RES. <br />SF ALTE <br />SF NO. OF STORIES: <br />SF BLDG. HEIGHT: <br />PROPOSED USE:REMGDEL SF <br /> SF <br />JOB DESCRIPTION (non-resideptial projects see revfrseside of this application) : Q_k<Stt M <br />9\'x \0,64 -NO C E-«ac*€- <br />26-Or-CR *L V ect- <br />@UILDING OWNER'S NAME73 4 € th V e €t rn.evAa <br />ADDRESS:CITY315-\ 9 .Rol,Lor Bluc| 9* b Suvt Ect A-VLA <br />TENANTS NAME (Comm/Ind):G Lri \104 po reum /,70'l?/ 1-ra o <br />r <br />CONTRACTOR'S NAME: / STATE CONTR. it: <br />ADDRESS:CITY: <br />WORKERS COMP. POLICY#.EXP. DATE:INSURANCE COMPANY: <br />ARCHITECT/ENGINEER:STATE LICENSE #: <br />ADDRESS:CITY: <br />PHONE NO: <br />STATE:ZIP. <br />LA *709 <br />PHONE NO: <br />LICENSE CLASS:PHONE NO: <br />STATE:ZIP: <br />SANTA ANA BUS. LlC.# <br />PHONE NO: <br />STATE:ZIP: <br />CONTACT NAME:Don o Mq,1 PHONE NO:1-\ 9 - 368 -19 9-4 <br />E-MAIL ADDRESS:*woer' deig qAtjac„vi <br />OFFICE USE ONLY: <br />OCC. GROUP: <br />TYPE OF CONSTR: <br />FIRE SPKR: YES / NO <br />ACC O(CIRCLE ONE)HRS PER 2-M <br />RECEIPT #C ALOR 52 <br />VALUATION: $ ,9150 <br />A/C: YES / NO FLOOD ZONE: <br />BLQGFEE $ <br />P/C FEE PD $ <br />\9 1.62 <br />SUBMITTAL DATE:42-4 23 <br />PROCESSED L 153 <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: