Laserfiche WebLink
·AP Al a L ZE- 2 7 3-0 5-'CITY OF SANTA ANA <br />PLEASE PRINT <br />PROJECT ADDRESS: <br />USE OF BUILDING: <br />BUILDING PERMIT APPLICATION WORKSHEET <br />2103 S. Grahd <br />RESIDENTIAL COMMERCIAL INDUSTRI OTHER <br />10//7909 10 <br />3/2/05:forms/Blda.ADP.Worksheet J <br />SAPIN #NONR-2013-247-AD[ <br />MASTERID# <br />NATURE OF WORK:NEW ADD ALTER/T.I. /--323 REROOF - SIGN MISC <br />NFW/ADDITION/Al TFRATION· <br />1ST FL.. <br />2ND FL.. <br />TOTAL OF OTHER FLS: <br />GARAGE/CARPORT: <br />SF BASEMENT: YES/NO <br />SF PATIO/ENCL. PATIO: <br />SF RES. REMODEL: <br />SF ALTER/T. I. <br />SF NO. OF STORIES: <br />SF BLDG. HEIGHT: <br />SF PROPOSED USE: <br />SF I <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) :shalloweexcavation to 3' <br />inside building per RWQB approved remddial action plan 12/18/12 for <br />soil impactad by copper. I:ae-eu=0:,--, S.1.-429 lue,a-/ c..6.ble,-*-0/ <5»-7 , <br />BUILDING OWNER'S NAME:Industrial Plaza PHONE NO: <br />(714) 241-1141 <br />PO BOX 15532ADDRESS:CITY:STATE:ZIP U <br />Santa Ana CA 92735 <br />TENANT'S NAME (Comm/Ind)none PHONE NO:t <br />CONTRACTOR'S NAME:STATE CONTR. #:LICENSE CLASS:PHONE NO: <br />owner <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:Rhoads Martin {/14}241-1141 work <br />PHONE NO:(949) 291-8495 cell <br />rmartin@martincommercialgroup.comE-MAIL ADDRESS: <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />OCC. GROUP:RECEIPT#: €6OR:23 P/C FEE PD $ <br />\TE:TYPE OF CONSTR:VALUATION: $'1500 SUBMITTAL DJ <br />FIRE SPKR: YES / NO A/C: YES/NO FLOOD ZONE:PROCESSED.D< <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: