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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Bldg.App.Worksheet <br />PR0JECT ADDRESS:303 6£**se ADE SUITE:SAPIN # <br />USE OF BUILDING:RESIDENTIAL COMMER INDUSTRIAL OTHER <br />MASTER ID# <br />NATURE OF WORK:NEW ADD ALTERIT. I.DEMO REROOF (REP€3 SIGN <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 ALTERIT.I. <br />DESCRIPTION (non-residential projects see reverse side of this application) :JB <br />MISC <br />SF <br />«14 44 v <br />SAj tue <br />BUILDING OWNER'S NAME: Ll-c-PHONE NO: <br />ADDRESS:*10 S CITY:StiN.- GAM *-STATE:66- zip: 92 106- <br />TENANT'S NAME (Comm/Ind):PHONE NO:0/9 AS 01-3 <br />CONTRACTOR'S NAME:STATE CONTR. #:LICENSE CLASS:PHONE NO: <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 />0DDRESS:CITY:STATE:ZIP <br />CONTACT NAN £U,=c 9 <,001-PHONE NO:97(4 53/6-3713 <br />X. E.MAIL ADDRE : kl ake-Akece lecILL- COWA <br />\ / r <br />OFFICE USE ONLY:,((CIRCLE ONE)HRS PER \. 3 \, BLDG. FEE $ <br />OCC. GROUP:RECEIPT# -)P/C FEE PD--- <br />ACC OR SP <br />1: $TYPE OF CONSTR:VALUATION _.j SUBMITTAL DA <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE:PROCESS0--' <br />RES. DEV. FEE: YES / NO PRIOR DWELLING UNIT: YES / NO COMMENTS: <br />PLANNING OKTO CHECK& DATE BLDG DEPT. APPROVAL & DATE <br />PLNG CONDITIONS: