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CITY OF SANTA ANA R <br />PLEASE PRINT (doL BUILDING PERMIT APPLICATION WORKSHEE <br />PROJECT ADDRESS:14 A. 7-louw.r 61. «.SUITE: <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL INDUSTRIAL ('OTH_5/ <br />3/2/05:forms/Bldg.ADD.Worksheet <br />SAPIN # <br />2-0 13 - lo 9 2-9 9 <br />MASTERID# <br />NATURE OF WORK:NEW ADD ALTEFUT. I.DEMO REROOF REPAIR SIGN GMISC <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 <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) : <br />Te M r <+ 4t b¥ T 6 441-4 19·w 4 6 7 4 bt u 'n <br />BUILDING OWNER'S NAME: <br />ADDRESS:P o. Bnx <br />PHONE NObamly. AM ¥41 4 e,t <br />CITY'STATE: A, A ZIP.19%*6NAL 6 (jut 417(139 <br />TENANT'S NAME (Comm/Ind)PHONE NO: <br />CONTRACTOR'S NAME: * 600,1 -Ptit|vdk STATE CONTR. #:LICENSE CLASS:PHONE NO: <br />C 61 14 453 4005 <br />ADDRESS:CITI»STATE:ZIP'4 143 1-eAM P |1 0,4 6\0 d \*FO GA-1 614 4/7 60 <br />WORKERS COMP. POLICY#:EXP. DATE:INSURANCE COMPANY:SANTA ANA BUS. LIC. #: <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME:PHONE NO:020 248.-72-0 4 <br />E-MAIL ADDRESS: V' I K-K-, n /1 04- Ity 9 8 V\00 6004 <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: