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CITY OF SANTA ANA <br />- BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS:A.93 5-- <br />USE OF BUILDING:RESIDENTIAL <br />SUITE: <br />COMMERCIAL INDUSTRIAL OTHER <br />3/2/05:forms/Bldg.ADD.Worksheet <br />SAPIN # <br />MASTER ID# <br />NATURE OF WORK:NEW ADD ALTER/T. I.DEMO REROOF REPAIR SIGN MISC <br />NFW/ADDITION/Al TFRATION· <br />1ST 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.SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) : <br />1 14-41-_ 6_AQ-4 <br />BUILDING OWNER'S NAME: <br />ADDRESS: <br />TENANT'S NAME (Comm/Ind): <br />CONTRACTOR'S NAME: <br />ADDRESS: <br />WORKERS COMP. POLICY#: <br />ARCHITECT/ENGINEER: <br />ADDRESS: <br />EXP. DATE: <br />CITY: <br />STATE CONTR. # <br />CITY: <br />INSURANCE COMPANY: <br />STATE UCENSE # <br />CITY: <br />PHONE NO: <br />STATE:ZIP: <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:140 AW 1 n u}fQA/\ r o PHONE NO:(114) -2, 0 57- 141(1 <br />E-MAIL ADDRESS: <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)A \HRS PER BLDG. FEE $ <br />L\\4A'I i <br />OCC. GROUP:RECEIPT #' \ v \P/C FEE P <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE: PRO( <br />RES. DEV. FEE: YES / NO PRIOR DWELLING UNIT: YES / NO COMMENTS: <br />TYPE OF CONSTR:VALUATI 30_» SUBMIUA912-14 03- <br />PLANNING OK TO CHECK & DATE BLDG. DEPT. APPROVAL & DATE <br />PLNG CONDITIONS: <br />A