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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Blda.App.Worksheet <br />PROJECT A00RESS: 2800 N Main St Space 546 SUITE: <br />USE OF BUILDING:RESIDENTIAL (aMMERCIAL INDUSTRIAL OTHER <br />SAPIN# /O/r 073/ <br />AD/f-'{29*,Lf <br />MASTER ID# <br />NATURE OF WORK:NEW ADD ALTER/T.I.DEMO REROOF REPAIR SIGN MISC <br />NEW/ADDITION/ALTERAT[QLL <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 ALTEFUT.I.:SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) :Install illuminated letters <br />on background 2'-8"h x 8'0"w install non illuminated cashwrap cabinet 6'x 6'7" <br />BUILDING OWNER'S NAME:PHONE NO <br />Westfield Corp 310-478-4456 <br />ADDRESS:CITY:STATE:ZIP: <br />11601 Wilshire Blvd Los Angeles CA 90025 <br />TENANTS NAME (Comm/Jnd):PHONE NO: <br />Vitamin World <br />CONTRACTOR'S NAME:STATE CONTR. #:LICENSE CLASS:PHONE NO: <br />Empire sign and crane 833106 C45 818-920-1067 <br />ADDRESS:CITY:STATE:ZIP: <br />22816 Cove View St Canyon Lake CA 92587 <br />WORKERS COMP. POLICY#:EXP. DATE:INSURANCE COMPANY:SANTA ANA BUS. LIC. #: <br />1744078 02/28/2014 State Fund <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />u <br />CONTACT NAME: AKC Services Inc PHONE NO: 951-471-8419 <br />E-MAIL ADDRESS:info@akcservices.net <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·. $ < 900 4 2-4/7SUBMITTAL DATE: <br />1 <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE: X PROCESSED b C- <br />RES. DEV. FEE: YES / NO PRIOR DWELLING UNIT: YES / NO COMMENTS: <br />PLANNING OK TO CHECK & DATE BLDG. DEPT. APPROVAL & DATE -) <br />A 1 <br />PLNG CONDITIONS- - - <br />r-A,2-0€Fr-awa-"----1. *»•a <br />1