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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT ,3/2/05:forms/Bldg.App.Worksheet <br />PROJECT ADDRESS: 320 C . -1457-22 446 4 A SUITE: *SAPIN # /26 9,5-3 <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />MASTERID# <br />NATURE OF WORK: NEW ADD ALTER/T.I.DEMO REROOF REPAIR SIGN MISC <br />NFW/ADDITION/At.TFRATION <br />1 ST FL..3 02 sp <br />2ND FL.. SF <br />TOTAL OF OTHER FLS: SF <br />GARAGE/CARPORT: SF <br />BASEMENT: YES/NO <br />PATIO/ENCL. PATIO: <br />RES. REMODEL: <br />ALTEFUT.I.: <br />SF NO. OF STORIES <br />SF BLDG. HEIGHT: <br />SF PROPOSED USE: <br />SF <br />JOB DESCRIPTION (non-residehtial projects see reverse side of this application) : <br />-3;de•-4+Ee 3IT- O 8-' U.4 <br />S E-Ete-+14©,V CU +LL <br />BU\LD\NQ OVINERS NAME: L/(,1 C D' 4 d Aff (30<,feCATied, .PHONE NO:3-(4 - 53 r- &011- <br />ADDREI,S: · 2.6, /11 . 1-060744' „1-·Uc--CITY:STATE:ZIP. <br />SANT-k kFA-04 914-or <br />TENANT'S NAME (Comm/Ind): *.- Skt (57 cj ,7,2,0-- 62 6£,,/'cy/1 57- 16€ 611 163, . <br />PHONE NO· <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 />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME:0(82/44/ 64 -ge,€ 1 PHONE NO: 757 9 12' 44;4#' <br />E-MAIL ADDRESS: 1,01 g A 'e- . O p (0 c gA A.»O , C-4» <br />j <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />OCC. GROUP:RECEIPT#·10(W{ a P/C FEE PD $(9(.<02- <br />TYPE OF CONSTR:VALUATION: $It 9-2>'D SUBMITTAL DATE:3/1,1 /; 4 <br />FIRE SPKR: YES / NO A/C: YES/NO FLOOD ZONE:PROCESSED -C>C 2 <br />RES. DEV. FEE: YES / NO PRIOR DWELLING UNIT': YES / NO COMMENTS: <br />PLANNING OKTO CHECK& DATE-BLDG. DEPT. APPROVAL & DATE <br />PLNG CONDITIONS: