Laserfiche WebLink
CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Bldg.App.Worksheet <br />PROJECT ADDRESS: \5 JAaellrliA.tr f lau SUITE: -SAPIN #101 27-3-.3 5 <br />USE OF BUILDING:1 RESIDENTIAC, COMMERCIAL INDUSTRIAL OTHER 2 0/ 9 -//.3 g 9 0 <br />MASTERID# <br />NATURE OF WORK: NEW : ALTER/T.I.DEMO REROOF REPAIR SIGN (01'Scy) <br />NEW/ADDITION/ALTERATION: <br />1ST FL.. <br />2ND FL.. <br />TOTAL OF OTHER FLS: <br />GARAGE/CARPORT <br />JOB DESCRIPTION (non-residenti; <br />bEA i d, CO-a di /4 N <br />V U <br />SF BASEMENT: YES/NO SF NO. OF STORIES: <br />SF PATIO/ENCL. PATIO:SF BLDG. HEIGHT <br />SF RES. REMODEL:SF PROPOSED USE <br />SF ALTER/T.I.SFal projpctsisee reverseside of this application): ..IL'} r <-oll,:=,ta.... 0. av' <br />Eta Ali- . a n & re- S.6,1 p ¢,5 6.0 s Uff 40 ;4 44(&4 <br />€&044 <br />6- U ct.MY+1 14 4 0. 4 <br />Essex <br />A CITY: , <br />BUILDING OWNER'S NAME:PHONE NO <br />(91;41 995- 00-2/6 <br />ADDRESS:9-2/9 22 . Pleadxd 4-U· 14 STATE: n /1 ZIP-99703 <br />TENANTS NAME (Comm/Ind) -----PHONE NO: <br />CONTRACTOR'S NAME: <br />c-/0 9-6961 4 C-)00 1444) SS 7 - Llc 32STATE CONTR. #:LICENSE CLASS:PHONE NO: <br />ADDRESS:CITY: a STK[§:3,160.1 &- 2 +ELL n.4 { - A r 0, U -76 <br />EXP. @ATEWORKERS COMP. POLICY#: 'INSURANCE COMPANY: <br />WCUC 47-327-2 + 1 Ace- 40»*i,- -Lh f. <br />SANTA ANA BUS. LlC. #: <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME: 793 ncis-c< sarljha PHONE NO: (1' 91) 5-3 4 - 9032- <br />E-MAIL ADDRESS: -Za, 6*vz«f© . Se,Yt 6;4 e /15/-1 , to- <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />& 19 79OCC. GROUP:RECEIPT #·P/C FEE PD $m El <br />TYPE OF CONSTR:VALUATION: $ / /1 672 ==-SUBMITTAL DATE:5-6/1 4 <br />, <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE:PROCESSED -bc - <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: