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CITY OF SANTA ANA <br />BUILDING PERMIT WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS:1314 ,AMNO-lA /4€ '*SUITE: <br />USE OF BUILDING:(RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />1/14/09:forms/Bldg.App.Worksheet <br />SAPIN #1 01'79-331 <br />MASTERID# <br />NATURE OF WORK:NEW .leD ALTERIT.I.DEMO REROOF REPAIR SIGN MISC <br />NEW/ADDITION/ALTERATION: <br />1 ST FL..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 />GARAGBCARPORT:SF ALTERIT.I.SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) : <br />0,6.NUZEF- 48)01' hpprrIGN l.tu©•4 Z [3sc>.zms j l BMAA <br />6-1'C> t*1612- P:#€4.c <br />BUILDING OWNER'S NAME: <br />E UU'LlA OCU E <br />PHONE NO: <br />ADDRESS: <br />[S Gb 1*:CW·•tuA /t=- <br />TENANT'S NAME (Comm/Ind): <br />CONTRACTOR'S'NAME: <br />ADDRESS: <br />WORKERS COMP. POLICY#:EXP. DATE: <br />ARCHITECT/ENGINEER: <br />ADDRESS: <br />CITY: <br />STATE CONTR. #: <br />CITY: <br />INSURANCE COMPANY: <br />STATE LICENSE #: <br />CITY: <br />STATE:ZIP: <br />45 los-. <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:14*/c,0-affA PHONE NO: -114 - YEU--4€231. <br />E-MAIL ADDRESS:FAX NO: <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />OCC. GROUP:RECEIPT #:60352 P/C FEE PD $5-92- 469 <br />11- <br />TYPE OF CONSTR:VALUATION: $ E,.A-r00''- SUBMITTAL DATE: <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE:x ULMI 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: <br />3ll> <br />to