Laserfiche WebLink
CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT <br />PROJECT ADDRESS:3 131 0°- 9-e-,e,s-1- 1.ovt A.lt SUITE: <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />NATURE OF WORK:NEW ADD ALTER/T.1.DEMO REROOF REPAIR <br />3/2/05:forms/Bldg.App.Worksheet <br />SAPIN #/0/99 / 69 <br />2013 -1006-521 <br />982.IER ID#EY,/ MISC <br />NFW/ADDITION/Al TERATION· <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 ALTER/T.I.SFJOB DESCRIPTION (non-residential projects see reverse side of this applic?tion) : 62- 09 - 93),A-€,tpt,94·01 <br />446*7 ow 7, f-tts of 61£3 · c...1 cLE.er-4.-0-U ·5 -Q 9- <br />BUILDING OWNER'S NAME:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />TENANT'S NAME (Comm/Ind):PHONE NO \-ZEM--C 17*.f-v /t t 9 LLA - e-g .9 (Col,W-91 Oq <br />CONTRACTOR'S NAME:STATE CONTR. #:1 L.i=Nic U.-2.0. | ,....'ONE NO- 2«2·t' Sc f- 64 7 4 5 ; 11C -.0/6-- 1 0 2 4 + 4 645- -9/4)25:61/09 '<i . .. <br />ADDRESS:CITY'STATE: ' ZIP:(266/ 0. lat€vie*; 4.£ AA i A-4664 04-92, Tol- <br />WORKERS COMP. POLICY#:EXP. DATE:INSURANCE COMPANY:SANTA ANA BUS. LlC. #: <br /><5 C I CCE O -20 'L -2- 0, r ¢ 4 *AA--*Ep <-4 9-A 9-95-2- <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME: -1-40 * CAM 674 PHONE NO:="41 25 5-9/09 <br />E-MAIL ADDRESS:-fr«OVCP 9-0 '--27 9414 9 oc. Co-- <br />U <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: $SUBMITTAL DATE: <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE:PROCESSED <br />RES. DEV. FEE: YES / NO PRIOR DWELLING UNIT: YES / NO COMMENTS: <br />PLANNING OK TO CHECK & DATE BLDG. DEPT. APPROVAL & DATE ('1PLNG CONDITIONS: