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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEW@E.·WRINT 3/2/05:forms/Bldg.App.Worksheet <br />PROJECT ADDRESS: iRE--*L.f*l,ARD A-18 6A; 13;103 SUITE:SAP\N# te) 1 /0-| 99 9/0 <br />USE OF BUILDING: r RESIDENTI¢> COMMERCIAL INDUSTRIAL OTHER <br />MASTERID# <br />NATURE OF WORK NEW ADD ALTER/T.I.DEMO REROOF REPAIR SIGN MISC4 j <br />NFW/ADDITION/Al.TERATION <br />1ST FL.. SF BASEMENT: YES/NO SF NO. OF STORIES: <br />2NDFL..SF PATIO/ENCI. PATIO: 1 50 SF BLDG. HEIGHT: <br />TOTAL OF OTHER FLS: SF RES. REMODEL:SF PROPOSED USE: <br />GARAGE/CARPORT SF ALTER/T. In SF <br />JOB DESCRIPTION (non-residential projects see reverse side of tbis application) : i ¢ <br />(BAGAT 0,..v¢U 95 f. G <br />BUILDING OWNER'S NAME:jEWN A C»dA PHONE NO:.714 411 7 55) <br />ADDRESS: 4006- 44, HA ZA{Lp *l/@ <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:SAnt[34- ANA- <br />STATE CONTR. #: <br />CITY: <br />INSURANCE COMPANY: <br />STATE LICENSE #: <br />CITY: <br />STATE:a zIp: 92-103 <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: ·E-NAhs-A-- CH·A·u PHONE NO:(71434¢7 -*7391 <br />E-MAIL ADDRESS: <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 <br />PLNG CONDITIONS: