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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Bldg.ADD.Worksheet <br />PROJECT ADDRESS: 903 . A/· 6Uy;flh+ 9-6 ,SUITE:SAPIN # <br />V <br />USE OF BUILDING:RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />MASTER ID# <br />NATURE OF WORK:NEW ADD ALTERIT.1.DEMO REROOF REPAIR SIGN MISC <br />NEW/ADDITION/Al TFRATION <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.:SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) : <br />// 45 300 4 8£)06 11/1.,DUR.bect fu ' '' .IM,>d . <br />BUILDING OWNER'S NAME: <br />i_/UGUS <br />PHONE NO: <br />7,U -641 09-56 <br />ADDRESS: Cl STAIE..ZIF-LOS 10 ' w r ; 9 ht St,Gl-66 271 70 1 <br />TENANT'S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR'S NAME:STATE CONTR. #:LICENSE CLASS:PHONE NO: <br />SL/n *ee.09> Grbv F.& 10&9705 q L B (04 6 7(W--61-4-*Eff <br />ADDRESS:CITY STATE:ZIP:215 1 W (A 1044+ /24 96 c liz/ BvrL CA 9 15 2, C <br />Sh:*-66- M,674>ra * <br />WORKERS COMP. POLICY#:EXP. DATE:INSURANCE COMPANY:SANTA ANA BUS. LIC. #: <br />/0/44/7914 Dry{00 1 01/1,4/»1 5 <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />6) C € rpt'-.u-'>n ©C67656 -7 14 - 63 0 - 61/ 4 <br />ADDRESS:CITY:STATE:ZIP-/ 1») . {U .4 -795h 'h 41_AJ/La(.uZ v·v-h 92+D-7 <br />CONTACT NAME: Jona 6(n 471 C.6014 PHONE NO: 42,6 -300 -625 6 <br />E-MAIL ADDRESS:dly- e-tee f©L.-)«961 (51/ , Cal» J <br />l <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)one•PER BLDG. FEE $ <br />OCC. GROUP:RECEIPT#P/C FEE PD $ <br />TYPE OF CONSTR:VALUATION: $/5,00 0 SUBMITTAL DA <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: