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CITY OF SANTA ANA <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Blda.App.Worksheet <br />PROJECT ADDRESS:806 W. alr,vr SUITE:SAPIN # Lcd & 32 34. <br />USE OF BUILDING:RESIDENTIAL C¢i@MkBDIAL INDUSTRIAL OTHER <br />MASTER ID# <br />NATURE OF WORK:NEW ADD ALTER/T.I.DEMO REROOF REPAIR SIGN MISC <br />NFW/ADDITION/Al TFRATION· <br />1 ST FL.. SF BASEMENT: YES/NO SF NO. OF STORIES: <br />2ND FL.SF PATIO/ENCL. PATIO:SF BLDG. HEIGHT: <br />TOTAL OF OTHER Fla SF RES. REMODEL:SF PROPOSED USE: <br />GARAGE/CARPORT: SF ALTERT.1.SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) :,--914 00) SUS 9-eL-*- 1 <br />e><4-r·« // W cLU S.- hj _.. + . Au.+4ute (9) 9IA- -Ckol A/1 61 0-,hau t- <br />7 0 TA-U 4- 3< 0 " {92 o'le. <br />BUILDING OWNER'S NAME: <br />01« re« 14< A <br />ADDRESS'CITY:93 6 Al * Al 44 V es«LA- <br />PHO*5 931 /44/ <br />STATE:ZIP: <br />C,A 10070 <br />TENANT'S NAME (Comm/Ind): <br />S rvur i. 4 19- A 1 <br />PHONE NO: <br />CONTRACTOR'S NAME: <br />1-47 6 1-ecf© I C S° 1Ag .ILr C. <br />ADDRESS: <br />3060 5 · >-9 + 94- <br />WORKERS COMP. POLICY#:EXP. DATE: <br />9090Sll 4-4 -1 5 <br />STATE CONTR. #:LICENSE CLASS:PHONE NO:Se 21 <br />003133 447 595.-1 -7 5-T- <br />CITY:STATE:ZIP:0(0*000Lg Se-ok C/17%- <br />INSURANCE COMPANY:SANTA ANA BUS. LIC. #: <br />S+004 (2#lee rf Co-,0 <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME:h) €- r \Re. 4 w. c ki--PHONE NO: S 0 7- 99 S · -7 -7 -3- 5-· <br />E-MAIL ADDRESS:r\-42 I l (1 -k + 21-€.C-Aric s>·gy·xs , Af_+ <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)HRS PER BLDG. FEE $ <br />OCC. GROUP: ·44 RECEIPT #P/C FEE PD $ <br />TYPE OF CONSTR:VALUATION: $ .20, ,9.pEE>SUBMITTAL DATE: Ug.- )1-p <br />FIRE SPKR: YES / NO A/C: YES/NO FLOODZONE: 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: