Laserfiche WebLink
CITY OF SANTA ANA \D \7¥4 <br />BUILDING PERMIT APPLICATION WORKSHEET <br />PLEASE PRINT 3/2/05:forms/Blda.ADD.Worksheet <br />PROJECT ADDRESS: 9.6 hee. frIA n L SUITE:SAPIN # <br />USE OF BUILDING: ESIDENT!*D COMMERCIAL INDUSTRIAL OTHER <br />MASTERID# <br />NATURE OF WORK: NEW ADD ALTER/T. I.DEMO REROOF REPAIR SIGN MISC <br />NEW/ADDITION/Al TFRATION: <br />1ST FL.. <br />2ND FL.. <br />TOTAL OF OTHER FLS: <br />GARAGE/CARPORT: <br />SF BASEMENT: YES/NO <br />SF PATIO/ENCL. PATIO: <br />SF RES. REMODEL: <br />SF ALTER/T. I.: <br />SF NO. OF STORIES: <br />SF BLDG. HEIGHT: <br />SF PROPOSED USE: <br />SF <br />JOB DESCRIPTION (non-residential projects see reverse side of this application) :/\40 va .1-4 9 50 1 Av <br />20 Module 3 ,4. 9 09 A) 0€/u <br />, 6 <br />BUILDING OWNER'S NAME: C PHONE NO»'» ' Aon -M ne 2 7 C C. 4 2 -·,2 ys>4 <br />ADDRESS:CITY: /7 STATE: in ZIP: <br />16 1 C '1-22 mAn L.,SM,k An#V <br />TENANT'S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR'S NAME:STATE CONTR #LICENSE CLASS:PHONE NO: <br />V u T C DAD .93526 j 6-ad *3/0-8>05,0 <br />VADDRESS:<-2 0 2 93 3 01/)5 418 A ee CITY: C-STATE:ZIP:l O frAce EA-30 5,1 <br /> WRKE'1§ COMPJ POLICY#:EXP. DATE:INSpRANCE COMPANY:SANTA ANA BUS. LlC. #: <br />wcA %3397 00 00 , 56* tann, L <br /> ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME:11 /* z Y-A ;4 5 PHONE NO:56-2 - 903=-3 95/ <br />E-MAIL ADDRESS:(fboo<-4 «-5135e,fnmo. 50/0v . co a <br />V <br />4 HI|S RFA <br />a . <br />OFFICE USE ONLY:ACC OR SPC (CIRCLE ONE)BLDG. FEE $ <br />OCC. GROUP:RECEIPT#P/C FEE PD $ <br />SUBMITTAL DATTYPE OF CONSTR:VALUATI ,»F- <br />FIRE SPKR: YES / NO A/C: YES / NO FLOOD ZONE: <br />RES. DEV. FEE: YES/NO PRIOR DWELLING UNIT: YES / N° fOMMENTS: <br />PLANNING OK TO CHECK & DATE BLDG. DEPT. APPROVAL & DATE <br />PLNG CONDITIONS: