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200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax www.anaheim.net/building AUG I 2019 B703 CITY OF ANAHEIM PLANNING DEPARTMENT BUILDING DIVISION BUILDING PLAN CHECK APPLICATION DATE: **NOTICE** All plan check applications MUST include owner’s contact information (name, address, phone number, email address). Plan check submittals WILL NOT be accepted without this information. Thank you for your cooperation. PROJECT ADDRESS: (Number) (Direction) (Street Name) (Unit) DESCRIPTION OF WORK: CONSTRUCTION VALUE OF WORK PROPOSED: APPLICANT/CONTACT: Company: Name: Address: City/State/Zip: Phone Number: E-mail: I am the:  Property Owner  Lessee/Tenant  Designer  Agent for:  Contractor State License Expiration Date: City License Expiration Date: ARCHITECT: Company: Name: Address: Phone Number: City/State/Zip: Phone Number: E-mail: State License Expiration Date: ENGINEER: Company: Name: Address: City/State/Zip: Phone Number: E-mail: State License Expiration Date: **PROPERTY OWNER: Name: Address: City: Phone Number: E-mail: (Continued Next Page) ---PAGE BREAK--- 200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax www.anaheim.net/building AUG I 2019 B703 * Minimum Permit Fee $167.00 * Supplemental Permit Fee $53.00 * Plan Check Services (per hour) $211.00 * Planning Plan Check Fee assessed when applicable PROJECT INFORMATION RESIDENTIAL PROJECTS: Building Code Type(s) of Construction: Fire Sprinklered  Yes  No # of stories: # of dwelling units: # of guest rooms: Square footage of proposed work: Living: Patio: Garage: Balcony: Carport: Deck: Number of existing bedrooms Number of proposed bedrooms NON-RESIDENTIAL PROJECTS: Building Code Type(s) of Fire Sprinklered  Yes  No Occupancy Classification Floor Area (sq. ft.) Change of Use: No Existing Proposed Occupancy: # of stories: # of guest rooms: New/Added (sq. ft.): Remodeled (sq. ft.): Tenant Improvement (sq. ft.): For Department Use ( ) Ok to Issue Permit: Plans Examiner ( ) Hr. Plan Check Fee: ( ) Trips for Inspection Fee: (1hr./trip)