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City of Santa Ana 20 Civic Center Plaza (M-19), Sanla Ana, CA,27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3O138612 <br />Pin #: 85905 <br />Project Address: 1801 W Camden Pl <br />AssessofsParcel: 408-352-33 Lol.65 <br />Unit: <br />Block: NA <br />Btdg: <br />Tract: 4402 <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl \r <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Nancy De Fusco <br />'1801 W Camden Pl <br />Santa Ana, CA 927044713 <br />Rooter Hero <br />1328 S Allec Street <br />Anahelm, CA 92825 <br />(888) 9294376 <br />Fee Type <br />011 16002 5'1602 SewerAlter/Repair <br />01116002 51600 General Plan Update <br />011 16002 51602 lssuance <br />Amount <br />42.45 <br />21.25 <br />52.98 <br />Qty <br />'t.00 <br />1.00 <br />1.00 <br />Fee <br />$42.85 <br />$21.25 <br />$s2.98Phone <br />Tenant Name: <br />Phone <br />State Lic #: 973014 <br />Lic Type: C-36, C-20 <br />Bus Lic #: 338/tO6 <br />Workers' Compensation lnsurance:Carrier: NEW YORK MARINE AND GENERAL INSURANCE COMPANY <br />Policy #: WC2017EPP00436 <br />Expires: 04.10112018 <br />Botcht:{o{95 _ tO/LLt2Ot7 I03 CCUELLAR <br />office: CTYH lron6i: 61 I of IAccti! Refi: 30138612 <br />Rcptt:020{7676 ' l0/lt/2017 ll:{7 A1l <br />IrongocU ion Totol t117.08 <br />Rooter Heno <br />Generol Plon t pdote Fee <br />01u6002- 51600000- <br />Plurb in5 <br />01116002- 51602000-Icl Check 01127 <br />t21.25 <br />t95.83 <br />t117.08 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Famlly Owelllng <br />Mlccsllan6oug <br />Sewer Rspair <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cPc 20't 5 <br />Noles aulh on file <br />Y}, <br />Dale: <br />Date: <br />Oate: <br />Misc. Receipt: <br />Misc. Rocoipl: <br />Misc. Receipl: <br />Total <br />ernandez, Kathy <br />Evory N.mit isswd sha becgna invalid unloss lrlg wo.k o, lhe s,trt <br />auttroized by such peinit is @mmen@d within 1 E0 days after its <br />issuanc€, ot il the wod< auhotized on ho site by such pemit is suspended <br />ot abendonod lor a pedod of 1 80 days after the time the wofu is <br />@nmen@<t. <br />10t11t2017 <br />Account# <br />$117.08 <br />$0.00 <br />t117.08 <br />lnspector MID#: 2017-139292 <br />01116002 51600 <br />0't1't6002 51602 <br />$21.25 <br />$95.83 <br />Fee Total: <br />Paid to Oate: <br />Balanca Due: