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Bldg: <br />Tract '1529 <br />qProiect Address: 805 E Buffalo Ave <br />Assessor'sParcel: 003-2ll-31 Lot: 34 <br />Unit: <br />Block: NA <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing <br />Permil Counter: (714) 647-5800 lnspection Requests: (7141667-?738 lnspector Section: (714) 647-5853 <br />Permit #: 30{4O5E5 <br />Pin #: {63{3 <br />Owner: <br />Address: <br />Contractor: <br />Address: <br />Tenant Name: <br />Carlos M Cosme <br />805 E Buffalo Ave <br />Santa Ana, CA 927063037 <br />(714) 604-5874 <br />American Home Remodling <br />4375 Prado Rd #108 <br />Corona, CA 92880 <br />(95r) s20-0654 <br />01116002 <br />011 16002 <br />01116002 <br />011 r6002 <br />011 16002 <br />Amount <br />14.22 <br />22.25 <br />12.70 <br />22.08 <br />55.04 <br />51602 <br />51602 <br />51602 <br />5160C <br />51602 <br />Fee Type <br />Water Closet <br />Shower <br />Sink <br />General Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />2.OO <br />1.00 <br />1 .00 <br />Fee <br />$14.22 <br />$22.25 <br />$25.40 <br />$22.08 <br />$55.04 <br />Phone <br />State Lic #: 807029 <br />Lic Type: C-36, B <br />Bus. Lic #: 53/f0 <br />Workers' Compensation lnsurance: <br />Carrier: Falls Lake Fire and Casualty Company <br />Policy #; FLA00797700 <br />Expires: O1lO1l2O2O <br />Eotchi:48282 - 2lll/2019 I0: LRoSALES0ffice! CTYH Tronsi: 86 I of IAcct+: Refi ! ir:t14059i <br />R€Dti:02525663 - 2/t!/2919 2131 Pn <br />Tronsoct ion Totcl t I JS.99 <br />Aler i(on Hore Rerod L ing <br />Generol Plon t adote F€e <br />01116002- 51600000- <br />Plurb ing <br />01116002- 51602000- <br />ICL Check 2728 <br />t22.fi8 <br />Irt6.9l <br />t138 .99 <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subiect to Field: <br />Building Permit #: <br />Single Family Owelling <br />Miscellaneous <br />Fixtures <br />Occupancy: <br />Constr Type <br />Code: <br />R-3 <br />VB <br />cPc 20r6 Notes: Change out existing fixtures in restroom <br />Date <br />Date <br />Date <br />NIisc. Receipt: <br />lvlisc. Receipt: <br />Misc. Receipt: <br />Total <br />Zuniga, Allissa <br />Every pemit issued shall become invalid unless fhe wotk o, the srle <br />authoizod by such pemit is cofinenced wilhin 1 80 days afret its <br />issuance, ot il the wotu authodzed on lhe sile by such pefinit is suspended <br />ot abandoned fot a pedod of180 days aftet the time the work is <br />commenced. <br />lnspector MID#: 2019-149374 <br />01116002 51600 <br />01116002 51602 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$22.08 <br />$116.91 <br />$138.99 <br />$0.00 <br />$138.99 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Phone: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />o2t11t2019 <br />Account#