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Project Address: 2222 E First St <br />Assessor'sParcel 402-181-11 Lot. POR E <br />Unit: <br />Block: NA <br />Bldg: Address Range: <br />Tract STAFFORD & TUSTltlistoric: No <br />Suite Range: <br />Zoning: C5 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Plumbing <br />Permit Counter: (714l.647-5800 lnspection Requests: (7'14) 67-2738 lnspeclor Section: C/14) 647-5853 <br />Permit #: 30{39233 <br />Pin #: 20349 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Santa Ana Senior As3oclated LP <br />430 E. State Str€et <br />EAGLE, ID 835.16 <br />(208) 461{022 <br />Owner-Builder <br />01 1 16002 5160i <br />01116002 5160i <br />01116002 5160i <br />01 1 15002 5160i <br />01116002 51602 <br />0r 1 16002 5150i <br />01116002 51602 <br />01 1 16002 5160i <br />0r 116002 51602 <br />01 1 16002 51602 <br />01116002 51602 <br />01 1 16002 51602 <br />01 1 '16002 51602 <br />01 1 16002 5160i <br />01116002 51602 <br />01 I 16002 5160i <br />aty <br />455.00 <br />455.00 <br />878.00 <br />35.00 <br />4'18.00 <br />4'18.00 <br />23.00 <br />1.00 <br />1.00 <br />175.00 <br />1.00 <br />43.00 <br />6.00 <br />83.00 <br />32.00 <br />6.00 <br />48,136.50 <br />1.00 <br />1.00 <br />Fee <br />$6.470.10 <br />E10,123.75 <br />$11,150.6C <br />$488.95 <br />$s.003.46 <br />$4,455.88 <br />$371.22 <br />$6.95 <br />$64.60 <br />$3,893.75 <br />$.14.51 <br />$303.58 <br />$ 7.68 <br />$3,694.33 <br />$1,424.32 <br />$92.82 <br />131.288.73 <br />$22.08 <br />$55.04 <br />Fee Type Amount <br />Water Closet 14.22 <br />Shower/Bathtub 22.25 <br />Sink '12.70 <br />Clothes Washer 13.97 <br />Oishwasher 11.97 <br />Garbage Oisp 10.66 <br />Floor Drain 16.14 <br />Cap Fixtures 6.95 <br />New Sewer (Firsl 10O') 64.60 <br />Add'l Sewer Conneclion 22.25 <br />Gas System 14 44.51 <br />Gas Outlet, each Add'l 7.06 <br />Wtr Htr (Res/Comm ove 9't .28 <br />Water Service (Each 10 44.51 <br />Primary/SecondaryRoo 44.51 <br />Hose Bibb 15.47 <br />1 116002 5360i P/C - 65% <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance; <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval 8)a <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permil #; <br />0.65 <br />01116002 5160C General Plan Update 22.08 <br />01116002 5160i lssuance 55.04 <br />Notes: fe€s pd on M-71905 <br />Multl-Famlly (5 or more unl Occupancy: <br />New Constr Type: <br />New Apart nenb code: <br />B, R-2, S-2 <br />III A, V A, SPK <br />cPc 2016 <br />CSG Consullants <br />Hernandez, Kathy <br />06rM/2018 <br />1AOst201a <br />Account# <br />Misc. Receipt: 70795 <br />Misc. Receipt: 71905 <br />Misc. Roceipt: <br />Total <br />Ewry pomit issued shall becomg invalid unless th6 worr( on tta site <br />duthodzed by such Nmit is @mmenc-ed within 1 80 days after its <br />issuanco, ot if th€ wo* auttatizod on the site by such pernil is suspended <br />or abandoned tot a pedod of 1 80 days afrer the time the wo* is <br />commenctd. <br />lnspector MID#: 2016-128542 <br />N/A - No Balance Fee Total <br />Paid to Date: <br />Balance Due <br />$79,502.35 <br />$79,502.3s <br />30.00 <br />-).tl <br />Contractor: <br />Address: <br />Date: <br />Date: <br />Date: