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city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: C/14) 647-5800 lnspection Requests: (714).667-2738 lnspector Section: (714\ 647-5853 <br />Permit #: 3O139992 <br />Pin #: 9427X{ <br />ProjectAddress: 2112112 N Ross St <br />Assessor'sParcel: 002-112-14 Lot: 36 & POR 33 <br />Btdg: <br />Tract 788 <br />Address Range: <br />Historic:YEa <br />Suite Range: <br />Zoning: Rl <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Gary & Julie Humphreys <br />2112 N Ross St <br />Santa Ana, CA 927062508 <br />17141541-3452 <br />Owne.-Builder <br />01 1 16002 <br />011 16002 <br />01 1 '16002 <br />01116002 <br />01 1 16002 <br />011'16002 <br />0'1 1 '16002 <br />01 1 '16002 <br />5'1 60i <br />51602 <br />5'1602 <br />51602 <br />51602 <br />51602 <br />5'1 60C <br />51602 <br />FeeType Amount <br />Water Closet '14.22 <br />Shower/Balhtub 22.25 <br />Garbage Disp 10.66 <br />Sewer Alter/Repair 44.51 <br />Gas Outlet, each Add'l 7.06 <br />Tankless Water Heater 65.57 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />2.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />SingleFamilyDrvslling occupancy: <br />Addition Constr TyPe: <br />Addition to 2nd Dwelling UnCode: <br />R-3, U <br />VB <br />cPc 2016 <br />Planning Conditions: <br />Planning Approval By Fregoso, Vince Date: <br />Plan Checked By: Date: <br />Permit lssued By: \*YHemandez, Kathy Date: <br />Subject to Field: <br />BuirdinsPermit#: 10197129 <br />Ewry pormit issuad shall become invalb unless the work on tho sile <br />authodzed by such pormit is commencad wihin 180 days after its <br />issuance, or if the wo* duthoized on the site by such permit is suspended <br />or abandoned tor a peiod of 1 80 days afret the time the work is <br />commen@d. <br />09119t2014 <br />09/19/2018 <br />Account# <br />$248.45 <br />$0.00 <br />$248.45 <br />MID#: 2018-143158 <br />01116002 51600 <br />01 116002 51602 <br />Fee Totat <br />Paid to Date: <br />Balance Due; <br />Unit: <br />Block: NA <br />Fee <br />$14.22 <br />$22.25 <br />$10.66 <br />$44.5'l <br />$14.12 <br />$65.s7 <br />$22.08 <br />$55.04 <br />9/t?/2ttl8 ICTronsi:33 <br />Ref+: j <br />- 9/t?/?fitg 1 <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipl: <br />Total <br />Notes: <br />$22.08 <br />$226.37 <br />lnspector