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CITY-OF.SANTA ANA <br />DEVELOPMENT FEES WORKSHEET.. PLUMBING PERMIT <br />NEW BUILDING E ALTERATIONS/ADDITIONS ET <br />ProjectAddress: ful t$I *N1ft Htn DWO Contractor: <br />TenantName: AL WftVt7Y hUxAL Address: <br />Building Owner: kW Hott>t t'lt-S City:QT zip. <br />Address: (427 Xmtn nWffnD iyTAti/,f Contractor License No <br />cirygryffr frtn st.: fu zip QzTqp <br />Phone: bl| -A1-lqtO Phone <br />contactPerson: C,llRrj-Y At M <br />Contact Phone: 1t(Dn 0OW1 <br />Contact E.Mail Strongly Recommended PLEASE PRINT: <br />clurr{i)twtnerel,hm <br />ITEM NO.EACH TOTAL ITEM NO.EACH TOTAL <br />Fixtures Miscellaneous <br />Water Closet or Bidet 13.69 Water Heater Res E Comm E 21.42 u,clz <br />Urinal 10.47 Water Heater Tankless oJ. tl <br />Tub, Shower, or Tub/Shower 21.42 Water Heater over 50 gallons 87.87 <br />Whirlpool Tub or Foot Spa 21.42 Water Service/Piping- each '100'42.85 <br />Sink, Lavatory, Laundry or Utility 12.23 19,2?Re-pipe (residential) - each 100'42.85 <br />Clothes Washing Machine ,l 13.45 l? +s Primary/Secondary Roof Drain Set 42.85 <br />Dishwasher 11.52 DecUArea Drain 9.26 <br />Garbage Disposal 10.26 Rain Piping (buried) - each 100'20.85 <br />_Floor Sink + _ Floor Drain =15.53 Storm Drains - each 100'27.54 <br />Drinking Fountain (one location)8,62 Water Softener - Residential 21.42 <br />Cap Fixture (each)6,69 Water Softener - Commercial 42.85 <br />Sewer Lawn Sprinkler Valve (each)9.78 <br />New Sewer - flrst 100'62.18 Backflow less than 2"21.42 <br />Each 100' Sewer (or any portion)21.42 Backflow 2' and above 42.85 <br />Additional Sewer Connection 21.42 Efrb Sewage Ejector oJ_ tt <br />Repair/Alter Sewer 42.85 Sump Pump oJ. tz <br />Cap Sewer 96.18 Hose Bib with Vacuum Breaker '14.89 <br />GreaseMaste lnterceptor <br />Gas Dental Unit <br />New Gas System (first 4 outlets)me Medical Gas Piping - each 100' <br />Each Additional Gas Outlet 6.80 <br />Extend or Alter Gas System 63.12 64 )2-Appliance Not Listed Y 63.12 <br />Repair Gas Piping SUBTOTAL $)a rffi <br />Cap Gas Outlet - each 8.1s P/C 65% OF SUBTOTAL $ <br />Swimming Pools MlN. FEE - (Nonresidential)$ 70.64 <br />Pool Trap 21.42 ISSUANCE & aeneratPtan surcharge g 52.98 + 2'1.25 = 974.23 <br />Pool Heater 69.94 <br />Pool Pi 42.85 <br />BLDG PA,IT #DATEotutb <br />TOTAL $ <br />OCCUPANCY <br />CONSI ryPE P/C #L) <br />Contractor e-mail: <br />*^ <br />36.15 <br />31.10M42.85 48,85 <br />Alteration to Drainly'ent 42.85 <br />42.8s <br />ttl <br />= <br />= <br />= <br />= <br />= <br />I <br />I <br />I <br />= <br />4z <br />--.1 <br />= <br />Lt- <br />2. <br />I <br />= <br />Office Use Only <br />P/C FEE PD:BY: