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CITY OF SANTA ANA <br />DEVELOPMENT FEES W RKSHEET .- PLUMBING PERMIT <br />NEW BUILDING E ALTERATIONS/ADDITIONS N <br />ProjectAddress: tOO I U) S1A)4NS dqtrf Contractor:At+tt- <br />TenantName: AOttltZ GAOBot 5 Address: e|'/f P4AOO d tO( <br />Building Owner ciy: /:O/LON1+ $.i CY+ zip: 4ZS@ <br />Address 4rwc Contractor License No.: 7"e7 O Z ? <br />CityafNfr" h)/? St:6,.,1.72ip: 4ZZo 7 Contractor e-maill <br />Phone Phone ?61 sLo O6fl <br />Contact Person: <br />ContactPhone: 4a/ $Zc> O <br />Contact E.Mail Strongly Recommended PLEASE PRINT: <br />ITEM NO EACH TOTAL ITEM TOTAL <br />Fixtu res Miscellaneous <br />Water Closet or Bidet 13.69 Water Heater Res E Comm E 21.42 <br />U rinal 10.47 Water Heater Tankless 63.12 <br />Tub, Shower, orTu@!"t)21.42 I 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 Re-pipe (residential)- each 100' <br />Clothes Washing l\ilachine 13.45 Primary/Secondary Roof Drain Set 42.85 <br />Dishwasher 11.52 9,26 <br />Garbage Disposal 10.26 Rain Piping (buried) - each 100'20,85 <br />Floor Sink +Floor Drain =15.53 <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 Spnnkler Valve (each)9.78 <br />62.18 Backflow less than 2"21.42 <br />Each 100' Sewer (or any portion)21.42 42.8s <br />Additional Sewer Connection 21.42 Sewage Ejector bJ. IZ <br />Repair/Alter Sewer 42.85 Sump Pump 63.12 <br />Cap Sewer 96.18 Hose Bib with Vacuum Breaker 14.89 <br />GreaseMaste lnterceptor 36.15 <br />Gas Dental Unit <br />New Gas System (flrst 4 outlets)42.85 Medical Gas Piping - each 100'48.85 <br />Each Additional Gas 0utlet 6.80 Alteration to Drainly'ent 4t.6J <br />Extend or Alter Gas System 63.12 Appliance Not Listed 63.12 <br />42.85 SUBTOTAL $ <br />Cap Gas Outlet - each 8.15 P/C 650/0 OF SUBTOTAL $ <br />Swimming Pools MlN. FEE - (Nonresidential)$ 70.64 <br />Pool Trap 21.42 ISSUANCE & GeneratPlan surcharge $ 52.98+21.25=$74.23 <br />Pool Heater 69.94 TOTAL $42.85 <br />BLDG PMT #RECEIPT #DATE,5./r. tr <br />OCCUPANCY.BY,-'2( - <br />CONSI IYPE P/c# 30,3 2yZ7 <br />N0.EACH <br />42.85 <br />Deck/Area Drain <br />Storm Drains - each l00' <br />New Sewer - lirst 100' <br />Backflow 2" and above <br />31 .10 <br />Repair Gas Piping <br />Pool Pioino <br />Office Use Only <br />P/C FEE PD, <br />= <br />I <br />--.t <br />I <br />I <br />I <br />=