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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAq27O2 Plumbing <br />Permit Counter: 014) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: O14) 647-5853 <br />Permit #: 30{3E434 <br />Pin #: 12646 <br />.\n <br />Assessor'sParcel: 015-061-05 Lol: ll <br />LJnit: <br />Block: D <br />Btdg: <br />Tract: 289 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zonlng: R'l <br />Owner: <br />Address: <br />Phone; <br />Tenant Name: <br />Contraclor <br />Address: <br />Leticia Vazquez <br />l9l7 S Ro33 St <br />Santa Ana, CA 927072228 <br />(714) 640-1968 <br />011 '16002 <br />01 1 '16002 <br />01116002 <br />01116002 <br />01116002 <br />01 't 16002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />5 t600 <br />51602 <br />Amount <br />13.69 <br />21.42 <br />12.23 <br />42.85 <br />14.E9 <br />21.25 <br />52.98 <br />Fee <br />$13.69 <br />$21 .42 <br />$12.23 <br />$42.85 <br />$14.89 <br />$21 25 <br />$52 98 <br />Foe Type <br />Water Closet <br />Shower/Bathlub <br />Sink <br />Sewer Atter/Repair <br />Hose Bibb <br />General Plan Update <br />lssuance <br />Owner-Builder <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 />Single Family Dwolllng <br />Addltion <br />Bathroom addltlon <br />Occupancl: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cPc 2016 <br />Notes <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Buirdins Permit #: 10193712 <br />Ewy ponnit isswd shall be€!,me invalid unless t lc wgtk o/, t r€ sr'te <br />auttarized by such psmit is @mmencad within , 80 days after its <br />issuance, or if tho wot* authoized on AD sila by such pemit is suspended <br />ot abandoned lot a pedod o1180 days eftor the lme tl'e wod< is <br />comnencgd. <br />Date: <br />Date: <br />Dale:Q| '"'n"no"'' <br />*"tn,08t31t2017 <br />Account# <br />$179.31 <br />$0.00 <br />3179.31 <br />lnspector MID#: 2017-137812 <br />01 116002 51600 <br />01 116002 51602 <br />$21.25 <br />$ 1s8.06 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />ProjectAddress: 1917 S Ross St <br />aty <br />1 .00 <br />1 .00 <br />1.00 <br />'1.00 <br />'1.00 <br />1.00 <br />'1.00 <br />Misc. Receipt: <br />Misc. Roceipt: <br />Misc. Receipt: <br />Total