HomeMy WebLinkAbout30138256 - PermitAssesso/sParcel: 100-241-27 Lol: POR 22
Unit:
Block: NA
Address Range:
Hisloric: No
Suile Range:
Zoning; Rl
q
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{3E256
Pin #: E373E
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Le Phuoc Ngoc E Truong T Vui
4901 w. 6th st.
Santa An8, CA 927032516
(714) 865-5862
Model Builder3 lnc
10022 Geraldine Rd
Garden GroYo, CA 92840
(714) 865-5862
011
011
011
01 'l
011
01 'l
011
011
011
0't 1
51602
51602
51602
5'1602
51602
51602
51602
51602
51600
5't 602
Feo Typo Amount
Water Closet '13.69
Bathtub 21.42
Sink 12.23
Clotheswasher 13.45
Sewer Alter/Repair 42.85
Gas Line alter/extend/a( 63.12
Wtr Htr (Res up to 50 g: 21.42
Water Piping (Each 100 42.85
General Plan Update 21.25
lssuance 52.98
16002
16002
16002
16002
16002
16002
16002
16002
16002
't6002
Qty
3.00
3.00
3.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$41.07
$64.26
$36.69
$13.45
$42.85
$63.12
$21.42
$42.85
$21 .25
$52.98
Phone
State Lic #: 8l98l l
Lic Type: B
Bus. Lic #: 350685
workers' Compensalion lnsurance:Carrier: Granlte State ln3 Co
Policy #: 013014255
Expires: 1112312017
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
R-3
VB
cPc 20't6
Single Family Dwelllng
Addition
Addition/Alt6r Roof
Plannlng Conditions: All materials to match existing
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Oate
Oate
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Add (3) bedrooms A (2) bathrooms. Relocate,lremodel
(e) bathroom. Chang€ (o) roof structure from flat to
pitched.
$399.94
$0.00
0399.94
sden. Julie
1.0192264
Ewry Nmit issued shall boc!rne invalid unless lr€ worr( on |tre srte
aulhoized by such pemit is cgmmenced within 1 80 days aner its
issuance, ot il the wg* authodzed on the site by such petmit is suspended
ot abandoned lot a peiod ol 1 80 days efret the time the wo* is
commaloed.
lnspector MtD# 2015-123212
07t05t2017
Account#
$21 .2s
$378.69
Fee Total:
Paid to Dale:
Balance Due:
Project Address: 4901 W Sixth St Bldg:
Tract: 1078
01116002 51600
011 '16002 51602
PLUMBING-INSPECTOR RECORD
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UNDER GROUND
Waste & Vent /qh 19)
Water-Under floor \
Gas-Underfloor
Buildinq Sewer 1 r\17_,uAq0 ,)
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent -'l-,1 .^-'/ t raid
Water Piping r,1"1\D
Gas Pipins Jfi{util 1 7zlrn ,,1Ul.ne
Roof Drain I
Tub/Shower Test
Rough Waler Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 7 ?Llfi /t/t/t@
Final Gas Test A:l,rB z -,4_;,ryEU-
Meter Release -z-2.,set ,?427 )
FINAL 8.1. rB aze
Notes, Remarks, Etc.\:-z
ID/SIG.I
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