HomeMy WebLinkAbout30140684 - Permit@ Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M-19), Santa Ana, CA 927b2 Plu mbing Permit #: 3O140684
Pin #: 1O4O7lnspection Requests: (7 141 667-?7 38 lnspector Section: (714) 647-5853
Project Address: 2128 S Hickory St Unit:
Block: 13
Bldg:
Tract: 560
Address Range:
Historic: No
Suite Range:
Zoning: RlAssesso/sParcelr 015.1'13-19 Lot: 15
Owner:
Address:
Nancy Lazaro-Loeza
2128 S Hickory St
Santa Ana, CA 927072912
17141278-2778
01116002
01116002
01116002
01116002
01116002
01116002
51602
51602
51602
51602
51600
51602
Qty
1.00
1.00
1.00
'1.00
1.00
1.00
Feo
$14.22
$22.25
$12.70
$22.25
$22.O8
$55.04
Phone:
Tenant Name
Contractor
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires;
tlLL/2119'16nsi:40
Refi:- Slll/20t1.
)to
(t
hen
rl1:
PIt
r tlpdcte Fee
16000@-
Buildinq Use:
Job Type:
Nature of Work
Single Famlly DrYslllng
Addition
Addition
Occupancy;
Constr Type
Code:
R-3, U
VB
cPc 2016
itNotes:r*16697 Authi
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Verduzco, Violet
1019909s
r.\
-J
Date
Date
Date 03/t 1,2019
Account*
Misc. Receipl:
Misc. Receipl:
Misc. Receipt:
Total
Every permit issued shall becgme invalid unless lhe wo* of, the site
authotized by such pennit is @mnoncgd within I 80 ddys after its
issuenca, ot il tho wod< auatbtized on ltl€ site by such peinit is suspended
or abandoned for a pedod of 1 80 days afrot the lme the wo* is
commencod.
$ 148.54
$0.00
$148.54
MID#: 2019-148731
0'1116002 51600
01116002 51602
$22.O8
$126.46
Fee Total:
Paid to Date:
Balancg Due:
{
Fee Typo Amount
Waler Closet 14.22
Shower/Balhtub 22.25
Sink 12.70
Add'l Sewer Conneclion 22.25
General Plan Updale 22.08
lssuance 55.04
lnspector
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNEa DtiiLD[X Datr^i-^Tto,t
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3-rt'tg
UNDER GROUND
q/to/tq t -.*rtbt'7L -/a-
Water-Under floor /
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Water Piping
Gas Piping
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing t/>ohq .4@n
Final Gas Test
Meter Release
FINAL
Notes, Remarks Etc
-LGr
irudE
-
L.lrdd ! A.tla
-
Waste & Vent
Waste & Vent
Roof Drain
Back Flow Device