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Project Address: 2035 N Poinseftia St <br />Assessor'sParcelr 003-133-17 Lot 60 <br />Unil <br />Block. NA <br />Bldg: <br />Tract 1335 <br />Address Range: <br />Historic: No <br />Suite Ranoe: <br />Zoning: R'l <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: O14) 647-5853 <br />Permit #: 3Ol4{698 <br />Pin #: 60265 <br />Conlractor <br />Address: <br />Phone <br />Tenant Name: <br />Juslin Rosen <br />2035 Poinsettla St <br />Santa Ana, CA 927062921 <br />(714) 675-9960 <br />Kobolt Conslruction <br />406 E. Commonwealth Ave. <br />Fullerton, CA 92832 <br />1717!-773-2473 <br />01116002 <br />011't6002 <br />0'1116002 <br />01116002 <br />01'116002 <br />01116002 <br />01116002 <br />01116002 <br />5160i <br />51602 <br />51602 <br />51602 <br />51602 <br />5't60( <br />51602 <br />5777C <br />Fee <br />$ 14.78 <br />$23.12 <br />$23.'t2 <br />$13.20 <br />$16.77 <br />$22.95 <br />$57.20 <br />$3.91 <br />Feo Type <br />Water Closet <br />Balhtub <br />Shower <br />Sink <br />Floor Drain <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Qty <br />1 .00 <br />100 <br />100 <br />1 .00 <br />100 <br />100 <br />100 <br />100 <br />Phone <br />State Lic #: 1O247As <br />Lic Type B, A, C.8 <br />Bus Lic #: 373199 <br />'Workers' Compensation lnsurance: <br />Carrier: State Compensantion lnsurance Fund <br />Policy # 9234013 <br />Expiresr 0612812020 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit f: <br />Single Family Dwelling <br />Addition <br />Additional / Remodel <br />Occupancy: <br />Constr Type: <br />Code: <br />R-3, U <br />VB <br />cPc 2016 Notes Plumbingforaddition/remodel <br />".( <br />Dale <br />Date <br />Oale <br />Misc. Receipti <br />Misc. Receipt: <br />Misc. Receipt: <br />Tolal <br />Zuniga, Alli <br />101101315 <br />'t2t17 t2019 <br />Account# <br />01 116002 51600 <br />01 116002 51602 <br />o1116002 57770 <br />$22.95 <br />$'148 19 <br />$3.91 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Every pemil issued shall bocome invalid unless the work on thg srte <br />aulhoizod by such pamit ts commenced within 360 days aftet its <br />issuance o. il the wo* authonzed on the site by such pemit is suspendad <br />ot abandonod lor a pend oi,360 deys aftor the lifie the wo* ts <br />commencod <br />MID#: 2019-'150995 <br />$175.05 <br />$o.oo <br />$175.05 <br />w <br />Owner <br />Address <br />Amount <br />14.78 <br />23.12 <br />23.'t2 <br />13.20 <br />16.77 <br />22.95 <br />57.20 <br />3.91 <br />lnspector