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tct <br />,q <br />F:,r <br />City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAs27o2 S^4 <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714)64 <br />Plumbing <br />7-5853 <br />Permit #: 3O141 OO3 <br />Pin #: 9O3l I <br />Project Address: 2254 N Lyon St <br />Assesso/sParcel: 396-052-1,f Lot <br />Unit: <br />Block: A <br />Eldg: Address Range: <br />Tract: A.B. CHAP AN Hisloric: No <br />Suile Range: <br />Zoning <br />Conlraclor. <br />Address: <br />Phone <br />Tenant Name: <br />Gary H6ath <br />2254 N Lyon Street <br />Santa Ana, CA 92705 <br />(949) 290-1295 <br />011 16002 51602 <br />01116002 51602 <br />01116002 51600 <br />01116002 51602 <br />Amount <br />22.25 <br />44.51 <br />22.O8 <br />55.04 <br />Fee <br />$22.25 <br />$89.02 <br />s22.08 <br />$55.04 <br />Feo Type <br />Pool Trap <br />Pool Piping <br />General Plan Update <br />lssuance <br />Ql) <br />1.00 <br />2.OO <br />100 <br />100 <br />O-1.-lrr.<illO? <br />naa i,^. alvu <br />rt.6lL.lral a1a1, <br />{ <br />Phone <br />State Lic f: 192t81 <br />Lic Type: C-53 <br />Bus. Lic #: 373019 <br />workers' Compensation lnsurance: <br />Canier: EXEIIIPT <br />Polic"y l: <br />Expires: <br />l-----rI i^^ r^l-l <br />o^.'r- O^^i t Ci- <br />,i^n^i^l Ol^^ ll-,4^t^ <br />atI I t anon- qt annn.tfl- <br />a'll i i anni- <l arttnon- <br />t tl tnltlo t.'tn ot <br />al -r1lO I <br />Building Use: <br />Job Type: <br />Nature o, Work <br />Planning Conditions: <br />Planning Approval By <br />Single Family Dwelling <br />Swimming Pool,lSpa <br />Swlmming pool <br />Occupancy; <br />Constr Type <br />Codel <br />R.3, U <br />V B, SPK <br />cPc 2016 Notes: New in-ground tiberglass swimming pool. <br />Plan Checked By <br />Permil lssued Amsden, Julie <br />Subject to Field. <br />Buirdins Permit #: 101100223 <br />Every Nrmil tssued shall becomo hvalicl unless thg worr( oll the slto <br />euthonzed by such peml is commenced withn 360 days afret ls <br />6suanco, ot il the wod< authon.ad on the s e by such Nnni is suspaoded <br />o. abandoned lor a pedod ot 360 days eftet the me the wo* is <br />commenced <br />lnspector MID#: 2019-151715 <br />06,05,20r9 <br />Account# <br />01 116002 51600 <br />01 116002 s1602 <br />$22.08 <br />$'166.31 <br />Fee Total: <br />Paid to Oate: <br />Balance Due: <br />Date: <br />Date: <br />Date. <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Owner: <br />Address: <br />Ray's Pool & Spa <br />5924 Basswood Place <br />Rancho Cucamonga, cA 9l <br />(909) 899.2328 <br />$188.39 <br />s0 00 <br />s188.39