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City of Santa Ana 20 Civic center P|aza (M-19), Santa Ana, cA92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 <br />Electrical Permit #: 2Ol 3l Ogt <br />lnspector's Section: (714) 647-5853 <br />Proj ect Address: 1109 W Twen -First St Suite: <br />Block: NA <br />Bldg: <br />f.ad:2977 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: R'lLot: l5 <br />Christine Roberts <br />I109 W Twenty-first <br />Santa Ana, CA 92706 <br />17141 4794025 <br />Fee Type <br />Switch <br />Light Fixture <br />Swim Pools <br />Time Clock <br />1-10 Hp <br />lssuance <br />Amount <br />0.84 <br />0.84 <br />59.25 <br />7.00 <br />9.40 <br />32.50 <br />Phone <br />Tenant Name: <br />Contractor: <br />Address: <br />Haven Construction lnc db <br />12300 E Washington Bl # R <br />Whittier, CA 90506 <br />15621945-s222Phone <br />State Lic #: 849953 <br />Lic Type: C-53 <br />Bus. Lic #: 313057 <br />Workers' Compensalion lnsurance:Carrier: Clarsndon National lnsurance Co <br />Policy #: 08KR0000891 <br />Expires: 03/01/2006 <br />Building Use: <br />Type of Work: <br />Nature of Work <br />Single Family Owelling - D( Occupancy: <br />Alteration Constr Type <br />SrYimming Pool Code: <br />N/A <br />N/A <br />cEc 2001 <br />Notes: lnstall swamming pool/handout given <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />.^IHernandez, Kathy 07 t2812005 <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />Building Permit #lo I 52r.-l i($109.83 <br />$0.00 <br />$109.83 <br />This pemit shall expire by limitation and become null and void if the wo* authorized by lhis pemit <br />is not commenced within 180 days from lhe dale of this pemit, or if the wofu authoized by this <br />permit is susponded or abandoned at any time after the wod< is commenced for a peiod of 180 days <br />Before such wot* can be recommenced, a new petmit shall be lirst obtained to do so. <br />Account #: 01 1-0'1-5913 lnspector <br />Fee Total: <br />Paid to Oate: <br />Balance Oue <br />Assessor'sParcel: 001-165-12 <br />f, <br />Owner: <br />Address: <br />Feo <br />$0.84 <br />$0.84 <br />$59.2s <br />$7.00 <br />$9.40 <br />$32.50 <br />Qtv <br />1.00 <br />'1.00 <br />'1.00 <br />1.00 <br />1.00 <br />'1.00 <br />Date: <br />Oate: <br />Date: