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Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 ' ' Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 <br />Permit #: {O11O543O <br />Pin #: 6,4374 <br />Proiect Address: 914 E Clemensen Avea <br />Assessor's Parcel: 396412-05 Lot: 91 <br />Unit:BIdg: Address Range:Suite Range: <br />Zoning: RlBlock: NA Tract: 4226 Historic: No <br />Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: <br />Job Type: Swimming Pool/Spa Constr Type: V B 2nd FL Area: <br />Nature of Work: Swimming Pool & Spa Code: CBC 2019 Other Areas: <br />Existing Bldg. & Use: Sfd Watt garage Flood Zone: X-0602320163J Garage Area: <br />Proposed Use: # of Stories: <br />Total: <br />Description of Work: New inground swimming pool & spa; change gates to open outward. Letter of auth on file. <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $+0,000.00 <br />0 <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Juan Madrigal <br />914 E Clemensen Ave <br />Santa Ana, CA 92705 <br />(7141 656-8669 <br />Contractor: <br />Address: <br />Owner-Builder <br />Phone: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Engineer: <br />Address: <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />Pool Engineering lnc <br />Todd L. Lacher <br />1201 N Tustin Av <br />Anaheim, CA 92807 <br />(7141 630-6100 <br />67656 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Graham, Jeffery <br />Lee, Wayne <br />Amsden, Julie <br />Date: 1211012020 <br />Date: 1211012020 <br />Date: 1211012020 <br />Subject to Field. <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt. <br />07776002 <br />07776002 <br />07775002 <br />07776002 <br />07776002 <br />07776002 <br />57607 <br />s3600 <br />57770 <br />57672 <br />s760 0 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />$292.50 <br />$26s.s0 <br />$12 15 <br />$2.00 <br />$23.79 <br />$5e.30 <br />NPDES lnsp. <br />PWA lnsp. Req'd:No <br />No Account#Planning lnsp. Req'd: <br />Landscaping Insp. Req'd:Flood Zone Cert. Req'd: No 01 1 16002 51600 <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within360 days afterifs issuance,or if the work authorized <br />on the site by such permitis suspended or abandoned for a period of 360 days after <br />the time the work is commenced. <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police !nsp. Req'd:Total <br />01 1 16002 51601 <br />01116002 51612 <br />01 1 16002 53600 <br />01 1 16002 57770 <br />$23.79 <br />$351 .80 <br />$2.00 <br />$265.s0 <br />$1 2.1 5 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$655 24 <br />$0.00 <br />$655.24 <br />Inspector MID#: 2020-1 63232 <br />ra