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Project Address: 1109 W Twentv-First St Suite <br />Assesso/s Parcel 001-155-12 Lol: 15 Block: NA I.acl: 2977 <br />Bldg: Address Range Suite Range: * <br />Zoning: RlHistoric: No <br />City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, CA 92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 <br />Building permit #: 'lOl5O49S <br />lnspector's Section: (714) 647-5853 <br />Building Use: <br />Type of Work: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Owelling - Detached <br />Alteration <br />Swimming Pool <br />SFD Wdet garage <br />Occupancy: <br />constr Type <br />Code: <br />Flood Zone: <br />N/A <br />N/A <br />cBc 2001 <br />x-0602320144H <br />'l st FL Area: 0 <br />2nd FL Area: 0 <br />OtherAreas: 0 <br />Garage Area: 0 <br />Total: 0 <br />Patio: 0 <br />T.l.Area: 0 <br />Yards Req'd: @ <br />Valuation; $25.000.00 <br />Description of Work: lnstall swimming pool/handout given <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Christine Roberts <br />1109 W Twenty-first <br />Santa Ana, cA 92706 <br />(71414794025 <br />Contractor: Haven Constructlon lnc db <br />Address: 12300 E Washington Bl fl R <br />Whittier, CA 90606 <br />Phone: (5621945-5222 <br />State Lic #: 849953 <br />Lic Type: C-53 <br />Bus. Lic #: 313057 <br />Workers' Compensation lnsurance: <br />Carrier: Clarendon National lnsurance Co <br />Policy #: 08KR0000891 <br />Expires: 03/0'l/2006 <br />Engineer: <br />Address <br />Pool Engineering lnc. <br />Lacher Todd L. <br />1201 N Tustin Avenue <br />Anaheim, CA 92807 <br />(7r4) 630-6100 <br />67656 <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Rodriguez, Carlos <br />Melby, Paul <br />Hernandez, Kathy <br />Dale:0712712005 <br />Date: 0712712005 <br />Date: 07/28/2005 <br />077-07-5977 Permit Fee <br />077-07-s407 Ptc 65% <br />OIt-01-5911 lssuance <br />\n <br />No <br />N <br />N <br />o <br />o <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No <br />This pemit shall expire by limitation and become null and void if the wotu authoized by this permit <br />is not commenced within 180 days from the date of this pemit, or if the wofu authoized by this <br />pemit is suspended or abandoned al any time after the wotk is commenced for a period of 180 days. <br />Before such wotk can be recommenced, a new pemit shall be tirst obtained to do so. <br />Account #: 01 1-01-591'l lnspector <br />$546.06 <br />$0.00 <br />$546.06 <br />Planning Conditions: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$311.25 <br />$202.31 <br />$32.50