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City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cA 92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: 1714) 667-2738 <br />Plumbing Permit#: 3OllElOS <br />lnspector's Section: (714) 647-5853 <br />Project Address: '1109 W Twentv-First St <br />Assesso/sParcel: 001-165-12 Lot; 15 <br />Bldg: <br />f rad: 2977 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />Phone: <br />Tenant Name: <br />Christino RobertE <br />'1109 W Twenty-fiBt <br />Santa Ana, CA 92706 <br />17141 4794025 <br />Owner: <br />Address <br />Contractor <br />Address: <br />Fee Type <br />Pool Trap <br />Pool Healer <br />Pool Piping <br />Backflow<2" <br />lssuance <br />Amount <br />8.'t5 <br />40.50 <br />'16.00 <br />8.15 <br />32.50 <br />Fee <br />$8.15 <br />$40.50 <br />$16.00 <br />$8.15 <br />$32.50 <br />Phone <br />Haven Construction lnc db <br />12300 E Washington Bl # R <br />Whitti6r, CA 90606 <br />15621945-5222 <br />State Lic *: 849953 <br />Lic Type: C-53 <br />Bu6. Lic #: 313057 <br />Workers' Componsation lnsuranc6:Carrier: Clarandon Natlonal lnsuranco Co <br />Policy #: 08KR0000891 <br />Expires: 03/0112000 <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field:\,4 <br />Hernandez, Kathy <br />[p l<-,v r( <br />N'A <br />N/A <br />cPc 2001 Notes: lnstall swimming pool/handout given <br />o7t2at2005 <br />Misc. Receipl <br />Misc. Receipt <br />Misc. Receipt <br />Building Permit #$105.30 <br />$0.00 <br />$105.30 <br />Account#: 01 1-01-5912 lnspector <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />/$Fh\g"i^"? <br />#EE+ <br />Suite: <br />Block: NA FJ <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Building Use: <br />Type of Work: <br />Nature of Work: <br />Slngle Family Dwelling - Dr Occupancy: <br />Altoratlon Constr Type: <br />Swimming Pool Code: <br />Date: <br />Date: <br />Date: <br />This pemit shall expire by limilation and become null and void if the wotu authoized by this pomit <br />is not commenced within 180 days frcm the date of this pemit, or if the wofu authorized by this <br />permit is suspended or abandoned at any tima afrer the wotu is commenced for a peiod of 180 days. <br />Beforo such wotk can be rocommoncod, a new pemit shall be first oblained to do so.