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Project Address: 2012 W Wilshire Ave <br />Assessor'sParcel'109-523-21 Lot 83 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 3356 <br />Address Rangel <br />Hisloric: No <br />Suite Range: <br />Zoning: Rl <br />City of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical <br />Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2fJ17lJ911 <br />Pin #: 9OOl4 <br />Owner: <br />Address: <br />Contractor <br />Addressl <br />Phone <br />Tenant Name: <br />RALPH DOMINGUEZ <br />2012 W WILSHIRE AVE <br />Santa Ana, CA 927043213 <br />(310) 863-7085 <br />vivint Solar - lrvine <br />1500 White Rd <br />lrvine, cA 92614 <br />15621 942-1270 <br />Amount <br />55.37 <br />22.95 <br />57 .20 <br />3.91 <br />Fso <br />$55.37 <br />$22.95 <br />$57.20 <br />$3.91 <br />Phone <br />State Lic #: 973756 <br />Lic Type: B, C-10, C-39, C-{6 <br />Bus. Lic #: 345470 <br />Workers' Compensation lnsurance:Carrier: Amorican Zurich <br />Policy #: WC509601305 <br />Expires: 1110112020 <br />|.OnS(l':t <br />ln r, 5(}lo <br />Trans+3 <br />Rr(19 - 2/28/ <br />Toto I <br />llor <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Plannlng Conditions: <br />Planning Approval By: <br />Plan Checked Byl <br />Permit lssued By: <br />Subject to Fieldl <br />Building Permit #: <br />Single Family Dwelling <br />Solar <br />Solar/Service Meter <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 2019 <br />o212412020 <br />Account# <br />01 1 16002 51600 <br />011'16002 51603 <br />0't 1 16002 57770 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Notes: lnstall new roof mounted solar PV syslem. ALL SOLAR <br />FEES PArO ON 10110332s <br />Service Meter/Hand out given. <br />.""s-, <br />Date: <br />Date: <br />Date: <br />,Mlvlisc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Dz\Zuniga. Alli <br />101103325 <br />Evory ponit 6sued shall become invalid unless the wo* on the site <br />authonzed by such permil is commoncad wilhin 360 days aftot its <br />issuance, or if tho wo* authoi2ed on lhe sile by such permit $ suspended <br />ot abandoned tot a pedod of360 days attet lhe lime lhe work is <br />comfienced <br />lnspector MID#: 2020-158137 <br />".N <br />$22.95 <br />$112.57 <br />$3.91 <br />$139.43 <br />$0 00 <br />$139.43 <br />01116002 5160: <br />011 16002 5160C <br />01116002 5160: <br />01116002 5777C <br />Fee Typo <br />Serv Meter <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />6errerol Plan [Jpdqte Fee <br />II l l6rlr]2 - i 16r:I:rrll-lr:r- <br />Fle( tr i(sl <br />r.l1 I 1.6r: l2- 5 I 6[sr:ltlt)- <br />llicr{,f i lr l Docurents <br />ul I l611112- 5777110r-10- <br />I (:l Check 10238 <br />t3.91 <br />i1r l t9.63