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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana CAg27o2 Building <br />Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 <br />Permit #: lO{96852 <br />Pin #: 3o213 <br />Assessor's Parcel:109-672-20 Lot: 56 <br />Unit Bldg Address Range:Suite Range: <br />Zoning: R1Block NA Tract 3855 Historic: No <br />Single Family Dwelling <br />Solar <br />Solar <br />SFD w/att garage <br />Description of Work: lnstallation of roof mounted PV system. 7.375kw with 25 panels <br />'1 st FL Area: <br />2nd FL Area <br />Other Areas: <br />Garage Area: <br />Total: <br />1 inverter. Worksheet attached to plans. <br />R-3, U <br />VB <br />cBc 2016 <br />x-0602320256J <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Y"L{,ll!oll, $16,225.00 <br />Planning Conditions: <br />Engrnee| Vivint Solar Developer <br />Owner: <br />Addressl <br />Contractor: VivintSolarDeveloper <br />Address: 9847 Pioneer Blvd. <br />Santa Fe Springs, CA 90670 <br />Phone: 15621942-1270 <br />State Lic #: 973756 <br />Lic Type: C-l0, C46 <br />Bus. Lic #: 345470 <br />Workers' Compensation lnsurance: <br />Carrier: American Zurich lns Co <br />Policy #: WC5096013 <br />Expires: 11l0ll20'18 <br />9847 Pion€er Blvd. <br />Santa Fe Sprlngs, CA 90670 <br />15621942-1270 <br />Address <br />I <br />Architect / <br />Desiqnerl <br />Addressl <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />$450.00 <br />$1.00 <br />$0.00 <br />07116002 5]5O1 Permit Fee <br />07776002 57672 gldg. Stds. Revolving <br />07776002 57600 General Plan Update <br />No <br />No <br />No <br />No <br />Chavez, Dave zZU. <br />Fire lnsp. Req'd; No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'di No <br />Account#Total <br />Every pemit issued shall become invalid unless the work o, the sile authorized by <br />such permit is commenced wlhin 180 days after its issuance.or t the wo* authotized <br />on the site by such permil is suspended or abandoned fot a peiod of 180 daysafter <br />the time the work is commenced. <br />$451.00 <br />$0.00 <br />$451 .00 <br />lnspector <br />01116002 51601 <br />01116002 51612 <br />Fee Total <br />Paid lo Datel <br />Balance Due: <br />Project Address: 1215 S Shawnee Dr <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Stories: <br />qn €( <br />,./ int ,,rE I i]l <br />Shigiko Straut <br />1215 S Shawnee Dr <br />Santa Ana, CA 927042430 <br />(714) 852-3556 Phone: <br />License #: <br />Phone: <br />Tenant: <br />Date: N,4isc. Receipt: <br />Date: l\4isc. Receipt: <br />orfiffio r ;-.-rottsc. Recerpr <br />subbtFF{.td----/ <br />$450.00 <br />$1 .00 <br />l\nlD#. 2018-144280