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@ City of Santa Ana 20 Civic center Plaza (M-'19), santa Ana, CA92702 Bu ild ing <br />n <br />Permit #: 101103647 <br />Pin #: 12646 <br />Proiect Address: 14,,11 W Twelfth St <br />Lot.5 <br />Address Range: 1409-141'l <br />Historic. No <br />Suite Range: <br />Zoning: R'lBlock: NA Tract '1256 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Single Family Dwelling <br />Solar <br />Solar <br />Sfd w/att garage <br />R-3, U <br />VB <br />cBc 2019 <br />x-0602320144J <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $9,284.00 <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />0 <br />Oescription of Work: lnstall roof mounted solar panels. Per checklist <br />Planning conditions <br />Owner: <br />Address: <br />Phone: <br />Tenant <br />Allan Brown <br />141 'l W Twelrth St <br />Santa Ana, CA 92703 <br />'7141270-5',t54 <br />Contractor: Vivint Solar - lrvine <br />Address: 1500 White Rd #A <br />lrvine, CA 92614 <br />Phone: 1562!.942-1270 <br />State Lic #: 973756 <br />Lic Type: B, C-10, C-39, C{6 <br />Bus. Lic #: 345470 <br />Workers' Compensalion lnsurance: <br />Carrier: American Zurich <br />Policy #: WC509601305 <br />Expires: 11lO1l2O2O <br />Engineer <br />Address. <br />Vivint.Solar <br />James Matthew Walsh <br />3301 N Thankegiving Way, #500 <br />LEHI, UT 84043 <br />c73567 <br />Architect / <br />Oesiqner: <br />Address: <br />Phone: <br />License # <br />Phone: <br />License # <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued 8y: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Amsden, Julie <br />Date: <br />Date: <br />Dale: 0512612020 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipl <br />Misc. Receipt <br />$450.00 <br />$82.1 1 <br />$1.00 <br />$0.00 <br />07776002 51601 Permit Fee <br />07776002 57770 Microfilm Records <br />07776002 57672 Bldg. Stds. Revolving <br />07776002 51600 General Plan Update <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />Flood Zone Cert. Req'd: No <br />Every permil $sued shall become invahd uhless lhe wo* o, lre s/le authonzeal by <br />such pormit is commenced wilhin360 days aftet ils issuance,ot if lhe wo* aulhorized <br />on lhe sile by such permit ts susponded or abandonea! lot a petiod 01360 days aftet <br />the lime the wo* is commenceal <br />$450.00 <br />$1.00 <br />$82.1 1 <br />$533.11 <br />$0 00 <br />$533.11 <br />MID#: 2020-159067 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />011 16002 57770 <br />Fee Total: <br />Paid to Dale: <br />Balance Due <br />Permit Counter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853 <br />Assessor'sParcel 004-113-28 <br />Unil:Bldg: <br />Total <br />.lnspe-ctor