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Proiect Address: 2922 W La Verne Avea <br />Assessor's Parcel: 109-576-09 Lot: 98 <br />Unit: <br />Block. NA <br />Bldg: <br />Tract: 3627 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7'14)647-5853 <br />Permit #:2o^{69945 <br />pin #: s{E{ifrt <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone: <br />Elsa Dominguez <br />2922 W La Verne Ave <br />Santa Ana, CA 927043021 <br />(714l- 338-9610 <br />Vivint Solar Developer <br />9847 Pioneer Blvd. <br />Santa Fe Springs, CA 90670 <br />(562) s42-1270 <br />Fee Type <br />01 1 16002 57770 Microfilm Records 00 <br />Botch*:53121 lL/21/?ttLg ID: C(:UELLAF <br />Off i ce: CTYH TrnnEi: ?5 2 of $Acct*: Rel*: 2L1l 6994i <br />Rcpti:02911?25 Ll/21/?ttl9 1?;51 PH <br />Trnnsaction Totol tlr5ug.fJTEric (:urt is <br />Vivint Solar Develsper <br />Amount <br />391 <br />Fee <br />$3 e1 <br />$3,91 <br />l1 r FLlg .lt7 <br />Qty <br />State Lic #: 973756 <br />Lic Type: B, C-10, C-39, C46 <br />Bus. Lic #: 345470 <br />Workers' Compensation I nsurance:Carrier: American Zurich lns Co <br />Policy #: WCS096013 <br />Expires'. 1110112020 <br />I'l i crof i lrn & Document E <br />t' 1 1 1 6lrtr2- ?:777it00fi - <br />I CL Ch eck 7tt81 <br />Notes: Install roof mounted solar panels. Center fed/plan <br />check req'd. <br />Bttilding Use: <br />Job Type: <br />lNature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Single Family Dwelling <br />Solar <br />Solar <br />Smith, Mark <br />Chavez, Dave <br />-?' <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />R.3, U <br />VB <br />cEc 2016 <br />10t21t2019 <br />11t2'.1t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Buirdins Permit #: 101101 882 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on the site by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 2019-155219 <br />01116002 57770 $3 e1 Fee Total: <br />Paid to Date: <br />Balance Due: <br />$3 91 <br />$0.00 <br />$3.91