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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Permit #: {O11O{ E8,2 <br />Pin #: 142e($ <br />Proiect Address: 2922 W La Verne Ave-a- <br />Assessor's Parcel: 109-576-09 Lot: 98 <br />Unit:Bldg: Address Range:Suite Range: <br />Zoning: RlBlock: NA Tract: 3627 Historic. No <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 2016 <br />x-0602320256J <br />1 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Patio: <br />T. !.Area: <br />Yards Req'd: <br />Valuation: $7,150.00 <br />Elsa Dominguez <br />2922 W La Verne Ave <br />Santa Ana, CA 927043021 <br />(7141 338-e610 <br />Occupancy. <br />Constr Type <br />Code: <br />Flood Zone'. <br /># of Stories: <br />Contractor: Vivint Solar Developer <br />Address: 9847 Pioneer Blvd. <br />Santa Fe Springs, CA 90670 <br />Phone: (562) 942-1270 <br />State Lic #: 973756 <br />Lic Type: B, C-10, C-39, C46 <br />Bus. Lic #: 345470 <br />Workers' Compensation I nsurance. <br />Carrier: American Zurich lns Co <br />Policy #: WC5096013 <br />Expires: 1 110112020 <br />0 <br />Dascription ofWolki lnstall roof mounted solar panels. Per R6idential Photovoltaic Checklist. <br />Planning Conditions: <br />Owner: <br />Address: <br />Phone: <br />Tenant: <br />Engineer <br />Address: <br />Phone: <br />License #. <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License #: <br />Vivint.So]iric i:ur'l, i :. <br />James MItihint lllhl$hr Dr:,;,,1I oti i:ir' <br />3301 N Th.anksgiving Way, #500 <br />LEHI' ur;#pfpr:"i; i I6rr r i.rr.rr.r-- <br />[i 1d s lit ci s [ii:.''ri j. v i rr g <br />C73567 irl l, I 6.r:n:r?-- lr 1 61 :r:u:l:r- <br />!'i i,:l-'r;i i J. m .! lii':.:urnerr i; i,. <br />t-t1 I I 6t-tt-tll' i..i'i'7 ',;t-tt.tt-tt-t' <br />L i:1. i li r,i,: k j t-til 1 <br />F45tt. [n:l <br />$1 . [t[t <br />$3.?1 <br />,I <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />chavez, Dave ! c <br />Date: <br />Date: <br />Date: 1112112019 <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />07776002 57607 Permit Fee <br />07776002 57770 Microfilm Records <br />07776002 s7672 Bldg. Stds. Revolving <br />07776002 57600 General Plan Update <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$450 00 <br />$3.91 <br />$1 00 <br />$0.00 <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />Flood Zone Cert. Req'd: No <br />Every permitissued shall become invalid unless the work on the site authorized by <br />such permit is commenced within 360 days afterits issuance,or if the work authorized <br />on the site by such permitis suspe nded or abandoned for a period of 360 days after <br />the time the work is commenced. <br />No <br />No Account#Total <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 16002 57770 <br />$450 00 <br />$1 .00 <br />$3.e1 <br />$4s4.91 <br />$0.00 <br />$454.91 <br />Inspector MID#: 201 9-155219 <br />ta