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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714\ 667-2738 lnspector Section (714) 647-5853 <br />Electrical Permit #: 2()167284 <br />Pin #: 35669 <br />Project Address: 2828 W Camden Pl Unit: <br />Block: NA <br />Btdg <br />Tracl: 4022 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />E <br />Lot: 74 <br />Owner <br />Address <br />Contractor <br />Address <br />Stanley J Jaglowski <br />2828 W Camden Pl <br />Santa Ana, CA 927044513 <br />(714) s46-ss4s <br />Vivint Solar Developer <br />9847 Pioneer Blvd. <br />Santa Fe Springs, CA 90670 <br />(562l. 942-1270 <br />Fee Type Amount ( )r\ <br />Notes: lnstall new roof mounted solar PV system. ALL FEES <br />PA|D ON 10198186 <br />$0 00 <br />$0 00 <br />$0.00 <br />Fee <br />Phone <br />Tenant Name: <br />State Lic #: 973756 <br />Lic Type: C-10, C46 <br />Bus Lic #r 315170 <br />Workers' Compensation lnsurance:Carfler: American Zurich lns Co <br />Policy #: WC5096013 <br />Expires: 1110112018 <br />Building Use: <br />Job Type; <br />Nature of Work <br />Single Family Dwelling <br />Solar <br />Solar <br />Occupancy: <br />Conslr Type <br />Code: <br />Date <br />Dat <br />R-3, U <br />VB <br />cEc 2015 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued 8y: Zuniga, Alli <br />Subject to Field: <br />Buildins Permit #: 101 981 86 <br />e: <br />e: 1012912018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Ewll pe.mft issued shall becofie hvaltd unless the wo* on the stte <br />authonzoc! by such pemit is commenced wthin 180 days aftet s <br />issuance, ot if the r,/o* euthonled on the site by such pemil is suspandod <br />ot abanddEd tor a poriod of 1 80 days aftet the tme lhe wo^ is <br />comnenced <br />lnspector MtD# 2018-147294 <br />Assessor'sParcel: 408-212-02 <br />Fee Tolal <br />Paid to Dale <br />Balance Due: <br />Phone: