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City of Santa Ana 20 civic cq.r'er Pliza (M-19), Santa Ana, cAgzToz Building <br />Permit Counter: (7'14) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (7'14) 647-5853 <br />Permit#: {OttO58t6 <br />Pin #: 34141 <br />FT <br />Proiect Address: 4705 W Luckv Wav <br />Assessor's Parcel 108-114-15 Lot.5 <br />Unil Bldg: Address Rangel Suile Rangel <br />Zoning: R1Block NA Tract: 1289 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 2019 <br />A-0602320256J <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: $13,250.00 <br />Occupancy: <br />Constr Type: <br />Code: <br />Flood Zone: <br /># of Storaes: <br />Description of Work: lnstallation of roof mounted PV system. Per checklist <br />Planning Conditions: <br />Owner: <br />Address <br />Phone: <br />Tenant <br />Maria Salazar <br />4705 W. Lucky Way <br />Santa Ana, CA 92704 <br />Contractor: CleanEnergySolutions <br />Address: 417 W. Allen Ave. Suite 105 <br />San Dimas, CA 9'1773 <br />Phone: (800) 994-1134 <br />State Lic #: 998787 <br />Lic Type: B, C-10 <br />Bus. Lic #: 349544 <br />Workers' Compensalion lnsurance: <br />Carrier: State Fund <br />Policy #r 9292161 <br />Expiresr 0UO6|2O22 <br />Engineer <br />Address <br />Phone: <br />License #4' <br />Architect / <br />Desiqner: <br />Address: <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 />Amsden, Julie <br />Date: <br />Dale: <br />Oale 0312612021 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Mjsc Receipt <br />07176002 5160I Permit Fee <br />07776002 57770 Microfilm Records <br />07776002 57672 Bldg. Stds. Revolving <br />01176002 57600 Gene.al Plan Update <br />$450.00 <br />$64.80 <br />$1.00 <br />$0.00 <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />NoNo Account#Total <br />Flood Zone Cert Req'd: No <br />Evory pemil issued shall become invalid unless lhe wo* on the site authotized by <br />such pemit E cofifienced within 360 days afler its issuance,or if the wo* authoized <br />on the site by such pefinit is suspended ot abandoned for a period ot360 days atler <br />tbe lime lhe wod< is commenced. <br />$515.80 <br />$0 00 <br />$515.80 <br />lnspector MID#: 2021-164081 <br />01116002 51601 <br />011 16002 51612 <br />01 1 16002 57770 <br />$450 00 <br />$1.00 <br />$64.80 <br />Phone: <br />License #: <br />Fee Totat <br />Paid to Datel <br />Balance Due: