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City <lf Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, cAg27o2. Building <br />Permit Counter. (7141647-5800 lnspection Requests (714\ 667-27g8 Inspector Secti;n (714)647-5853 <br />Permit #: { O{ { OTOE{ <br />Pin #: 83137w <br />Proiect Address: 4280W Fifth St <br />Assessor's Parcel 938-70'l -26 Lol NA Block NA Tract NA Histoflc No <br />Suite Range <br />Zoning <br />U nrt Bldg: Address Range <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg & Use <br />Proposed Use <br />Single Family Dwelling <br />Sola r <br />Sola r <br />SFD w/att Garage <br />Occupancy <br />Constr Type <br />Code: <br />Flood Zone <br /># of Stories: <br />'l st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area <br />Total: <br />Patrol <br />T I Area <br />Yards Req'd: <br />Valuation:$27,000.00 <br />Oescription of Work: lnstallation of roof mounted solar <br />Planning Conditions: <br />Owner <br />Address <br />Phone <br />Tenant <br />Mai Khang <br />4280 W. Fifth Street <br />santa ana, cA 92703 <br />(714) 8s4-s4s4 <br />Contractor: FreedomForever <br />Address: 43445 Business Park D., #1 <br />Temecula, CA 92590 <br />Phone (951) 445-5645 <br />State Lic # 1029644 <br />Lrc Type: B, C-l0, C-39, C46 <br />Bus. Lrc # 370075 <br />Workers' Compensahon lnsurance: <br />Carrier Redwood Fire and Casualty lnsura <br />Policy # FRWC215868 <br />Expires: O1lO1l2O22 <br />Engineer <br />Address <br />Freedom Forever <br />Arashi Yoshioka <br />143 Saint Thomas Drive <br />Oak Park, CA 91377 <br />s6285 <br />Phone <br />Lrcense # <br />Architect / <br />Desiqner. <br />Address <br />Phone: <br />License # <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 />Chavez Dave v. <br />Date <br />Date: <br />Oale 0612912021 <br />Subject to Field: <br />Misc Receipt <br />Misc Receipt <br />Misc. Recerpl <br />07776002 51601 Permit Fee <br />07775002 5 7770 Mrcrofilm Records <br />07776002 57672 Bldg. Stds. Revolving <br />07176002 51600 General Plan Update <br />$4s0.00 <br />$8s 05 <br />$2.00 <br />$0 00 <br />Fire lnsp Req'd <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd No <br />Evary pemtt ssuecl shall become invahd unless lhe work on lhe stte authonzed by <br />such permit tscommenced wlhin 3@ days aftet ls tssuanco or tf the wo* aulhonzed <br />on the sle by such pem $ suspendod or abandoned for a penod ot 360 days aher <br />lhe hme lhe t/ork ts commenced <br />No <br />No <br />No <br />No <br />ffi Account#Total <br />$537 05 <br />$0 00 <br />$537.05 <br />lnspector <br />01 1 16002 5't601 <br />0't 116002 51612 <br />01116002 57770 <br />$450 00 <br />$2 00 <br />$85 05 <br />Fee Total. <br />Paid lo Dale <br />Balance Due <br />R.3, U <br />VB <br />cBc 2019 <br />A-0602320256J <br />MtD# 2021-167142