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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Seclion: (714) 647-5853 <br />Permit #: 2(J170274 <br />Pin #: 33205 <br />Project Address: 2801W Camile St Unlt: <br />Block: NA <br />Btdg: <br />Tractr 3915 <br />Suite Range: <br />Zoning: RlAssessor's Parcel: '109-821 -09 Lot'141 <br />Owner: <br />Address <br />Andres & Paula Juarez <br />2801 W Camile St <br />Santa Ana, CA 927041501 <br />(7 1 4l s47 -017 O <br />Fee Typo <br />01116002 5'1600 General Plan Update <br />01116002 57770 Microlilm Records <br />Amount <br />3.91 <br />Qty <br />000 <br />1.00 <br />Fee <br />$0 00 <br />$3.91 <br />Tenant Name <br />Contractor <br />Address <br />Vivint Solar Oeveloper <br />9847 Pioneer Blvd. <br />Santa Fe Springs, CA 90670 <br />15621942-1270 ,,PDilState Lic #: 973756 <br />Lic Type: B, C-10, C-39, C.{5 <br />Bus. Lic #: 345470 <br />Workers' Compensation lnsurance:Carrier: American Zurich lns Co <br />Policy #: WC5096013 <br />Expires: 1110112020 <br />{t\ <br />, <br />Euilding Use: <br />Job Type: <br />Nature of Work <br />Single Family Dwelling <br />Solar <br />Solar <br />Notesr lnstallation of roof mounted PV system. Worksheet <br />anached to plans. <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Chavez, Dave <br />101102357 <br />11t2712019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every parmit tssued shall become invalid unlessthe workon lha sle <br />authotized by such perml $ comfiencecl withn 360 days aftet ils <br />tssuance. or ilthe wo aulhofized on lhe site by such permit is suspendod <br />ot abancloned tota peiod ol 3@ days aftot the ttme lho wo* ts <br />comnencod <br />$3 91 <br />$0 00 <br />$3.91 <br />MID#: 2019-156176 <br />01116002 57770 $3 91 Fee Tolall <br />Paid lo Dale' <br />Balance Due; <br />Address Range: <br />Hisloric: No <br />Phone: <br />i <br />Sotchi:53196 - ll /27 /2i19 <br />rrfl irer (:TYH 1r'6n5i: ?9 <br />Acct+: Ref+ <br />ticpti:(r2gl48l? 1l /2? /21 <br />TronsqEL ion Totq Ilrrc (:urtis <br />VivrnL Solar 0eveloper <br />7 <br />Phone <br />*\.1. <br />lr(rof ilr & Docurr <br />r1116002- 5777ttu0r(1 (:hE.il 7tr9i <br />Occupancy: <br />Constr Type: <br />Code: <br />Date. <br />Date: <br />Date: <br />R.3, U <br />VB <br />cEc 2016 <br />lnspector