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City of Santa Ana <br />Permil 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 #: 20{68253 <br />Pin #: 62135 <br />Project Address: 1042 W Sherwood Ln <br />Assessor'sParcel: 002-25342 Lol 35 <br />Bldg: <br />Tract: 1939 <br />Address Range: <br />Hisloric: No <br />Suite Range; <br />Zoning: R'l <br />q <br />Owner: <br />Address: <br />Contractor <br />Address <br />Thea Calhoun <br />1042 W Sherwood Lane <br />Santa Ana, CA 92706 <br />(714) 309.4393 <br />Albert Air lnc <br />1219 S State College Blvd <br />Fullerton, CA 92831 <br />(71lr) 526-6368 <br />01116002 51603 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Amount <br />96.90 <br />22.O8 <br />55.04 <br />Fee <br />$96.90 <br />$22.08 <br />$55.04 <br />Foo Type <br />Air Conditioner <br />General Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1 .00 <br />Tenant Name <br />8or,:lri:4€o?{ - 3/21/2Ol? <br />0ff i.e: CTYH Tronsi3 13Ac(ti: Refi: <br />Rcpti:0256275,( - 3/21/2A19 <br />Tronso,:t ion Totol <br />J03 PZun i2of <br />20168263 <br />I 318 Pn <br />t758.02 <br />Slate Lic #: 623120 <br />Lic Type: C-20 <br />Bus. Lic #: 337371 <br />workers' Compensation lnsurance: <br />Carrier: Falls Lake Fire & Casualty <br />Policy #: FLA0046290 <br />Expires: 0410112019 <br />Generol Plan Update Fee <br />01116002- 51600000- <br />El ectr ical <br />0r 116002- 51603000- <br />Viso <br />CC+: rrr rr*rrrr*Il 187 <br />Albert Air In( <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />HVAC <br />Occupancy: <br />Conslr Type <br />Code: <br />R.3, U <br />VB <br />cEc 2016 <br />o3t2112019 <br />Account# <br />Amsden, Julie <br />Misc. Receipl: <br />l\,lisc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: Direct change-out of fumace. 1st time installation of <br />alc <br />$174.O2 <br />$0 00 <br />s't74.02 <br />( <br />Ewry podnit issued shall become invalid unless the wo* on the site <br />authonzed by such pamit is comfienced wilhin 180 days after its <br />issuance. ot if the wg* authodzed on the site by such pednt is suspended <br />ot sbandoned fot a peiod o1180 days afret ttlo ttfie the wo* is <br />cammorrced <br />MtD#. 2019-150252 <br />0'1 1 16002 51600 <br />01116002 51603 <br />$22.08 <br />$151 .94 <br />Fee Total: <br />Paid to Oale: <br />Balance Due: <br />Unit: <br />Block: NA <br />i22. (rg <br />i 151 .94 <br />t75S. ll? <br />Phone: <br />Phone. <br />Auth+ :l?.49?4 <br />Datel <br />Date: <br />Date: <br />lnspector