HomeMy WebLinkAbout20168263 - PermitCity of Santa Ana
Permil Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{68253
Pin #: 62135
Project Address: 1042 W Sherwood Ln
Assessor'sParcel: 002-25342 Lol 35
Bldg:
Tract: 1939
Address Range:
Hisloric: No
Suite Range;
Zoning: R'l
q
Owner:
Address:
Contractor
Address
Thea Calhoun
1042 W Sherwood Lane
Santa Ana, CA 92706
(714) 309.4393
Albert Air lnc
1219 S State College Blvd
Fullerton, CA 92831
(71lr) 526-6368
01116002 51603
01 1 16002 51600
01 1 16002 51603
Amount
96.90
22.O8
55.04
Fee
$96.90
$22.08
$55.04
Foo Type
Air Conditioner
General Plan Update
lssuance
Qty
1.00
1.00
1 .00
Tenant Name
8or,:lri:4€o?{ - 3/21/2Ol?
0ff i.e: CTYH Tronsi3 13Ac(ti: Refi:
Rcpti:0256275,( - 3/21/2A19
Tronso,:t ion Totol
J03 PZun i2of
20168263
I 318 Pn
t758.02
Slate Lic #: 623120
Lic Type: C-20
Bus. Lic #: 337371
workers' Compensation lnsurance:
Carrier: Falls Lake Fire & Casualty
Policy #: FLA0046290
Expires: 0410112019
Generol Plan Update Fee
01116002- 51600000-
El ectr ical
0r 116002- 51603000-
Viso
CC+: rrr rr*rrrr*Il 187
Albert Air In(
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
HVAC
Occupancy:
Conslr Type
Code:
R.3, U
VB
cEc 2016
o3t2112019
Account#
Amsden, Julie
Misc. Receipl:
l\,lisc. Receipt:
Misc. Receipt:
Total
Notes: Direct change-out of fumace. 1st time installation of
alc
$174.O2
$0 00
s't74.02
(
Ewry podnit issued shall become invalid unless the wo* on the site
authonzed by such pamit is comfienced wilhin 180 days after its
issuance. ot if the wg* authodzed on the site by such pednt is suspended
ot sbandoned fot a peiod o1180 days afret ttlo ttfie the wo* is
cammorrced
MtD#. 2019-150252
0'1 1 16002 51600
01116002 51603
$22.08
$151 .94
Fee Total:
Paid to Oale:
Balance Due:
Unit:
Block: NA
i22. (rg
i 151 .94
t75S. ll?
Phone:
Phone.
Auth+ :l?.49?4
Datel
Date:
Date:
lnspector
ELECTRICAL-INSPECTOR HECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER IUILDER DELCARATION
I hcrb, .flnn u8L. F.rhy (, FrJury rh, I d.r.npr fmn rlE Codrxtod t{nr l.Y i$ rh. followu3 Eron (Sd 70ll 5
Burims ur Ptuki.r'n Cd.): A.y C y o. Cd y *h.h Equir a a.ml r,' drn(er. rlrd. !ftpmvc. &nn(h or EFr &v
nddm, Frtr to irr Fruu.. wi Equftr llE .Iltl*sr lor tuh Fml nr 6L r {3BJ {.l.trnr rh.r lt or rlE u l.q(r f@d
nr rrE lros\r)nr of th. ConlL._.rq-l l-$.rdl trw (Ch.Bcr 9. CmeNtnS r h Sdr$h TUJO d Drvri,n I of rh' BUG!r xi
Ptuf.$bn! CoL) q rh.r tt or ltr ! cr.nYi rHoh rnl rlE h$6 for llE ,!.S.il .r.q{rB Ary r$Lrbn 'l Sarln 701l '5 6v iv
.nDlunr lor . Ix.mr ruhFk rh. q'rlrrnr b . drtl Frlly .l ml mc !h$ nv. hu 11! .loud (rvrD
-1.
.r {*Br of l,r FrFny, r, ny cd'{'htai * h "t!6 * rrrs sL Lnqhdrr. *dl,ll rlr krr ,n lh. {drm 6 n{
id.rldl or ofi.FJ r,r {k (Sa ?(X.1. aurm$ r,rl Pitncslr CuL: TIF Codr*'q'! lrd{ trr dxur {0lv lo u oftr or
rlE |'DrEny *to ln . o, nth)s lltch. ral rtr, rtr u'h ult himBla tr trMll.r rh^lulh hn r, h.r orn.trPIoy"t,
I'mvrLJ thrr s!(h lrF,rB t ft ri d.ltLl { oll.rEl fM qb. lt hw rlr b 14 ({ uqmErd 6 rlti wnhin o* Fr
of srpt{ia rlE Oerr su iLr *dl h.t rlE h,J.n o, Imtrs rh, lE or dr.ril mt l!'! d nthE 0r F)Fiv tu rlr FIFF or
l. as owNr ol rh. nop.ny, rm . rclun!.ly !r,nrr&r u3 *rh IMn{d .or m.roR (' on{d.r lh. FrJ(.r (S.r ?O4''. Burtr(
!81 Prii*sirn CixLr Th. conlrNror r l-rcnr. L.P d€3 rur rpPlr ro d owncr oI Pr)l d y who huildr .r rmtln,vct th.K)!.
rd who .onrr(k lir chF,F.rt* h . CiJnrhdo(, h.nE,j plrMr n, thc Conrr.cr{, r l,&n( lf,*).
I amcrcmpl lBlcr Scrrrn-. B. & P C.ltr rhs M(,n
ItoRKFIIS', (:OirPr,\SATlOl\
DECLANATION
I h( rcby .lftrm u tuLr pculry ol lrrjnr y .F .l rh. nr (,e m8 'lturati,trs:
-I
hM .nl rrll drlu I C.,ilfr.c o, CbnEnr b S.lf-INtrc {d R{t6' [,qx.d$r rr lt)vtLd fitr b, Sat'n r7m 'f rh'
Lilix Cuk. rd E lxrf,'lut ol tlr url ftn whth rlE Fmi B su<i
I h.E .tn 'rll du.!6 btt.n cotrinurDn o.unB., ai Equft1r b, SttDn r'7(t) ol rh.l,htr Gr!. n rlE FrdrMt of
trF s,t fn *h.h rhir F,rrn N KDj My,ott6' NnF rionullllll@(:mr!nPoL,Nn He
ll-s Ke-
FLAoJIbz-\ol Y/cl
-I
Lcdrlyrh.t orhc p.rtdmfr.ullh. wotk lrtr whihrhrFrm F i\sudJ I rhrll n.r .trDkrv any t'.ro. t. uy mdnFr
$ t) h€lnm \o$Fr h rhc u)dcr' $.{xni.ron hwr ol CtlifomB ,rtl .!R rh, rl I \h'o t*r'tr rrhJ'crk'lh'
woltcn $nvrnsrron pmvrir,tr! olS.dnn l7(,{rnl lh.Iihtr C l..I \h.ll nlnhwrh roill, wrrhllr)$ Pmvs(,N.
\vARNlN(; Irlr.n'y..tr'.tr!rlLr\(a,t{n\,ikr(n\.1.'r.r!!nLNh'l rnd nil {'lrr\r'nr(r r, .fl xnlllrMllE\ !n,l
flv'l nncs up t,' om honJdl rh,ulrtul ,l.llut (!1U1,000). in ad,l io. b rh..(
Sc.rtr)n :l(t-6'n rlr lrhn(irl! .I.{ inJ {ofty
! tErhy ,l]im uhlcr FMly ol rr,lry rh, I m u.tnr! uul.r lovarDn .l CluFn 9 (omms
'nr
e,h sdt,n ,0U,, or D'vntn
of rtx Bu.i ( {rt Pttf.(r.r (irk, lrt ny lr.nc s n tull ,ort .!n .ff&r
C-z.t-a/-H JZ.OAt*sz7
IOIiISIJCI]ON.LENDIII;AgIETI
I h(Nny rfltnunlcr Fnilry !t tx4ury rhrr rll.t tr r con{ruLri'n hftirS rSctuy ntr rhc p.tlorntrrt 'l rlr *ork
'('
wh'h rhn IEmn tr
nsu.lt (sft .ro97, crv. c.)
bndeis NiNr
-
L.BLr!A'lLlrcs:
-
AIIIICANLDTCIdEAITON
I holr,y rliim ! ].r Fnrll y or Frrrry oft ol lh. n'lhw'nr d.cl,r{i,ns:
D.m,t[ $n P.m ]A\h.{or Norrlrdtn F.&.rl R.8ulri6N ( Iak 40. Prn5)
R.qumd lrn.rorMr'frr$
I .dlfy rhr lh. tqi.ri FslLtr,nr r!.rih! .\lIrkx t mtv.l e ft, {rlr:6k h rh6 PoF.r
I rd'ly rhc , h.E rc.]rhr rnillr&'n.tl (.r. rii rh..h.w rlblrur tr(,|Rr I rlN t' Lrn{ yvnh.llCr,rilCoudy
onltutuc..rn Sur. llr!EU03t'
.lb\t mnri'EJ nn,Fny i(, mr.ri
.€lrdrE!.trhnC.y.LiCo! yrd..rsuFnrlE
Appli.inl o. AA.nl SirNluE
)
{2r
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Founlains
Siqns (monument)
Lile Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Solf it Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouoh (/D/U qilMl TTL
Service [/eter
FINAL \-b/t-//.,2 a7*m(hz-
Notes Remarks, Etc
^,3 -21-/1
,^3218'