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Proj ect Address:. 1921 E Alton Ave <br />Lot: POR'l'15 <br />unit 200 <br />Block: 9 <br />Bldg: Address Range; 19oi-i92i <br />Tract: IRVINE SUB Hisloricr No <br />Suite Range: <br />Zoningr P <br />q <br />Cify of Santa Ana <br />Permit Counter (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 201648,62 <br />Pin #: 59664 <br />Contractor <br />Addressr <br />Ed\f,ards Lifesciences <br />1 Edwards Way <br />lrvine, CA 92614 <br />(949) 851-30rt4 <br />Edwards Lifesciences <br />Riley Electric <br />1800 W 11th Street, Unit C <br />Upland, CA 91786 <br />(909) 981-6110 <br />0't 1 16002 <br />01116002 <br />0't 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />01 1 '16002 <br />011 't6002 <br />01116002 <br />01 1 16002 <br />Q.y <br />230.00 <br />'151.00 <br />355.00 <br />1.00 <br />13.00 <br />1.00 <br />42.00 <br />1,244.25 <br />'t.00 <br />'1.00 <br />Fee <br />$322.00 <br />$229.52 <br />$358.s5 <br />$23.87 <br />$310.31 <br />$32.61 <br />$129.36 <br />$808.76 <br />$21 .25 <br />$52.98 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />5'1603 <br />51603 <br />53601 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1.01 <br />FWU 23,87 <br />Dedicated Circuit 23.87 <br />Low Voltage/Comm 32.61 <br />Add'l Devices/Low Volt 3.08 <br />Ptc - 650/o 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: 393856 <br />Lic Type: C-10 <br />Bus. Lic #: 346558 <br />Workers' Compensation lnsurance:Carrier: Everest National lnsurance <br />Policy #: 750000637181 <br />Expires: OllO'll2O19 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Commercial <br />Tenant lmprovement <br />Tl-Second Floor <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />III B, SPK <br />cEc 20 t6 Notes: Fees pd in full on M70574 <br />Plan Checked By <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Smilh. Mark <br />Amsden, Julie <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: 7U2O <br />Misc. Receipt: 70574 <br />Misc. Receipt: <br />Totalft0't/30/2018 <br />02t14120'18 <br />Account# <br />Every pennit issued shall become hvalid unless the wort o, the site <br />authoized by such pefinil is codmonced within 180 days afrot its <br />issuance or if the worl< aulhonzed on the site by such perrnit is suspended <br />ot abandoned fo. a pariod of180 days aftet lhe time the wo* is <br />commenced <br />lnspector MID#: 2017-140584 <br />N/A - No Balance $2,289.21 <br />$2,289.21 <br />$0.00 <br />Assessor'sParcel: 430-'19l-17 <br />Ownerl <br />Address: <br />Phone: <br />Tenant Name: <br />Fee Total: <br />Paid to Date: <br />Balance Due: