HomeMy WebLinkAbout10195954 - PermitEProject Address:1921E Iton Ave
Assessor's Parcel: 430-191]17 Lot: POR 1'15 Block: I
Address Range: 1901-1921
Historic: No
Suite Range:
Zoning: P
city of Santa Ana 20 Civic Center Plaza (M-'19), Sante Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O195954
Pin #: 125tJ1
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial/Offices
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
III B, SPK
cBc 2016
x-0602320278J
l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area: 3251
Yards Req'd:
Valuation: $180,000.00
Description of Work: Tl-Remove and install partition walls and t-bar ceiling.
e
h
'::
Li:
{l
4/1394 - 6/19 /ztJlij(1YH TrqnB+; 16
Rel.':Planning Conditions: lnterior work only. No exterior alterations or modifications.
r'onsfl'::t lon (l fl
D6 Bu i iderE' IncOwner:
Addressl
Edwards Lifesciences
I Edwards Way
lrvine, cA 92614
(949) s2s-6579
Edwards Lifesciences
Contractor: cDG Builders, lnc
Address: 24 Executive Park, #150
lrvine, CA 92614
Phone: (949) 892-3510
State Lic #: 921615
Lic Type: B
Bus. Lic #: 342788
Workers' Compensation lnsurance:
Carrier: Everest Nat'l lns Co
Policy #: 7600012738181
Expires: O'll20l20'19
Engineer
Address:
Phone:
License #
Architect /
Desiqnerl
Address;
Phone:
License #:
Beck Martin
Richard Kraft Martin
1400 Quail St. #'120
Newport Beach, CA 92660
(949) 8s1-3044
c14204
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
icardo
, Fred
Brodowski, Teri
Dale: 0312712018 Nlisc. Receipt
Dale 0411112018 l\4isc. Receipt
Date: 06/19/2018 lvlisc. Receipt
Subject to Field:
No
No Account#
707 54
Total
5160 7
53600
57770
240 00
57672
5160 0
5760 7
$780.24
$1,'105.34
$72.4O
$50.40
$8.00
$21.25
$52.98
Permit Fee
Plan Check Fee
Microfilm Records
Sl,4lP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issuod shall become invalicl unless the wod on the sile authorized by
such permit is commenced within 180 days after its issuance.or if lhe wo* authorizecl
on the site by such pemil is suspended ot abandoned for a peiod of180 days after
the time the wotk is commenced
lnspector MtD#. 2018-142278
01116002 sl600
011 16002 51601
011't6002 sl612
01116002 57770
0890'100'1 24000
$21.25
$833.22
$8.00
$72.4O
$50.40
$2,090.61
$1 ,105.34
$985.27
un : 200 Bldsl
Tractr IRVINE SUB
Phone:
Tenant:
07116002
07716002
07776002
0 890700 7
07776002
0 77 7600 2
07176002
Fee Total:
Paid to Date:
Balance Due:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation
Roof Sheathinq
Shear Wall
Framinq t:5-13 J )affi5
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coal
It/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
FINAL '1,70,19 -It)cl*o4 /
Certilicate ol Occupancy
Notes, Remarks, Etc.
OWNER BUII,DER DELCARATION
I hcrcby olftm undcr pcnllry of p.rjlry rh,r I un .xcnrfl tiun lhc Conhdor' l,icrnse Lrw fu rh. nnhwir8 rcan)n (Scc.'7t):ll 5
Blsnrs and Pnni\\i,, C.dc)r Any Cily or Cou.ty which icquncs ! rEnnir ro consrtu.r. nlr.r, inp()vc, dcnFlish or Fprt y
srru.rxrc. rrbrb ils hsurfl... rl$ Rqut.silE ipllic0nr ior such pcmn b [hnsiSncd {nrcnrnt lh{l hcorrhe is lic.nscd luisulnl
ro rhc pmviio.s olrhe Conrrac&tr\ LiLrns.d be (Chafl..9. Comnrncing wili Sccrion ?(xx) of Divkion.l ol rhc otrsine\! and
Pnrrcsn,or Codc) or rhrr h. or rh. is .rc.rfl lh.rcfro a lhchush,trlh.lllcgcdcrcnPriotr. Atry viohtionoaSccrion 70.1I5 hyany
.tilicanr r.r a p.rni subtc.krhc rpplicrnr to acivilpcnalryolnor nrto rha fivc hudrcd dollon (S500)
-1.
ar owncr ol rhc pn,Itnr. {n my c plorf,.s wnh s Gcs r\ rhct qrlc .o.rFn\d i,'n. will do rht sult md Ih. (Erm t frn
inrcnJcd or ollcrcd f.r s0lc (Ss.70,+l- llusincs and t'rofcssnn,s C(ilcr Thc (nnrickn s l.i.cnsc t2e oc\ n.t 0mly ro ,n owncr ol
rhcpDpcny $ho boild\ nr nnn('v6 rhd mn. ,rxl who dms skh w * hmsclfor hcrqlforrhR shhisnrhcrown.mPloy.c\.
prcvidcdrh ech in,[ot'tunr\ nn nor i' cndcd .r orc(\l hr slc. lf- ho*tver. rh: huildinS or nNnno.trl is mll sirnin ',nc ttr
ordnnnhri,n. rh. O*mr Buitd Nillhnrc rhc burdcnolOovin8lhllhe or \h. did d huin.r iliq,oR lhc tmpcny lbr rh. Px{s{ or
-l.rs.wi.rolrhcfloltrny,trmcrclu\ivclyconlraclinEsilhlicc.scdconta.k,Nk)con(ru.rrl*In+d(S.c
7rl14. Bu\irrcsr
!,xl l'!trhsion Codc lhcConrracroisLiccnl.I-rwddrnor{r,lyro{oos'n.rolpmp.nywtu'buildsorimlrorsrhcrcon
rnd uho onrh.r \ fttr sr.h tnorcis wirh r Conrradu(r) li.cnscd pursuntr( tu thc ConrNhis l,ien\c Liw)
I rn.r.'nm und.r S..ri,n
lIORXI'RS' 1:( ITITFNSATI(
'NDEII^AAI]Q!
I hcrchy ritlrtrr trndcr pcnrlly oipcrjuryon. olrhc f{ilk,si'r! dcclrr{n rl
l hrlc rlwillrEn irnCcnificllcolconscnr(,SrltlNur.f(trworkc^ conDcns io!.as rn,vid.dforhrSccrionITOOoirhc
l,a}xr Gxlc. rff rhc p.rroauncc of lhc w.rk for trhi.h rhcpcmir i\ ir\ucd
rhc sork hr which lhi\lrcrmii is hsuGl [i, work.rL conrr.ns,ri({ iNut.ncc .rri{ :md E,li.yrutr$n ffc
-l.cdiiyrhrri.ihcncrra
ukc.lrh.workf rhrhrhispcirnil is issucd l shrll nor cnlPloy any |Er$n io 8ny ntrnncr
v' n\k,ltuotu subj*! r.rhc workcis'comF sdion laws of Crlif{,hia. rn a8rc h.r ifl should hcc..t subj.trr.rtE
worr.r{ .onlP.ns.r ion povhions oI Ssrion 3?00 ol rhc L3trn Gxlc, I rh.ll. Iiflhairh .ompl, sirh rho{ l]()!is ioni
WARNINC Frilurc ro suN *orkcis'conDcnsarian c.vcrngc is onl tul. Md shlll s'brcr an cn,Iloyc. t'.rnnnrl FtrJlri.s od
cnil finc\ up t' oi. hundrcd rhousand llx).1[x)). 'n Jdirrn] r, rh..,,!l .l.,trnlxrNrri,nr. r r!c\ ir nnni{i.d tur r[.
1076 ofrh. tibo! Codc- intclcsl
ulrllro
![(liBtrlIUT
ufdcr F)vlnnr ol Chrfl$ 9 (sm'rcncins wirh S.crk,n 7(xxr) olDivhion:l
.f rhc Llusircs\ rnd l\olis\i,rN Cod., d ry lirc \c { lllllr) N r clli.r
,"" \, I
I r.n\c Nu'nb.r
!40 -4qu*W
I hceby !fltn undcr Fnlhyorp.rjury
issucd(Scc. :lO97.Civ. C )
grsctuy lar rhc pcfir me oflhc worr ft, whkh rhh licnlil n
AIETANLDECIASAIION
I M'y!fimlndcr pcnuhy.tp.rjury otrc of rhc folloNin8 d(larurbnrl
lxmolilion Pcrnrir*Ashsros Norin.ari.n Fdcfl l Rcguln'io.\ lTitlc 40. 1'an6)
Rcqutcd Lcltcr oI Nolincari{,n
)
Ih.rrhy rllirnrrmi.r |rmlry of t)rrlurr_ rlrr I n
l.tulc, . Nx'hc
-
thJcr-s AJdrcs.:
-
tt