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20165551 - Permit
Proiect Address: 1921E Alton Ave Assessor'sParcel: 430-191-21 Lot: POR 115 Unit: Block:9 Bldg: Address Range: l9O1-1921 Tract: IRVINE SUB Historic: No Suite Range: zonang: P E City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702 lnspection Requests: 17 1 41 667 -27 38 l nspector Section: (7 1 4) 647-5853 Electrical Permit #: 20{65551 Pin #: 84934 Owner: Address: Phone: Tenant Name; Edwards Lifesciences 1 Edwards Way lrvine, CA 92614 (949) 250-3542 Edwards Lifesciences Riley Electric '1800 W llth Street, Unit C Upland, CA 91785 (909) 981-6110 01116002 01116002 01116002 01 '1 16002 01116002 0'1 1 16002 01 1 16002 01116002 01116002 01 1 '16002 01 '1 16002 01116002 Qty 59.00 25.00 78.00 2.OO 5.00 33.00 1 .00 1 .00 3.00 1 ,354.58 1 .00 '1 .00 Fee $82.60 $38.00 $78.78 $186.56 $'t 19.35 $787 .71 $32.61 $51.29 $10.29 $880.48 $21.25 $52.98 51603 s1603 51603 51603 51603 51603 51603 51603 51603 53601 51600 51603 Fee Type Amount 125 Volt Receptacle 'l.40 Light Swilches, Occ. Se 1.52 Light Fixtures 1.01 Air Conditioner 93.28 FWU 23,87 Dedicated Circuit 23.87 DataCommunications 32.61 Subpanel 51.29 0-1 HP. KWoTKVA 3.43 Ptc - 650/o 0.65 General Plan Update 21.25 lssuance 52.98 Phone State Lic #: 393866 Lic Type: C-10 Bus. Lic #: 346558 Workers' Compensation lnsurance:Carrier: Everest National lnsurance Policy #: 760000637,181 Expires: O1lO1l2O19 Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: commercial occupancy; Tenant lmprovement Constr TYPe Tustairs/Card pgs6grs151e16Code : B III B, SPK cEc 20'16 Notes: Davis, Scott Chavez, Dave Date Date Date-vo 05/10/2018 06t2812018 Account# 01116002 51600 011 16002 51603 011 16002 5360'l l/isc. Receipt: 70785 Misc. Receipt: Misc. Receipt: Total Every permit tssued shall become invalid unless tho work on the site aulhonzed by such permit is cofimenced wilhin 180 days aflet its issuance, ot if the wotu authoized on the site by such pemit is suspended ot abandoned for a period of 180 days after the tifie the wotu is commenced lnspector MID#: 2018-142440 $21.25 $1,44O.17 $469.93 $2,341 .90 $410.55 $1 ,931.35 Contractor: Address: SFlf:;;-fii,i - #il#l'l r0: cfuSFLf Accti: Refi: 261615;;1 - R(pt+:n2305(r8[ - 6/28/2111S 8;32 ALIIrqnso,:t ion Totol tfr?J1 .JiX (:ontrnctor RiJeg Electrrr Building Use: Job Type: Nature of Work: Planning Conditions: Generol El(ln Updote Fee 011 l6l:rrt2- 5160tlirlD- El ectr I co I r11116002- 51,6r13!ttl- F,/t: Et e.tr i,: rl1116rl[2- 53601r]on-I(t (:herk t:r214s1 Fee Total; Paid to Date: Balance Due: $1r44tlr. t469. $l r 10196028 ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCAR TION I hcr.hy a{firm undcr peMlry or Frjury rhd I t$ cxcryr 6om lhc o)nrrlckna Li.. \c l-sw for lhc r'ollowins EN)n (s..70115 Ilusinc\s ,nd Pr.rcs\ion CL\dc): Any City or Counry *hich rcqnn \ a Frmir ro conslrucl, llrcr- imPn,ve. .hnblirh or rcF,n {ny {ructuic. prior ro ns issuancc, rle rcquircs rhc aprlkanr ror su.h lcflnil ro nh a sis.cd dtrrcmnr rhtrr horshc h li.cnscd ,rAlrhr ro rhe pmvhi{,r orirE Conrn.k \ Liccnscd titr (Ch!rl.r q. Coimcn.in8 silh Scdion ?Ux) ol Divhion 3 of rh. Businc$ rnd Polrsn)ns Codc ) or th.l h. orrhc iscrcnrfl lhcEfronundrhc hNs lbr rhclllcacd cxcnrflion Anyriol,rio.olSccrion 71,-rl5 brany aprlica l'ora pcrorir suhjcclsrhc anpli.nnr k, r.ivilP.trrlry.fnor norclhnn ivt hx.drcd dollars ($5u) -1. tr\ owtur of ihc pmFny. or ry cmplotrcs wnh w{scs n\ rhdir solc co.IFnsdion. will d. rhe w.it( arl rh. stMtE is r inlcnLd or oficrcd ld $le (Sa.?(},4, Busilcs snd Pmacssionr Codc: Thc G,nri.br's Lffnsc ljw d,trs ior drdv lo r. owner of rhc topcdy uho huilds or in'ptuld rtkron. &xl *ho des sEh Mr* hin\.lfor h..$lfot rhr!8h ht or h.r oqncmDlovccs. prorid.d rhrt su.h imrmwnrnrs @ nor hrcnd.rl d oflcrcd nn $h. Il h.wcrcr. rhc huilding .. inPmrcmni is srh wirhin onc fEt ofcofiplcrbn- rtE Ownf BniLrd eill haK llE b'irlcn of poving lhar hc or \hc dil nor hoild or imProrc lhc PDpriy ior lhc ,)!rlns of l. usoumrollhc pnr.ny. dr.r.lusivcrycnnrjdirrS wirI liccn\cd cont].trr ro .onsnEI rtr rrojd (scc 701-4, Bu$ms ! t\)ltsinr Codc:'rhc G)ntraclols l-iccnsc t-as docs nor lptlyro rn.wncr 01lmpc yuho huildsor imrrovc\ rhcrco. rnd who onrncrs tr strch tft,jc.rs qilh r Cotrlrlctu( o liccnrd p!^unr h rhc C.nlticroi s Licens ljw) I neicddu.do Seton .B & PC forrhnrccson D.lc: Own€r ttoR(ERs;conlPENsATI(rN IIECI.AMtrON I hcrehy rmrn undcr p.Mky or pnjury onc ofthc tollouins d..hrurion\l -l huvc ud siU tuiflain s ccnirEatc ol Consnr k' S.lf ln\urc roi mrkcs ompcnqriqr. r\ tmvkltd fo. bvSccrion:1700 ofrh. Lrbor C{dc. lor rhc l]crfomk. o, th. wol{ for which lhu psflnil n isrxcd -lhrlcrnd willmri.irin qorkcrl c.nEnn(n,n in\urancc. r\ rcqurcdhrSarion.lTlro,rhctihntrCodc.lorlhcP..tornBn..of rhc work fttrwhi.hrhis pcnnir is hsu.t Myworkc^ dnnpcn{,rnnr tn\uhncccrtricr aBllxrlicynu rh.t.rc:.g {.-\-l- lLtg.'7/^od)nba)3 t- -l ccnily rhr( in rh. lcrfonnikc olrhc wo.k lbr Nhich rhi\ r.rnir is issuci. I rhlll nor c'nnldy rny ltrmn in uny manncr q) !s t' h.$trr suhjccl to th. workcric.nDcns riotr ldwr ol Cnlihrnir and rgec 'har ill nroultl bcom {hicd Io llE p.*.ir' conf.ns.r ion pmvisbns of sd1i.n ]7m oi rhc trtnr C{tc, I shtrll, fidhwirh comPly P irh lhxc Pnivhions . WARNING: rdihrc lo *.urc worke6' mmpcnurion d,vdraE. i\ unlnqtul. trnd shall \1hid M .mpbltr lo qiminrl frmlras rnd civil 6ncs xp h onc hundrcd rhousand dollui (SloO,Oln), in tddilion to lhc cosr ol comp.nration damccs as pmvid"l t" rh' Srtiotr 1076 nrrhc trbor Codc. itrlcrcn md an.,rcr\ fer.. L->c- t9 npp**,,)4 1.-r4- c--t=,= IJIENSf,L TNIaAIIAB 6 DECI.ABATION I hcrchy trtann und.r pcnllty oi lcrjurt rh, I nm li(n*l undtr pmvi(ion oiChtrfls 9 (conntfting with Sccli,n Tlxt)).rDirti.tr 1 oi rhc Busims,nd Pnrcsid$ Codc.ond my liccn\c is n'tullr(trou clINl. JTapGG L >j:t? ;::.;:* Ihcrcbt rli,rnundci pc.tlrroit'crjuyrh rhcrci\,coi{t.ri,)il.td$3rgcn.ylorrhcltrfon,rdnccollhc$ortli,r$hichrhnl)cnnirk nsu.t tscc. 3097, Civ C ) APPI ICANT DFCLARATION I lrNby olIm undcr pcndlly ol p.rjury oR offic 6llowin3 d(hrarioor: Dc n,lirion PcnnirlAsbcsros Norificarnn F.d.r Rcgul{ions (Tnb.ltl. Pan6) Rcquircd rnllr of Notifi cart n -l ccniryrhar rh.lad.rrl rc8uhriofls rcs.rdnrs !sl'c xrcnx,lrlrrcnorlnnlic0hlclolhisProjcrr I r.rIil,vrhtrrI l[v. rcidIhi\ {plicarion r (rrc rhd rlt drrc inlannirior is .om.i I ngro to.nnIly Nirh rll Ciri_ ,trd Counry a}.^c trEnrtr.nrd rn,p.ny ft in'nccriontn,$ apprrmnr r,lsmr srqmrum * l44. ""-u"" *.",rnnu,X -Il.< c .-l tl<, 6 >!t Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Siqns (monument) Lile Satety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Groundinq i UFER Transformers Torqueinq Sub Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit)t n -t&s,)4{ Walls (Rouqh)(4.1'\d- /'rY) Ceilinos (Hard & Soflit Rouo( Ceilings (T-Bar Bouqh) Rough Service lt/eter 7-70-10,[).1il{Tu Notes, Remarks, Etc -) Ivleter Release FINAL Lcndca. Ad,Ic{ - I : I