HomeMy WebLinkAbout10198893 - PermitT
ect Address: 1851 E Deere Ave
Assessor's Parcel:430-18t-t8 Lot: POR 107
Unit Btdg:
Tract: IRVINE SUB
Address Range Suite Range:
Zoning: MlBlock: 9 Hrstoric: No
Proj
City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714],647-5853
Building Use: Commercial
Job Type: Tenant lmprovement
Nature of Work: Boiler Room
Existing Bldg. & Use: Qemmsycial/Manufacturing
Proposed Use:
Oescription of Work: Convert "tissue wasts" room
op6ning/auth on file
Planning Conditions:
Occupancy: B, S-i 1st FL Area Patio:
Constr Type: lll B, SPK 2nd FL Area T.l.Area.
code: cBc 2016 other Areas: yards Req'd
FloodZone X-0602320278J
# of stories Garage 'q[ea ' I ytl99l$: 080'000'00
Totat ,,1,1 ' . ,',',',
i"1,i .
into a"boiler" room for new electric boiler (l OOO|bs). Rer ?6 a soctior} of wf l{/& fihilib in tor new
II ;olut ions
Phone:
Tenant
Medtronic lnc
185'l E Deere Ave
Santa Ana, CA 927055720
Contractor: Trinity Process Solutions ln
Address: 4740 E Bryson St
Anaheim, CA 92807
Phone: 17141701-1112
State Lic #: 774688
Lic Typer A
Bus. Lic #: 371769
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: 7600019055181
Expires: 06/01/2019
Plump EnElncertng lnc I ' r'''
cregory Ml Panek
914 E Kal?ila Avenue,2nd Flogr
Anaheim, cA 92805
(7'14) 385{835 . , r.n r
c79148
I ','l'
R2A ArchltDcts
Etienne G. Rungo r l
2900 Brisiol St. Ste. E2O5 j '
Costa Mesa. CA 92526
(714) 435-0380
c2a4a2
Engrneer
Add.ess
Phone:
License #:
Architecl /
Desiqner:
Address:
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Date: 01/10/2019 Misc. Receipt
Dale O1122120'lg Misc. Receipl
Oate. OAO42O1, Misc. Receipt
Subjecl to Field:
No
No Account#
0777600 2
0777600 2
077760 0 2
o4907007
077760 0 2
07776002
07776002
$160.2s
$666.48
$3.76
$22.40
$4.00
$22.08
$s5 04
$
Carvajal, Verny
So, Anson
Hernandez, Kathy
72053
Total
57607
53 600
57770
24000
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every perrflit tssued shall bocome nvalid unloss the wo* on the site aulhonzed by
such pemit ts commenced within180days aftet its issuance.or if the wo aulhonzed
on tl]€ sile by such pormtt ts suspended or abandoned fot a period of180 days aftet
the tifie the wo* is commenced
lnspector
01 1 16002
01 1 16002
01 1 16002
01 1 16002
08901001
51600
51601
51612
57770
24000
Fee Total
Paid to Date
Balance Due
s934 01
$666.48
$267.53
I
Permit #: {O198893
Pin #: 58396
Owner:
Address:
$22.O8
$215 29
$4.00
$3.76
$22.4O
MtD#. 2019-148737
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Fram ing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
RwraeFINALbllhlt4 ''^,P!)
Certificate of Occu n
Notes, Remarks, Etc
OWITEf, BUILDTiR DEITCAR TION
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sh.ic Fu ro i'r igllee .lto EquiE th. apltsl lor un pdbn
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PmfsFcCo&)drhdt m ir ir Gr.npr thd.frofr !d rL b6i! fo, UE dLgrd amFbn. A,y viohbn of Setbn 70.tI5 btry
ip?licnr for a pcnn $bjaE rhc .pllicot io r civn p@ty o f rer morc fie liv. hun&.d dolld (1500).
_1. 6 ow of rh. FoFry, m my qrglorB $nh *+6 a $.n Fh N6Fsion. *iI d. tlE *ql .d d! nise it m'
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DICIASAIIO!
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L.bn Codq tilr llr Ffonll'G oii,E {qt ad $hkh r,E Fmr it iBu.d.
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Policy NuDba:-Erpt6.
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civil finB up to oE hundr.d rhoudd dolld (t100,000). in lJdnion ro ltu mn of compcNrion, dmted a p.ovid.d for lh.
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of rh. B6ilB.nd ProfNioN Co&. !'d my licdE B
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APPI ICANT Nr('! ARATION
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