HomeMy WebLinkAbout40132274 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section; (714) 647-5853
Mecha n ical Permit #: 40132274
Pin #: 60490
Project Address:1921E Iton Ave
Lot: POR 115
Unit:
Block: I
Bldg: Address Range: i9o1-1921
Tract: IRVINE SUB Historic: No
Suite Range:
Zoning: P
E
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Fee Type
01116002 53603 Revision
01116002 5'160C General Plan Update
Amount
213.86
22.O8
Fee
$213.86
$0.00
Qty
1 .00
0.00
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl lo Field:
Building Permit #:
CSG Consulta
Zuniga, Allissa
10196028
07116t2018
07t18t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Commercial
Revision
Revision
Occupancy:
Constr Type:
Code:
Date:
te
Date
B
III B, SPK
cMc 2016
Notes Revision to *.40131972. Changes to duct work and
relocation RV-1 to coordinate with roof slope.
$213.86
$213.86
$0.00
Every permit issued shall become invalid unless the wo* on the site
authodzad by such petmil is commenced wilhin 1 80 days aftet its
issuance, ot il the wo* authoized on the site by such permit is suspendod
or abandoned fot a peiod of 1 80 days after the time the wotu is
commenced.
lnspector MID#: 2018-142440
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
Assessor'sParcel 430-191-21
Edwards Lifesciences
I Edwards Way
lrvine, CA 92614
(949) 250-3542
Edwards Lifesciences
O\ryner-Builder
Phone.
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires;
APPROVALS DATE ID/SIG.COMMENTS
Appliances
It/etal Fire Place
Evaporative Cooler
Furnace
Compressor
[/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Venls
Toilet Room / Clothes Dryer
Besidential Ranoe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL 7-go-ta rfi-t
Notes, Remarks, Etc
orvNlR Eull,Dt:R Dr:r,( ARATx)N
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rtth.tr rn)rr,,cnr nihjc.r\rlr r'|]!lMnrro .ivilpcorlryolrortrrrcrhrnii!.hundrrddollr\(15001
-1.
!\ owNr oa rhc pmtcny. o. my cnulorrcs wirh wag$ N rhch $h mnp.nsalio.. wiu (lo lhe wo* !d tlE sflr@ Ls mr
inrcnhd or otrcrd lo. elc (Sr 7(x4. aurin.ss ond Pruf.ssiotrs Codc: Tnc Contndor's Li.m* b* dmr ml E ply lo m o*rer of
rhc propcny wln trildr or i'qroB rhc6n. ird *ho dds skh kl* himrcll or hcrslf or rhouAh ht or id oen cnDloy.cs.
pmlidcd rhol such inpDrmnG @ Bn i codcd or olIdd for sk. la hosE, E buildiry or irpmErnr is sld wirhi. o.c F
offtrnpkrbn, r Oqrcr Euiki.r will hlw tL tddcn of prcvin8 rhlt L or dE dil Btr hild.r anlr.w dE Impsry for tlt poqe of
-1.
as o*mr of rh. prep.ny. ,n cr.lusiwly co r&iins *irh lien\cd ol mroN lo onstrud llE pm.iNl (56. ?044. Butiic*
$d h!A\.ion Codei The Co.trelols Li.cnE ljw dBr nol apply ro {n o*nc. ot lmtEny who builds .r inptov.s ficron.
.nd *ho sntmcrs fd such poJe.is with a Conrach(s) liccnsd l)uFunl ro rlE Cofl.&ld s Ltcn* t w)
I.n.xcmpr tr*lcr Sc.lio 0 &PC hrrhn.cnv,n
TABf,ESLCAMTENSAIIOB
PE!:LA.8A.III'!
I hcrlby,lfirn und$ pcnahy of Frury orc orlnc followin8 d(lmlions:
-l
n!\c oDd *ill roinrin ! C.nifrclrc of Consot ro S.lt lnsuc fo sort6 @mFNrion. as I,DviH for by Sdtion 1700 of lhe
ttt r Codr. for lh. Frfo@re of lfic turt fd ehich lh. pdn in .rl
-l
navc ad qill mlinlaii wortcB .onp.nr r ioo insuftk.. ar ruquircd by Se! ion 1700 .{ tlE L.bor Code. for tlE pc.fomcc of
rh€ sorL tor *hi.h lhi! Fmn ir hsued. My worksl omFNNlion nNunKc cMicr u'd Flicy nlnbo d.:
-lccnifyrhll
inrh.pc orourcc ofrhc*ork l whichrhh pcrmir ir hs€d.l shall nol .n'ploy rny pcr$n inan, manicr
$ a\ ro hccom subjcct ro rhc {o.k B'onD.nsuitrn ldwr of Culirorni( und agN thul il ! should rrcom ixbj.d ro $c
wo qs.ofi)..sationDFvhio.xorSc.rir]Tmorrhcl-alx,rCoic.lshnll.fonh*ilhco'nplywithrho*pmvisions.
LIIIINSIILIaNI&ISAA
D}I6NAI,&N
I hcrchy rllnD uM.r J,chlltorprrjdry rhd I n li&n*\r !M.r tiovi\tr,i olah{ic! 9 (.onnrtncitr8 wirh sccri({ 7u[) oiDivhion:l
of lhc au\irc\sind l,Nlcsi{nN (tnlc,ond n,yli.chc i\ i0 tulltu'r d.ffccr
Dol.: Contrhclor
COXTIBIJEI]QNIINDINC.{CINCI
I hcr.by rllirDund.i pcnrlr, olprrjurr" rhd rhcrc i\ n con{tucrior IndinE rlcN! lor rlrc |ErlonMncc oirhc $ork f(r shi.h rlri\ |f,rnrir is
ns!.d (Sr.. .1097, ( iv. C )
llf&lr NfD[.cl^&lfla]!
llurh:_ dlnnrun,lcr ltrtrrlry oip.rlury oN ol lltr inln\riiE dr.LrJri,nr:
l)cnn'lirnn, ltnni\ A\h.no\ Norifi.nrdt li.dcful R.BU|lri(fl\ frilc al). l'rn6)
R.qtrm l rncrolNorili ri(rr
_l enilyrhrr ltuve rcrd rhis i. i.n d $ddh,r rh. rlnw infomrhn is .orc.l. I !s@ ro odply *irh all Cily and Counly
-btildins con$ru.tio[ 0d hcrcby anrhori^ rclree.larnrs oa lhis Cily and C.unry ro cnrcr uFn fi.ordinomes .nd Srsrc L!*r
atsvc mnlioocrl Impcny
Bksco -\f2/'a
III
I
WEEA
MECHANICAL.INSPECTOR RECORD
Other
civil lnDs uf n, oic hundrcd rhou\iNl dnllic (TllXr.(xX)). in rndii ro rhc con ol 6nl''n\nlo . damr8cr \ Irovi'i.d f{n rhc
\...r1{ rt7'i.rrli. l.'hrri(.( n !r(r.tr1t r.rF).I'i.
l)xlr: \t't'li(ntrr:
t-i.rtr\r ('las l-r.trsc Num6cr
_l enity fiar lh. fcdchl rceulalion. rc8.din8 $bcslos rcmval m nol arPlicabh lo rhii poj.il.
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