HomeMy WebLinkAbout30139240 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Plumbing
lnspection Requests: (714) 667-2738 lnspector Section: i.714) 647-5853
Project Address: 192'l E Alton Ave
Assessor'sParcel: 430-191-21
Unit;
Block: 9
Bldgr Address Range: 1901-1921
Tract; IRVINE SUB Historic: No
E
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Edwards Litesciences
'l Edwards Way
lrvine, CA 92614
(949) 250-3542
Edwards Litesciences
Muir-Chase Plumbing
4530 Brazil Street
Los Angeles, CA 90030
(818) 500-1940
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01 1
16002
16002
16002
16002
16002
16002
16002
16002
16002
16002
16002
51602
51602
51602
51602
51602
5'1602
51602
51602
53602
51600
51602
ary
5.00
5.00
2.O0
1.00
1.00
'1.00
'1.00
'1.00
420.98
1.00
'1.00
Fee
$61 .15
$77.65
$31 .06
$62.18
$87.87
$42.85
$21.42
$36.15
$273.64
$21.2s
$52.98
Feo Type Amount
Sink 12.23
Floor Drain 15.53
Floor Sink '15.53
New Sewer (First 100') 62.18
Wtr Hlr (Res/Comm ov€ 87.87
Water Piping (Each 100 42.85
Backtlow < 2" 21.42
GreaseMastelntercept 36.15
Ptc - 65% 0.65
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #: 539835
Lic Type: C-36, B, A, C-20
Bus. Lic #: 132107
Workers' Compensation lnsurance:Carrier: Zurlch
Policy #: WC373646609
Expires: 1Ol01l2O1A
S[tch+:44579 - 7/2/off ice: CTYH TronAccti:
Rcat+:(t2317043 - 7
Trons6ct ion lotol
l1u ir-Chase Plumb ins
Planning Conditions:
Planning Approval By
Plan Checked
Permit lssued
Subject to Fie
Building Perm
By
Commercial OccuPancY:
Tenant lmprovement Constr TYPe
Tl/Stairs/card Readers/Stor€Code:
6enPnol Plnn Updot e
01116002- tl6080ri0-
Plu b ine
rr1116002- 5160?000-
P,/(: Plunb ine
01 1 1 6r102- 536r12r'lrtr:r-
ICL Check r-tl71r:l
B
III B, SPK
cPc 2016
Noles
t,G
ki, Teri
04,'t 6/2018
071o2j2018
Account#
Misc. Receipt: 70785
Misc. Receipt:
Misc. Receipt:
Total
Ewry p6mit issued shall become invalid unless the wo* on lhe site
authorized by such pemit is commenced within 1 80 days after its
issuonce, ot if the wod< authoized on the site by such pefinit is suspended
or abandoned lot a peiod o1180 days dftet the time the wor* is
cqnmencpd.
it 10196028 $768.20
$233.47
$534.73
$21 .25
$473.31
$40.17
lnspector MtD#'. 2018-142440
01 1 't6002 51600
01 116002 51602
0'l 1 16002 53602
Fee Total:
Paad to Date:
Balance Due:
Permit #: 3O139240
Pin #: 76035
Lot: POR 1'15
Suite Range:
Zoning: P
ln4,\r I
Building Use:
Job Type:
Nature of Work:
Date:
Date:
Date:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent 1^\\7 \\(0e
Water-Under floor r4\J 'JUw((4 ./
Gas-underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent ' ,-\6 (,fl.
Water Piping g'\\1" (9
Gas Piping
Roof Drain
Rouqh Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bough Plumbing
Final Gas Test
Meter Release oth.l9 Jle\llo 'g)
Notes, Remarks, Etc
owNER tltrll,DItR DIll,(:,\ RA l-l( )N
I hcrchy rllirD rrl.r Ftrrlry 'rf t.rJur rhJr I M,.xc f fr)n rt Coihr.r{\ Li..tt l:rv lar rlt ln11,,{i',3 rtrqD (S.r7o.1i!
{n'.dd. prir n' ir\ l\\uxn...3l{i rcqtirs rl'. rptlicrnr ,,,r n,.h lrn irt) lilc r n3tc(l qiicnrDr rhrr hc.r shc !\ li.rn\.d pu^urn
rppli.rtrrlnrrpcrn r \ubjccrsrhc xnplicr !)rcivilpc rlryol or ntr rltrtrrlnc,rufdr.dl.lh,\(15(xrr
-1,
trs owm of rhc Fop.ny, or n, crplotr.s virh paB.s as rhct $lc .lntrnsario.. will do [. *ort atn lho lrrEte il ml
htcd.n or offcEn aor sk (5@.7044, Busies ed nstcsrione Co<hi Th. Co n.iols Lien* llw dcs ml irt ly lo M owftt ol
ihc pDFny who buildc tr inrlrors ilEmn.0 *ho d*s uhqo* limsclforl$*lforrhFughhi, orh(ovr.nplorcs.
pbvi&d rhd $cn inFowctuGmi htcnd.dqotrEdfr$t..lt hoEE Ebsildiq orin{mwEnl iseld whhinotu rte
of<,rFkrio[ tlE Oe*r Buildtr will haE ltE burn n ol pmving dtrl rE or dE did ml hild or ir{,mrc dE prcFry lor rlt ,u.po* ot
_1, oc.wM olrlE IiDFny, amdclusircly.odEcrir8 wirh liccn$d conrdcroB roo dru.r tli poi..1(S(. ?0{4. Eaims
ad PEfcsrid Codc: Thc ComebCs Li.ers. Law d@. nor a ,ly lo D osncr ol pmp.ny who builds or improvcs lhcMtr
and wfio conlEck for sn plsj.{is {i ! a Coir6clo(s) li.cnscd Iu^Mt io rlE C.nrr&Itr's I-ien* lw).
-l
mcxcnrpl undcr Ssl
l)3t.
UO.BAEII:COMIINSAIIOII
I}ECLIAAIIAN
I n rchy alfirn undcr Fdlly of lsjury orc of llt ,ollo*inB dtlqariors:
-lh0vc
xlsillnui tu ! Ccn irEarc of Con\cnr r,, Sclahsurc lbr w.r*.rr s p.nv(iotr. os pmvidcd fo! $y Sdn,n 1700 oI rhc
Lrb(lr Gxlc. for rh. ,cdonnn.c or rhc wo,k for which lnc lcmi n isucd.
-! h!!c lnd will minllin uo cs conD.nsrrioo imur!ft.. L. requircd by Sdl hn 37m of ll* Llhor Codc. for rr'c P.rl.)mBe of
lhc *ork for which thh p€mit Ls i$ued M, workdi comp.Bation inru&cc cmicr oid policy ntmbs m:
E olTo r k (."
W( ?a tf.,*l ro I 0(lra rr 1t+ 2oil
l..diry rhdr in rhc rdlormoncc ofrh. work for wtiLh lhis t.rmil h issu€d, I shall nol chploy.ny p.rs8 i. lny munncr
s as ro txronE sbisr ro rhc wolt6 conpcnstio. hss ofcllifomh. md {g@ rhar ifl should t com slbjcct rd itt
workcs' comFnsolion pmvisiotrs of Sclion 1700 of lhc L,bor Codc, I sh{ll. fonhwnh conrly wilh lho* lrmvhions
WARNINC: Failurc t, suc workcrr.onlEnssrion ovcrlgc k unl.wtul. a rtull \uhjccr an cnnlorcr b diiDinal lxmLts and
.iil fincs or ro oft hlndr.d rhousand doll6 100.000). in addirion ro rhc cost of conFn$rion. dlMgcs 8 pEvidcn 6r rh.
S!.rion.10'76., rhc lnhn
/1,L I .5-r;-
trt(l,'\RA'l.l(rN
I h.Eby oft"h undcr peElry of Frjury drll I M [e&n ui<lcr Fovi3ioo of ClEplq 9 (o,lwmiiS wnh Scdbn 70OO] of Diviib. l
ol rlE Ausircsr .nd Prlf.ssions tuc. 0d h, lisn$ i. in tull fore std Efaer
l q*
b
I hcrch, afiirn undcr lcnlty of pcrjury rhal
isrucd (scc -1097. Civ. C.).
ion lcnding rgcfty lor rhc pcrfofluh-'c ol lhc sork lor shirh rhii f*mir is
AIIUCANIDIIJLAAA.TON
I llnh, allmr utucr pcnrht of p.rjur, orc of lhc follouin8 d(larar ionrl
D.,i,ttir)n Pcihhs Asb.sos Nori'l.nrion Fcn r0l Rcguh'ionslTillc 40, Pan6)
Rcquncd lIner of Nolifi olhn
-l
ccnilyrnd rhc fcd.ra I ft gulario ns eeuding arbcsrosr.ndvrlm not lpplicobk to lhis prcjer.
ic ion and slnr rhar ihc ltsvc infomr ion h.orsr. I l8re Id condy uith ,ll Cily nnd Counly
h{ildir8.omrru.liotr rd hercby surhri.c rcpdsnllrivcs ofrhir Cirya.d Counlylo cnl( upotr lhc
Pemi(\hr \r
(z
TOP OUT
Tub/Shower Test
Gas Service
FINAL
(
tJnJc''\ ddr..
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