HomeMy WebLinkAbout40131972 - PermitAssessor'sParcel: 430-191-21
Bldg: Address Range: lgol -1921
Tract IRVINE SUB Historic: No
Suite Range:
Zoning: P
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Mechanical
lnspection Requests: \714) 667-27'38 lnspector Section: (714\ 647-5853
Permit #: 40131972
Pin #: 5lJ772
Owner:
Address:
Phone:
Tenanl Name:
01116002
01116002
01116002
01116002
01 1 16002
01116002
01'1 16002
Contractor:
Address:
Edwards Lifescienceg
1 Edwards Way
lrvine, CA 926'14
(949) 250-3542
Edwards Lifesciences
HVACMechanical lnc
440 W Crowther Avenue
Placentia, CA 92870
(714) 937-s30s
5'1604
51604
51604
51604
53604
5160C
51604
Amount
'107.85
44.51
35.2'l
43.62
0.65
22.O8
55.04
ary
1.00
5.00
'1.00
1.00
394.60
1.00
1.00
Fee
$107.85
$222.55
$35.21
$43.62
$256.49
$22.08
$55.04
Fee Type
Heat Pump
VAV Box
Envir. Air Other
Vent Fan/Comm
Plc - 65vo
General Plan Update
lssuance
Phone
State Lic #: 682002
Lic Type: C-20
Bus. Lic #: 172783
Workers' Compensalion lnsurance:Carrier: California lnsurance Company
Policy #: 824055280104
Expires: 05/01/20'19
Botch+!{{876 - 7/18/2018 I0: LRoSALESoffice: CTYH Trons+: 2tt 1 of IAcctS: P,efi! 4r:rl il?22
RcptS:02327101 - 7/19/2itr9 lU:54 AI
Troosa€l ion Totol 94tx:r.36
HVACilechonico] In,:
General Plon Update Fee
01116002- 51608000-
llechon icol
01116002- 51604000-
ICL Check 06998s
t22.98
t378,23
t400.36
Planning Conditions:
Planning Approval Bla
Plan Checked By: West, Glen
commercial Occupancy:
Tenanl lmprovement Constr TYPe:
Tl/Stai rs/Card Readers,lstor€code:
B
t B, SPK
cMc 2016 Notes:
Date:
Date: 0411612018
Date: 0711812018
Account#
Misc. Receipt: 70785
Misc. Receipt:
l\.4isc. Receipt:
Total
Permit lssued By: zuniga, Allissa
Subject to Field:
Buildins Permit #: 1 0196028
Every pemil issuod shall become invalid unless the wo* on the sito
authoized by such pemit is commenced within 180 days after its
issuance, or ifthe wo* authorized on the site by such permit is suspended
or abandoned lot a peiod of180 days dftet the time the wotk is
commenced.
ltmD#: 2018-142440
0'1 116002 5'1600
01116002 51604
$22.08
$378.28
$742.84
$342.48
$400.36
Proiect Address: 1921 E Alton Ave
Lol: POR 115
Unit:
Block: I
Building Use:
Job Type:
Nature of Work:
Fee Total
Paid to Date:
Balance Due:
lnspector
MECHANICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER DT'ILDER DELCATAION
I hcEby amrm udd lcelly oa p.rjury rtut I u.xcrq froo lhc Connldm Li.cnsc Llw for lhc followin8 rcosn (Sa.?031.5
Busi..$ ad Prolcssion Code): Any Cny or Co! y *hi.h Equies r Fnir lo co[(tucl, oltd. in{mE. .hmli3h or Epln ey
smcnft. tritr ro irs i*urc. al$ rcqun.s lhc atplhsl lor such Fmil to ,ilc ! sigftd sltr.ftnt th.r tE or shc it li..nrcd plrs@l
to thc Imvkions of rlt Conrrdcro, r Li..ncd L{s (Ch.ptcr 9. Co@ncing *ilh Sklion 7000 of Divisio. I of l}E BBincss and
Pefc.sioni Co.!e) or thar h. or stc is cr.npl thcElionsd lh. blih lor th€.llcg.t cremolion. Any violdion oas.dhn ?011.5 by .ny
rpplha.r for s p.mit subj.!l3 lh. q,pucol ro , civil peMhy of mr mrc rhm fitc hundrcd dolus (5500).
-1,
ss owmr or rhc tiopcny, or ny cmplorr.s wirh wae.s N thei sh sm|'ensa on. will & llE "ut old 0E irlw i\ ml
anl.nlcd or ofcrd for elc (Ss.ro44. Busincs lnd Pmfcssiotrs Cods Thr Conri.lois Li..nr tiw do.s nol rpply b an owtu! ol
rhc tmp.ny whot ildr or iftpmB rhc@n. ard eho des sh F* hiNclf 6r h.elf or rhouSn his m hcr o*n cn{)by..s.
pn,vid.d rh,r su.h inqr.Emils N ml inrcnd{d or otu for sh. li h,ltw. rtr tnilding or inqmEmnr ig sn wnhin .m re
or.onVibrb[ ihc OeB Buih.r uill hlw lhc blrdcn ol pmving lhd hc or sh€ dA rc| hikl or it{Ew 0f, nmp.ny rot 1,f, !uqn$ o,
-1.
ds owncr .f rhc poFny. sn.xclusiwly contr.litrg wnh lien*d conlracloF lo ensmd llE poj..l (Se. ,044. Busirc$
and E ftssi,n Co.h: Thc ContrErols Lkcnsc Liw der nor rpply ro u own.r of prcpcny who builds or inphvcs lh.rcon.
a.d who onracr tor $.h ,,oicd. wiln r Coitaclo(s) licnscd puslol lo rh. Cont r.loas Licn* t w).
-l
mcx.npl ord.r S6rion- B. & P.C. lor lhb rc{en
.wa8[ESglouriNsArrox
DECI,If,A.IIQN
I hcrcby uffirm lndd pculry ofFrjury om ofln fouowhe dclmlions:
I rhor li c. itr rl,c l)o,krn r. ol rlr $, lnr \lri.lr rlr l{rnnr ^'\{,.(l
-l Mvc nnd will roinldn wolkcB .onucnsd ion inslramc. as rcquncd by Ssrion 37m of thc L€hor Code. for lhc poto.m@ of
rhc work lor whkh lhis lErmir is hsd. My wortm con{Ensdl ion insorMc cai.r a,t lDlicy nun$er rc:
4coe\
sKo9tllt lL 1 5-l-)ol
_l ccdily lhar in rlE Fraormncc of Oc adk for shich Ihh pcmir is i3sucd.l shrll not cmlloy !n, pcrson in lny ouNr
s N ro h..om subid ro rhc wo*si mmFnsarion ldvi ol Califorli.. dd e8N lhrl if I Fholld b.6m lubrdt !o thc
wottcB mmpcnslrion pmlisionr of Sdrion 1700 of $e trb6, Code. I 3nrll, fonhqilh oq'ly onh rho* lovisions..
WARNINCT Failurc lo sur. workcrj .omrcnsalion mvcmgc h uni!*lirl. and shtll sxbier m cmlloltr io qimindl |tdti.s and
.ivil fincs up ro orc hundnd thousand dolks (SI0o.00o)0ddirn'n 16 rh. coqr .r.om!.nslion. &nu8cs !s proridcd to. rhc
s..rn,n $74, oa rh. I itnr C.dc inrcE{ rnd ,i
/r8
lJll$IrD-L])Nlnilgl93
Dlclrl&UtaN
.l rhe lnr\i'rc$ rn,lPrni\\iu,sC,'J.. mJ n,y li.rhc,\ n, hrllturrt rnL.lR.!
c-7 ZAOL
'1/tl /tb
IONSIBICIX}I{IEIDINIi.ASENCI
I hcEhy llItrm urdcr Etulry of nerjlry rhar rhcrc h a q'.nd.rion kndinS a8.rcy for lh. PcrlolrMc ol llE mrt for *hth lht Fmil ic
(surd (Sc. :lur7. Civ. C )
AfILICANI.DECI,AS.EIIQN
I ffily dim under Dcndlly of Dc,h.y om.1ln. fo owin8 dc.,u.lions:
D.tufiioo Pqmirs.Asb.stos NolifEarion FcdcBl RcBllarions ( l irlc.l0, Pin6)
-RcquiEd
Lclrcr of Norifdrion
-l
ediry rfiar rhc fedcral rcgul.rionr Egr(ti.8 a\bcslos E mval !E ml ar,lliclnh lo rhir pDFcr.
-l..rrifr
rhar I lurc Md lhh opplic.rion dd srarc $ar rhc sbvc i.tumrion iscorel.l agN tooorlysilh r[ Cny nnd Counly
odinatud,nd Sr,i. ljws Nl,rin8 lo conslrucrior lnd h.rcby aurhrn rcDrccnkriv.s ollhis Cily and Co.nlyb enrd upon rhc
atx,rc nEnrt'ncd thpcny roi /+Aprlicanl or Agcnt StEr!
BP,5cc
\ti| /tt
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork I-l-,v l)c,llia(-\rl)
Vents
Toilet Room / Clothes Dryer
Residential Flange
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
IAbove Hard Lid 7-l -tg_Dc{ch gx)
Above T-Bar I D.,Jr>l>44
Rough Mech.
Meter Release
FINAL Detata 'Yr)
Notes, Remarks, Etc.
APPROVALS
QlL.IB,
Final Test
t3-7.-te,
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