HomeMy WebLinkAbout20166374 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Permit #: 2lJ166374
Pin #: 44793
Project Address: 1921 E Alton Ave Unit:
Block: I
Bldg: Address Range: lgol -1921
Tract: IRVINE SUB Historic: No
Suite Range:
Zoning: P
q
Assessor'sParcel: 430-191-21 Lot: POR 115
Ownel
Address
Edwards Lifesciences
1 Edwards Way
lrvine, CA 92614
(949) 2s0-3s42
Edwards Lifesciences
Fee Type
0't'116002 53601 Revision
01116002 51600 General Plan Update
Amount
22.O8
Qty
1.00
0.00
Fee
$222.16
$0.00
Phone:
Tenant Name:
Contractor:
Address:
Riley Electric
'1800 W 11th Street, Unit C
Upland, CA 91786
(909) 981-6110Phone
State Lic #: 393866
Lic Type: C-10
Bus. Lic #: 345558
Workers' Compensation lnsurance:Carrier: Everest National lnsurance
Policy #: 760000637181
Expires: O1lOll2O19
Commercial
Revision
Revision
B
III B, SPK
cEc 2016 Notes: Revision to #20165551. Changes in T-24 calculations.
Planning Conditions:
Planning Approval By:Date: lvlisc. Receipt: 71221
Dale: O7l13l2O1A Nlisc. Receipt:
Date: 0711912018 lvlisc. Receipl:
Account# Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Davis, Scott
msden, Julie
196028 $222 16
$222 16
$0.00
Every pefinil issued shall becone invalid unless the work on lhe slte
authorized by such perfiit is commenced within 180 days aftet its
issuance, or ifthe wo* authodzed on the site by such permit is susponded
ot abandonod for a peiod of 180 days after the timo the wotk is
cofimenced.
lnspector MID#: 2018-142440
N/A No Balance Fee Total:
Paid to Date:
Balance Due
Building Use:
Job Typel
Nalure of Work:
Occupancy:
Constr Type:
Code:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondi ng/Grounding/UFER
Translormers
Torqueing
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)-) ,4 Ca\o
Walls (Rough)\w:.tu
Ceilings (Hard & Solf it Rouoh .,ty'JU \2
Ceilings (T-Bar Rouqh) t l- tL - tg,AtG/>'.*
[/eler Release
Rough
Service [t/eter
FINAL q./d-/V-J)eSaf<t?
Notes, Remarks , Etc.
OWNER EUII-Df R DELCARiTION
I hrrcby afiimr undcr Fn0hy of pcrjury rhlt I m cxenDr tom rhc Cbnr.cbrl Li.cnsc Law lor $c folbwnrS Gson (S$ 7031 5
Busincs\ x Pnfcs\ion Coilc) Atry Cit, or Counly which requircs tr Frnnl h con(ruct, alla. imnn,vc. dcnxrish rr rcnln otry
slrxclurc. rriorto irs i\sudmc, dls rcqutc\ rhc drplicanr for such F,nrir r.lilc ! \igred srlrcft
'har
h.or shd i{ lic.tr{d pu^urir
r(, rhe pn,vnion\ of rl.c Conrlacrn\ t,icenred tiw (Chlprcr 9. (onmEncin8 with Sccrion ?fixj of Divhion I ofrhc lrusincs and
Porcsrnr.sCodc)ortharh.o,shciscxemprrrF..ionandrh.trasisaorrn alkscd.icnflion Any violarion 6fsdio. T0ll Sbrrry
alpli.ant tbr a p.nnil subjds rhc rpFli.o.t ro acivilpcnally6a.ot mnclhsn nvc hunddld.lh^ l$t00).
I. a\ o*tr.r .t rh. ptuFdy. or nt c.9lotr.s wnh w!8cs u\ rhct slc c.'nFnern,n. wil! do rh *od fll ltf, shd@ i\ nor
inlcdcd or oficrcd lor srlc (56.7044. ausincss ond Profcsions cdlc: Thc conlr.dor'r Li..ns. Lrw docs not orp,y to anowncr of
rh. pmFny *h, bnild\ or an{ms rlt@n. aJd who dGs sEh q)rl himrlaor h..elfo, rhmu8h hh or hcr o*n cfrplorrcs.
pR,lidcd rlur such inDovcnEd\ e mr idcnd.d n offcrsl {or sk I( hu*.s. rh. buildin8 or Lnt)mhftnr is tukl wilhin onc ,rtu
ot on{,hrio.. rhc Owmr 8ur[:ts *ill h!rc th. ttrdcn of pft]vnr8 rhd tr or dE dil *n boild ur in{lhvt rh. ptuFny f.i rlr |ltrFr of
-1.
asowncrolrhc tmpcnr, smcrclusivclycofti.lirrB wirh li..ns.d .. trt.. roF ro cotrstru.r rh. pmlcd (SLr. 7(11,1. Busrtrcs
d Pm Lisinr Codc: 'l'he ConrBcrois l-iccn\c li, docs not rpFlylo.! owncr oipropclty wh(, builds o! improves rhcrcon.
and who .oma.k fur ru.h roJc.r *nh n Cu .Jcio(r) li.c.scd ruro r b rhc Conracktr r l-iccn* tjw ).
-l.ncicnrfl
undd S.\ri( .A &PC nr0rirrc rrr
Drre onmr:
&anrc&5:glutlNsa.rloN
DIT].ABAIII.IN
I hcrcbyrr'inmu crp.MltyoiDcrjMyoncoirhciolloqingdc.lar.rions:
-lhlvcuxl{illmoiolairaCenrficllcofConsctrrroSclflnsunntr*olkcsconrp.nsdrion,.stmvidcdforbyScdionlTfi)otlhcLahor Codc, for rh. pdLlnEmc oflhc sork ,or which thc p6mir iq isx.d
and will minuin *orlcn comrEnsarion insurancc. !s rcquircd hy Sccrio! l? )ollhc tibor Code. fo, rht tdroiturcc ot
li1 trhi h rhi. ll('m \ tr\uql M) trorlfl r d{nt$srior rn\urartrc.rnn r pnl() numhq ocEve.rest
\P,'ri.!/-/-/q
-l
ccaifylh nr rhc !..irnurcc olthc work ld qhi.h rhn n nnir is irsucd.I dhlt nor crnploy rny pcrotr h rny mrtrnc.
qr s i, hccom $h]cd lo lh. sortcc' conu.n\alion laws ol Cllitni.. and isre lhll lf I \h'uld hscom \uhj(r ro rhc
workcli &nrp.nsalior p,ovir otrs otSNrn,n 3?uroarhc L{bor Codc.l shall. forlhwitt coflrdy silh rh.e pmvhi)ns
WARNNC fnilur. r. $.urc Forl$s .on[.nsdi(,n ()!cR[c i\ unla{ful. dnd \hdll suba.r M ctrlPbycr ro diDiral trmhas.nd
civil lincs ot lo onc hundrcd lhousrnd dollrs (Slm,uD), in rddit rorhc.o{ ol.onpcns ion, drnrScs 0s !,ovidcd lor lhc
S.cri{n, J076 oirhc Ldrr C(ldc. irlcrc(nnn/*,J-t7'rl x
)d.**.,* Q-rct X,,."..re"He:Lf X^"*". R,..7 3 PLQ
lhcr.byaffi.nrndcr [rnllrrolpcrjuryrhlrrhceis.con\rructbn lcndins ascncy fo, rh€ Frformncc olrh.work ror whkh dis lxinir ic
ksucd (SN.3097, Civ. C.)
A.IIUCAIIDICLAAAIOX
I hcrEt, drm un<lcr pcnahy oI pcrjury orc oI rhc followinr d6l&rl ions
Dcmhion Pcrj !A$.uos Norificalion F.d.r,l R.eul,'ions (Ti'I.40. Pd6)
-Rcquncd
ktr$ ol Notifi carDn
-l
errify rhor thc fcdcnl rcBularions rcsrdin8 ash.sos rcmovalN nor anrlicabh to thh pmjcr.
I.cnitylh l hrvc rcdd ihh aprliclrion rJ sor. lhur rhc ah,vc i l msridn irc.mr.I rg@ Io .omtly with 0ll Cily and Counry
ordinonccs and srat. llws Elring ro building constru.rior Md h.dby.urlkriz. rerc€nlarircs or'his Ciryand Counry ro.nrcr upon rh.
#ffi*:,il:""% ut=6, 1,.^ _ y 7-6-rl
(;-,**.",,n,,,, -fra-V R-le6 '/
Siqns (monument)
Sub-Panels
""*",,1Gbnoo G\7/8 I *.,,".
Ihc'tbyrflinnondcrp.nahyofpcrjrryrharIanrli.Tndu.dcrFrvhn,notChaprcr9(co'ltEncingqirhSc.ri.,.7U )otDirfi)i:r
or rhc Bu\incs and l,rofcsions Cod.. and nrylicctric n in tullfai.c d cfltcr
t E/ezJvtc- 2r <--.