HomeMy WebLinkAbout30139675 - PermitCity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7'14\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139675
Pin #: 62584
Proiect Address: 1921 E Alton Ave
Assessor'sParcel: 430-191-21 Lot: POR 115
Bldg: Address Range: 1901-1921
Tract IRVINE SUB Historic: No
Suite Range:
Zoning: P
qUnit:
Block: 9
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
Edwards Lifesciences
I Edwards Way
lrvine, CA 92614
(949) 250-3542
Edwards Lifesciences
Muir-chase Plumbing
4530 Brazll Street
Los Angeles, CA 90030
(8't8) 500-1940
Foe Typs
01116002 51602 Revision
01 116002 5160C General Plan Update
Amount
222.16
22.O8
Qty
't.00
0.00
Foe
$222.',|6
$0.00
Phone
State Lic #: 539835
Lic Type: C-36, B, A, C-20
Bus. Lic #: 132107
Workers' Compensalion lnsurance:Carrier: Zurlch
Policy #: WC373645609
Expires: 1OlO1l2O1A
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
Revision
Occupancy:
Constr Type:
Code:
CSG Consut*lls
Zuniga. AllissaM
Date:
Date:
Date:
08t29t201A
08t29t2018
Account#
Misc. Receipt: 71221
Misc. Receipt:
Misc. Receipt:
Total
Notes: Revision to #30139240. Changes in water heater sizing
calcs. Grease trap detaill added, OWP trap primer
added to plans.
$222.16
$222.16
$0.00
10196028
Every permit issued shdll becone invalid unless ahe worr( o, ahe slte
authoized by such perfiit is commenced wilhin 1 80 days after its
issuance, ot it the wo* authodzed on the site by such pefinit is suspended
ot abandoned for a peiod of 1 80 days alter the time the wo* is
commenced.
lnspector MID#: 2018-142440
Fee Total
Paid to Date:
Balance Due:
B
III B, SPK
cPc 2016
Planning Conditions:
APPROVALS DATE ID/SIG.COMMENTS OI4NER BUILDEN DEL(:ARATION
I h€rc6y afiim uid.r p.dhy of Fdury lh, I m ci€fl{,t fom rhc Colltncro6 LLII$ tiw for tlE followir8 Easn (S€..?o3l.J
Buiirc$ aod Prcf6sion Cod.): Any Cny or Cou.ry vhhh rcquiB a tFnn ro @nnruc( llci inprcG .Lmlhh or qet !.,
stdclurc. prior ro irs tsuec. a&. Eldrc. E @plica for soch r.mir ro 6h a si8rtn shrcm rnd hc or sh. is lian$d p!m8n
lo rhc Imvhioni of ltE Conlrldd s Li.ensed b* (Ch.pl.r 9. Cootrrcing *ilh Sccrion 70@ of Divi$ion ! olrlrc Bu.inc$ and
Prcfcssions Codc) or lhar h. or shc is e xcq)r d@fionsnd thc hsh lbr thc dk8cd.rmprion. Any viol ionofsc.lkn7011.5 by@y
.pPli.a.l for a lcmil rubjals ltc spplic.nl lo 3 civilpcultyofiot mrc thm fivc hlndrd doll&s (5500}
-1.
$ owrcr of $c p@Fny. n ny cnplortii *nh etBcs !x thcn oh omrensdion. eill do tlE *ot &d tlE 3rBiE ie mr
i sdcd or ofcrcd for slc (Se 7044. BusiEsi.rd &ofcsions Codc TIE C.nl@roas Li.cn* L3o do.s rct ortly to & oqmr of
0E p6Fn, $ho hrur or i,!,rcB rhdEn. !n wh .rE Bh m.t hiN.r or hceu dr thsud [ii 01 h.r oe .nploycci.
povaedlh{ such in{mvmoB a mt hroi.d 6r o,IcEn for sh, lf. ioM. llE tDildins or irymEmnt is $ld withi om le
olonphibG tlE o'rfti Buiu.a qil hsE rhc bord6 of Fovin8 our lE or slE did mr tiild or inlrlE rhc pmpdiy fo. tlE Ftrpos of
-1,
nsowncrof lhc prcFdy. Mdclurilcly.o.r6rins Birh licctrsd conrr rouro on$dcr rhc pmjd (Scc 7044, Busrcs
dnd Eoltssk{ Codc: Thc Conlroctor's Liccnsc L.w docs nor lptly 16 u owrfi .l propcny *16 boil& or iopmlcs rhcrcoo.and wlD .odacN for ru.h F,jccrs with a ConrEcro(t liccnd purowl ro rhc Confudols Lkcns. L3w).
-l "n cx.mpr uhd.r S*r B. & P.C. for fiis rcamn.
IAAf,E8Ii:COMIENSAIIO!
DEIIi/TSAIIQN
I hctby amrm und.r p€Elty of I,&Ju.y onc ofrne following d*ldadom:
l hrvc arill'mirhirr(rnilicircol'Conscrrr.Sclf-lnnrcfrwoitch.otrtctsrtl.r.rspn)ridcdfdhySccrii:1?0Oofrhc
l)htr Codc. lbr lic pcrltam(c ol I hc rorl lur whi.h rhc ltnnir is i\\ued
-I
hatc rnd will tui.lain worlc6 coq'enstion insuflKc. !s Eqlied by setion lT0oof r& kbo. C.d.. for lh. Frfoll1uc of
lhc vu* to. *iich lhis t.mjl is tscd. My sorksl .omFnsrbn insulec .6i d Flty nunb.. e:
I c.niryrhar inlhcl]crfordln.coflhc,ortfor whichlhk!.rmit is issucd,I shrll nol cmpky!.yF^on in.ny'nnnmr
s as lo txsm srbr.. o rhc srl6s sn{E.salion hwr of Califomii. and asB rhlr af I should tEo* sbjcct to rL
wo.lc6'smFtrsrionpmvisionsofserio.3?0Oofrh.LaborCo<lc.lshdl.tonnBirh6qrlywirhtbepovhio.r..
WARNING: F,ilurc lo sft *orkcn' ompcnsarion sv.n8! is unhwftl. and ,h,ll sbtrl m cmploFr to siniMl FMhi.s md
civil nrc. up ro o* hundred rholsnd doll6 (slm,Ooo), in .ddnion to th. cosr of conpcN ion. damlca as prcvid.d for rlE
Sdion 3076 of rhc L,bo. C.d4 i crcst ed .no@y s f.cs,
LISINIILCONIAACIAB
DECIAXAIIQII
I h.eby drln und.r lcnahyoflcrfuylhll I ah liensdund.r t,ovision ofChaplcr 9 (o EminS with Sc.l6n 7000) of Division 3
of thc Busimss ed Pmlcashns Con , rnd my lic.s ie in tull l6re dd clt6l
CANEIAIICIII}NIINDINC.AIiEIII
I h.Eby irfird undf li.nrky dr p.rjury
'hd
rhce h a con(rcthn lcndin8 lscncy for thc ,,crfumrc of rhc wort for whicn lhG lEnnir is
i\sucd lss.lO97.Civ. C ).
AI&TC NI.D&CLA8{IION
I hctly Dltmr undcr pciulry orrcriury onc of rhe t)llowinx delrations:
Dc.x'lirn,n Pcrmirs A\hc{os N{rinclrnnr Fcdc.llRc8ul{lions (l nh tO. Pd6)
-R.quncd
btrcr of Norifrdlion
-l
ccnify rhar rtu fcdcEl rc8! hr ions
-l
arrifrthar I have rcod rhh n i\comcr I rgr( h complysirh rlt Cirya0 Couhry
ordinamcs and Strlc trws rl in8 drtuiriTr r.lrscnlrivcs ofrhi\ Cir, and Counr, t, cnrcr uF,n(r
lhovc ftntnrn.d pbp.ny ltn -t
UNDER GROUND
Waste & Vent
Water-Under floor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
Waste & Vent
Water Piping
Gas Pi ptng
Roof Drain
Rough Water Heater
POOL/SPA
P.!rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
Ro ugh Plumbing
Final Gas Test
Meter Release
FINAL ?-7tg $.-A+".'-vD
PLUMBING-INSPECTOR RECORD
Gas-Underfloor
TOP OUT
Tub/Shower Test
Miscellaneous
Notes, Remarks, Etc.
Policy Numb.r:-Ertnrs: _
,cB,!olsrc nor 3pplicahlc lo rht pmtccr
l-L