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qProject Address: 1851 E Deere Ave <br />LoI POR 107 <br />Unit: <br />Block: I <br />Bldg: Address Range: <br />Tract IRVINE SUB Historic: No <br />Suite Range: <br />Zoning: MlAssessoisParcel: 430-181-18 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, CA92702 <br />l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4\ 647 -5853 <br />Electrical Permit #: 20167789 <br />Pin #: 17357 <br />Owner: <br />Address: <br />Medtronic lnc <br />l85l E Deere Ave <br />Santa Ana, CA 927055720 <br />01116002 s160: <br />01116002 51603 <br />011 16002 s1603 <br />011 16002 51603 <br />0'1116002 5360' <br />01116002 5160C <br />01116002 5160: <br />Fee <br />$1.45 <br />$24.79 <br />$145.28 <br />$150.79 <br />$209.50 <br />$22.08 <br />$55.04 <br />Fee Type Amount <br />'125 Volt Receptacle 1.45 <br />Dedicated Circuit 24.79 <br />Subpanel 145.28 <br />Over '100-500 HP, KW o 150.79 <br />Plc - 65% 0.65 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />322.31 <br />1.00 <br />1.00 <br />Phone <br />Contractor <br />Address <br />Trinity Process Solutions ln <br />4740 E Bryson St <br />Anaheim, CA 92807 <br />(714l.701-1112Phone <br />State Ltc #: 774688 <br />Lic Type: A <br />Bus. Licf: 371759 <br />Workers' Compensation lnsurance:Carrier: Evereat National lnsurance Company <br />Policy #: 7600019055181 <br />Expires: 06101/2019 <br />- 2/1/2019 I0: <br />Trsnsi:67Ref+: 202 _ Z/1/2O19 2t1J'otol t1r. <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl lo Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />Boiler <br />Occupancy: <br />Constr Type: <br />Code: <br />8ot0ll <br />ficp <br />Tro <br />ni <br />ce <br />B, S.1 <br />Ir B, SPK <br />cEc 2016 <br />Notes: auth oFrfale <br />tef <br />0tr <br />Elt <br />0l I <br />ICL <br />updote Fee <br />5800(t0- <br />s Solut ions <br />3000- <br />':t0235 <br />\* <br />Datel <br />Date: <br />Dalel <br />Hernandez, Kathy <br />Hernandez, Kalhy <br />01/30/20r 9 <br />oao1t2019 <br />Account# <br />01 116002 5'1600 <br />01 116002 51603 <br />$22.08 <br />$377.35 <br />Fee Tolal <br />Paid to Date: <br />Balance Oue <br />10198893 <br />Every pennl $sued shall become nvalid unless the uvorr( on the Site <br />authonzed by such pe.ml B comnencecl within 180 days aftet its <br />issuance, ot I the worl< authoized on the site by such peinit is suspended <br />or abandonod lot a penod of 1 80 days afte, the tirne the wo* is <br />commenced <br />lnspector MID#: 2019-148737 <br />Tenant Name: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Misc. Receipt: 71053 <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />$608.93 <br />$209.50 <br />$399.43