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Project Address: 1921 E Alton Ave <br />Assesso/sParcel: 430-19l-17 Lotr POR 115 <br />unit: 100 <br />Block: 9 <br />Bldgi Address Range: 19ot-192.t <br />Tract IRVINE SUB Historic; No <br />Suite Range: <br />Zoning; P <br />E <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-'19), Saflta Ana, CA9?702 <br />lnspection Requests: (7 14]i 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 40{ 31694 <br />Pin #: 95543 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Conlractor <br />Address: <br />Edwards Lifesciences <br />'l Edwards Way <br />lrvine, CA 92614 <br />(949) 52s4579 <br />Edwarda Litescienceg <br />HVAC Mechanical lnc <br />440 W Crowther Avenue <br />Placentia, CA 92870 <br />(714) 937-5305 <br />01116002 5160{ <br />01116002 5160{ <br />01 't 16002 51604 <br />011 16002 5'1604 <br />01116002 5360: <br />011 16002 5160C <br />01116002 51604 <br />Feo Typs <br />Boiler <br />Heat Pump <br />VAV Box <br />Aller Vent Sys <br />PIC - 650/o <br />General Plan Updale <br />lssuance <br />Amount <br />103.82 <br />86.82 <br />42.85 <br />41.99 <br />0.65 <br />2'.t.25 <br />52.98 <br />Qty <br />'1.00 <br />'1.00 <br />7.00 <br />15.00 <br />1j20.44 <br />1.00 <br />.t.00 <br />Fee <br />$103.82 <br />$86.82 <br />$299.95 <br />$629.8s <br />$728.29 <br />$21 .2s <br />$52.98 <br />Phone <br />State Lic #: 682002 <br />Lic Type: C-20 <br />Bus. Lic #: 172743 <br />Workers' Compensation lnsurance:Carrier: California lnsurance Company <br />Policy #; 7340552801 <br />Expires: 05/01/20'18 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commerclel <br />Tenant lmprovement <br />Tl-Flr3l Floor <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />lll B, SPK <br />cMc 2016 Noles: Fees pd in rull on M7057/t <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Every pomit issued shall bo.rnv invalid unless the wo* on tha site <br />authotized by such pemit is comnenced ,ntithin 1 80 days after its <br />issuancr. or i, the wo* authotized on the site by such pennit is suspended <br />ot ebandoned lot a pedod al 1 80 days efter the time the work is <br />cgn'nren@d. <br />lnspector MID#: 2017-140582 <br />ffi":TLM <br />Date: <br />Date: <br />Date: <br />01t10t20'ta <br />oa141201a <br />Account# <br />Misc. Receipt: 70,4.20 <br />Misc. Receipt: 70574 <br />Misc. Receipt: <br />Total <br />N/A - No Balance $1,922.96 <br />$1,922.96 <br />s0.00 <br />Fee Total <br />Paid to Oate: <br />Balance Du6: