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Planning & Building Agency <br />Building and Safety Division <br />-19) <br />-647-5800 <br />-ana.org <br />DETACHED ADU - <br />CHECKLIST <br />PCC-16 <br />REV: 11/10/2020 Page 1 of 1 <br />THIS FORM SHALL BE COMPLETED BY A CALIFORNIA REGISTERED CIVIL ENGINEER. <br />Instructions: In order to qualify for the grading permit exemption for detached Accessory <br />Dwelling Unit (ADU) projects per handout PCC-15, the registered civil engineer of record shall <br />complete all sections, check all boxes and sign the certification section below. A copy of this <br />checklist shall be attached to each of TWO sets of plans. If answering NO to any of the <br />questions, a grading plan and permit shall be required. <br />Project Address: <br />1. ܆ ܆ I have verified that the project address is NOT located on a FEMA designated <br />flood zone (Zone A or AE). <br />2. ܆ ܆ I have provided two sets of site drainage plans that is stamped, signed and <br />dated by a California professional civil engineer, to be submitted with the <br />܆ ܆ I have calculated the total amount of soil being cut or filled on this project is less <br />than 50 cubic yards. <br />4. ܆ ܆ <br />The site drainage plans include the following, but not limited to, l <br />-of-way lines, and <br />f <br />܆ ܆ I have designed drainage such that surface water flows away from buildings and <br />adjoining property lines, in accordance with all applicable codes. <br />6. ܆ ܆ I have designed grading such that it will not adversely affect the adjoining <br />properties. <br />7. ܆ ܆ <br />I have designed the grade to fall not fewer than 6 inches within the first 10 feet <br />from the foundation walls except w <br />drainage away from the buildings. Any i <br />of the building foundation are sl <br />܆ ܆ I will provide a final certification letter stating that the grades were constructed <br />per the approved site drainage plan, and will submit this certification <br />I certify under penalty of perjury under the laws of the State of California that the above is true: <br />Print Name: Signature: <br />Licensed Number: Date: <br />Phone Number: Email Address: <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />1005 S Virlee St., Santa Ana, CA 92704 <br />Ly Phan <br />C 63381 10/12/2023 <br />(714) 487-7037 hdt.civil@yahoo.com <br />1005 S Virlee St <br />Unit# 28/26/2024