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CITY OF SANTA ANA <br />Planning and Building Agency <br />Planning P. Suilding Agency <br />HuNdinq and Wety Division <br />2C Civic Center Plaza <br />P.O. Box 1988 1M-19) <br />Santa Ana, CA 92702 <br />c Ti 4)-64T-5" <br />.'mw.santa-ana.vr g <br />DETACHED ADU - <br />GRADING PERMIT EXEM <br />CHECKLIST <br />Approved <br />FOR PERMIT ISSUANCE <br />Master ID. <br />Wate: <br />PCC 16 <br />THIS FORM SHALL BE COMPLETED BY A CALIFORNIA REGISTERED CIVIL ENGINEER. <br />Instructions: In order to qualify for the grading )ermit exemption for detached Aocessory <br />Dwelling Unit (ADU) projects per handout PCC-"5, the registered civti, engyrieo 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 anyof the <br />guestions, a gradln an and permit shall be reguill <br />Project Address: 2717 Huckleberry Rd, Unit #2Santa Ana, CA 92706 <br />Yes No <br />1, 1 have verified that the project address is NOT ocated on a FEMA des gnated <br />(_flood zone (Zone A or AC). <br />I have provided two sets of site drainage plans that is stamped, sgned and <br />2. C dated by a California professioral civil engine-, to be submtted with the <br />building submittal package <br />3. C I have calculated the tot& amount of soil being cut or tilled on this project is less <br />than 50 cubic yards. <br />The site drainage plans include the following, but not limited to ocation of all <br />4. DO r existing and proposed structures, property lines, right-of-way lines, and <br />easements, including dimensions and setbacks; drainage slopes and flow <br />patterns, drainage systems such as swales, french drains, water collection <br />and disposal systems, etc. <br />3. 1 have designed drainage such that surface water flows away from buildings and <br />adjoining property Ines, in ao=dance with all applicable codes. <br />6. 1 have designed grading such that it will not adversely affect the adjoining <br />properties_ <br />I have designed the grade to fa I not fewer than 6 inches within the first 10 feet <br />from the foundation wall% ext:ep where let lines, malls, slopes or other physical <br />T. barriers prohibit 6 inches of fall nithin 10 feet, I have designed drains or swales <br />to ensure drainage away from M buildings. Any impervious surfaces within 10 <br />feet of the building foundation are sloped not less than 2 percent away from the <br />building. <br />_ I will provide a final certification letter stating that the grades were constructed <br />8. 3G - per the approved site drainage Alan and will submit This certification letter to the <br />Wilding Inspector prior to final iispection <br />I certify under penalty of porjury under the taws Cf the State of California that the all is true: <br />Print Name <br />Micheal Phillips Signature Y <br />Licensed Number: C68338 <br />Phone Number. (714) 200-8617 <br />Date: 03J0712025 <br />Ill Andrus.S. mike@phillipsconsulting.us <br />REV:11/10/2020 Page : of 1 <br />