HomeMy WebLinkAbout50101061 - Permit (2)City of Santa Atra 20 civic Cenler Plaza (M-19), Santa Ana, cA927o2 Grading
Peffiit Counler: C714) 647-5800 lnspeclion Requesls: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 50lOlOGl
Pin #: 55E52
EProject Address: lz3llllzjry-BeyEars!Bldg Address Rangel Suile Range
Zoning:R1ElockrNATracl 1i170
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Usel
Proposed Usel
Slnglo Famlly Dwolling
Miacallaneoua
Gr.ding
SFD wratt ga.age
Occupancy:
Consh Type:
Code:
Flood Zone:
# of Stories
R€
VB
cBC 2016
x{602320257J
lsl FL Area 0
2nd FL Area 0
OtherAreas 0
Garage Area
Total 0
Description ofWork: Rough g.ading for new construction
Planning Conditiom:
Micha€l Hoang l{guyen
1230 W Raymar Sl
Santa Ana, CA 92703
(714) 713-3597
Conlractor: Delta Construclion Co
Address: 15027 BrookhuBt Street, G-
Fountain Valley, CA 92708
Phone: 17141362-1892
Stale Lic #: 922200
Lic Typei B
Bus Lic # 325079
Workers' Compensation lnsurancelCafiiet Norguard ln8urance Co
Policy#: DAWG862945
Expiresr 1012012014
Engineer BotcllfasorE - Tn,/mlA I0! I{GAnCIAlraflc.r CIY$ Trarill 5l ! ol 2A(.ta! n fl! g110106r
Rcptlrol:t{5612 - 7l3ll70l8 2rl7 PiI.lnmrtid| foiol 1601.91
D€lto Coretrtl.t ion Co
Desiqner:Ga|.aol Plon lbdot. F.eollt@2- 5t&n (D-
Grod iot0u1t0dl- 5t606000-
V l30
ocl3 rrrrrrr fir l32O
_ 122.@
t171.56
4601-9{
Ath+!(81982
Planning Approval By
Plan Cnecked gy:
Permil lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning Insp Req'd: No
Landscaping lnsp. Req'd: No
Misc. R€ceiptl
Misc. Receipt:
Misc, Receapti
077L6002 57606 Petmil Fee
07716002 57605 lfiprovemonts
07776002 57600 GeneralPlan t pdat€
0 7 7 760 0 2 5 7 60 5 lssuance
$308.52
$108 00
$22 08
$55.04Zuniga
NoNo Accoun#Total
lnspector MID#: 201A-142742
01116002 51606
$22 08
$471 56
Unit
Assessois Parcelr 010-282-03 Lol: 19
Patio
T.l.Area
Yards Req'd
Valuation:
A,rssa(
Dater 073112018
Date:
Dater 0713112018
Subjecl to Field:
Flood Zone Cerl. Req'd: No 01116002 51600
Ewry pomil iss@d shall becana invalid unless lho woft on the sila aubon26d by
such painil is comnerco<] wilhin 180 .lays aftet ils issuanca,or il l,ko wotu auhonzod
on th. stla by such pehit is suspendad ot abencloned tot a penod of180 days attar
he nne the vbtu is c.nrcn@d Paid to Oale:
Balance Oue:
$493 64
$0 00
$493.64
GRAOING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Ow*FBoildd D t.Elion
I hRby amm undd p.hlry of n qorythd I d.r.h fomrlE Co r*106 Licc* Lrw for ft. followiiS Mm. (6,70115 BNin6s
lld Pmf..rkrn Codc): Aoy Cny or Couity whicn Equn6 . Fhn lo otrnMr. .ha, inFr!v.. d.mlLh o, cFt .ny {rttclo( Diir lo ils
iiiu.nc.. ale Equics rh. applionr for sch F@ir ro tl. ! r,8..d 3rd@rr rbtlEo.$. ir lic.ed purs&t l. $. Dhvasiotr\ of ln.
Co r!.roa* LirMd L.w (Clqr.r I, Co,lmEing *ilh Sdlk'o 7000 of Divtion 3 oIrtE BusiMi ard Pmf6tiom Cod.l or lhrt h..r
lhc i.i ddfl lh.Efmm.d drb.!ii fo, tlE!ll.B.d a.ni$aon.Any viol.rio. ofS!.1io.701l-5 by.ny,irlid torip.m suhi*( rh.
qDlicat ro 6 civil p@hy of bl mE rhln ,iv. hodrcd doltd (t500).
-1.
s owr of th. Dmp.ny, or ny .mplorG wnh Mt s .3 rh.ir r.k mnp.trsrhr will do rh. m,lr ard th. .ttucluc ir mr in'dd.d
or o6.rcd for $lc ( S<.?04{, BusiBs .nd Pof.sdon! Cod.: Th. Conl6crol, LicN Law dod mr Elply to e ower ot rh. pmFny
who btild! or impmv.i thd6r\ r.d wh. do6 tuh mrk hi6!.lfor h.Rlfor rhreu8h hi. or ls own cmphyc, 0rotid.d lhll ech
inprdreDll !E mr int nd.d or olI.cd lo. sL. Il. t w.B. dE hlildinS or impbEmnr Le hld *nhin oG ]ar of cotrpl.lh( tlr
OvmFBuildd will hav. rl! t{rd6 ofDbvins rhlt h. or 3h. mt blild or impow t r rh. pnqbF of sl.)
-1,
ar owr of rlr nrcF.ny, !m qcluriEly .o.rdi.8 wilh li..trt d co.rEroB |o effirud rh. t'6j.d ( SB. 7044. BEi6s and
tmf.sion Cod.: Th. Conlr..lor's Liens t v dm ml .pply to .n orm of propnly wtn buildr or ihptom lhcrcn . n qtn
conraclc for scfi pmjclu wirh d co.rrrcro(, lie.*d puli@r to dr conreroci Lic.G liw. ).
I d dcDpt undr S6rion
-8.
& P.C. for thi.r @n.
loarDSs-cqi4tlltAllo!-ug.aaaroN
I h.Eby .mm und.r t mlry of 0.du.y orc oflhc followin8 dccla6laoB
_.1 h.v. and will miniain r C.rlificI. .l CotrEnt lo s.lf-l trruc lo. mrl.6 .onFE$t ion .3 tmvid.d lor by Set ion 3?00 oi lh.
Lahorfod.,lor rh. ll.rfodaN. olrh. worl l"r*hrh lh.Frmrt n 's.d
f hr'. r.d w,ll m,,ir.,i "6d<6' @nn Nr 6n inMrq d Equitd lry sdio. l70O ot fi. Lrlior Codc, R'r rh. ,E aom.c. oaih.
work for which rbt p.mn t biu.d My Mrtd conp.ndion ins6c. ceid .rd ,olicy nodb.r dcl
cdid: .* Nld (*nnr>
p.ri"y r,.t-. ir V.zz?c fr o aZ. (4 e"ri,.,
CThis kt ion Rd mr b. Elpldd il rh. p.frr ir for o,E hLndEd dolLE lt,00l or Ls)
/b /", ),/r/
I c.dify rhat in rh. p.rformncc of th. *o.k for whicfi rhis Fcrmn ii hw.d, I shrll mr cnDloyany ncMn,n dnymlnn.r so ae ro
hc.m. $bj{t b th. w6rk.R onIEn$ri,n hq. bfclla ard alB ihar il I .hould b..om .ubjd to (h. worlcrs
ll, forrhwiti.oqrlywirh rho* lovi.ionr .@nD.n dion pmvirioB afseion 1700 ofrlE
,^,- 2/2, ll{
,"n**n"T'*7**I*@r@s. h uota*tuI. o.d !h.ll $t'jer lo)€r lo cnmiMl p.nalli*andcivil
fincs up to on. hundr.d thou.afld dollotr ($100,000),in lddition lo rhc cosr otcompcn$tion. d.mg6 at rovidcd lorrh. S(rion 10?6 of
rh. Ljho, Cod., inr.d' ,.d anoftr'3 fes.
LICENSED CON'I'RACTOR.S DECLARATION
I hcEbyamrm !nd.r p.nehyofnsjlry lh.t I m lic.n*d und.. !'mrqon o[Chnptn o(shNrcrns wrlh Sdnn 7000) olDivirkin ] ol
rh. Bur'*$rnd Pmrdrr,ni C.d., snd mj I'c.nc h
'n tullf.rc.ud.ht(l'
?ZZZ44.'2
(.().lSll.LCltlllINl2lli(irlliiil(I
I hcEby dfiim undd prMlly ofFjua/ ln,t th* n . .on.trudion l.nding sg.my for lh. p.dormncc of th. work hr whicb U!i! Nrnir i
isocd(&c. 1097,cir c.).
A.ttrtc lliiDlel BAl!.oN
D.tr$l FnPcnnrlslsh.srnsNoriicirionl;.d.r.l R.lulirion(l[1.40, Pin6)
Rcqor.d Lcll.r.lNorrlicarion
_lc.nilythar thc Ld.El ..rubt iof,s E8rdio3 db.,to! r.mwl oE mr rnplicahlcro thh pmJ..r.
I ..niry dEl I hrv. Ead rhi! appli€rio. and lrat rh.r $c rb6v. i.ftmri.n i. ..rd. I .8r.. lo 6mply wnh .ll Cily od Colnty
ordiMm* 6nd Srd. llB El.ring robuildin8 orirruciioa rnd lmby.urtbrir El'l*nrlriE otlhh Cny snd Cou yro ot.r ltbn rh.
Preliminary Soil Report
Excavation
Fills
Sub Drains
Buttresses
Soils/Geology Report
Statement of Compaction
Compaction Report
Flood Elevation Cert.
Paving
Sub Grade
Aggregate Base
Water Test & Seal Coat
Asphalt Concrete
Soils Eng, Cert
Rough Grading Reldasb't
Final Civil Cert.
l-
FINAL 4V ru.ttr./ru^+
Notes, Remarks,Ei T
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