HomeMy WebLinkAbout10198903 - Permit (2)Project Address: 5022 1/2 W Sixteenth St Unit Bldg: Address Range Suate Range:
Zoning: R2Lotr NA Block: NA Tract: NA Historic: No
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l n spection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853
Building Permit #: {O{98903
Pin #: 34141
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Supplemental
Trusses
SFD WGARAGE & DET ADU
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:
0
Description of Work: Trusses for ADU.
Planning Conditions:
Owner:
Address
Phone:
Tenant
Duc Kien Tran
5022 W t6th St
Santa Ana, CA 92703'1106
(714) 902-3468
Contractor: T & T Construction Service
Address: 9985 Aster Circle
Fountain Valley, CA 92708
Phone: (714) 608-1083
State Lic #: 650089
Lic Type: B, A
Bus. Lic #: 167194
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9045107
Expires: 1010112019
Duc H. Pham Civil Engineer
Duc H. Pharn
'1669't Mitihger Lane . ..
Huntington Beach, CA 92047
(7't4l846-7824
C33819 , r!:, '1
Engineer:
VO Design, Designer
Vincent Dinh
244 East 21Bt Street
Costa Mesa, CA 92627
(949) 64s4610
.rt .l-
+* 159(
So, Anson
Hernandez, Kathy
Date:
Date: 01117120'19
Dale: O1l23l2O'19
Subject to Field:
07776002 s3600 Plan Check Fee
07776002 57600 Genetal Plan Update
$222.16
$0.00
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 01i 16002 53600 $222.16
Every pemit issued shall becofie invalid unlessthe wo* on the site authorized by
such pemil is commenced within 180 days aftet its issuance,ot if the wo* authotized
on the site by such petmit is suspended ot abandoned fot a peiod of180 days aftet
the time the work is commenced.
lnspector MID#: 2018-143276
Fee Total
Paid to Date:
Balance Due:
$222.16
$0.00
$222.16
Assessor's Parcel: 100-'170-36
R-3
VB
cBc 2016
A-0602320143J
1
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Misc. Receipt:
Misc. Receipt:
[.4isc. Receipt:
BUILDING- INSPECTOR RECORD
SITE.WORK DATE COMMENTS OWNERBUN,DER DEI,CAR TION
I hs.t? !flinn under p.nalry or prjur! rhat I dn c\.mpr liom lh. (ont.cto6'license L.!r lo, rh. follo\rin8 r.Mn (S(.7011.s
Busin*s tui Polsio. cod€): ny Ciry o. Counry \hi.h r.qrn6, pef,nh to coNlrucl. alt6. nnprorc. don.lth or rqur an)
,rudrc. prio,lo ns issu cc. dso r.{tuts the applicad lorstrchpcflnitlo fileas,sncdnal@a rhdheorsh.isli.srdl puBu,nr
ro rh. lm\isiois ol tu ( onl.rclo.s l-iccnsd l-aw (( hapro 9, commcncins wnh Sation ?000 of Division I orlhe Busin.ss and
Proicsions Cod.) or thar lE or shc is €x.mpr thsclior.nd rh€ bsis lo! lh. allc-!.d c\qnfln n. Any riolilion olselion 70rl 5 b, a.y
applic.nlforapennilsubjeclslhenprlicantloacivilpcnaltyolnol'nor.rhanfiv.htrd4ddotlrs($100)
l. 6 ow.d olrhe prcFen!, or my dnployG \rilh $ a!6 .s r het $le mnlp€Nlio!. \ ill do rhe *t'h and lh. srtud c ! nur
Dronled or o ft6cd lbr sl. (Ss 704{. BusinN and lto l6sr6 Code 'l h. ('onrDcrois l-icss. I-r$ 66 nol apply to 6 o$ncr o t
rfupNpd, \hobuil&ori,npov6$mn.dd*hodo6such(o himsell or hdscllor thrcush hG o! h6 o$ dplo).d.
pmvid.d thal such imprordenrs e nol inred.d or orred lorsak. tf, hoK\ 6, lhe buildi4 or ihpruv.mdr is $ld $irhin onc yw
otconpldiotr fi€ Otrn€. Buildq trillha\€ thc tudfl ofpro\ ins rld h€ or she d'd not boi o' nn'Iot rhcpopd,lor rh. porlxi* of
_1, 6 o\s cr orrhc propdly, &n c(h6iv.ly c.dracrin! r ilh l(seJ .onn a.b6 o ..rsttud nr. roid (Se 701J. llurnAs
otrd Pnfission ( ode: The Conrraclois Lic€ns.l-aw do6 nor applyro an o\ ncr ofp,opqly $ho builds or nnprorcs rh.rcon.
and Nho conrracls ro. such pmjds tr nh a Conr8cro(s) licoEd pu, sudr t) (h. conlr.clo. s Li.ms. kw)
-l
m crcmpt uodssdrion-. B &lC hr$isrmon
D.l.r Orn.r:
j!AAKIiES_.CA}I![!-!Aj&B
lECtAAAltg!
I h.rcby afinm tr.dd pdralryolpdjuryon. ofrlr follo\in8 dc.lararions
I lw. and $ ill mai.iain . Cdificar. oaco.hr ro scltlcur. aor \ork.6 conlpensaiioi. 6 pmvdcd aor by sdrhn :t70o o i r,t
titxJr C.de, aor r h. pdlonnanc. o a th. \vorl for whichrhcpo i( a issuo.l
I ha\€ and$ill minlnin *ork.rt com!€nsaiion insurance. as requEd brsc.lnJn:rr00oltlt Lr&t(ode, forrhcpehnnanceor
lhe soll nn $hicnlnisp.n.il is isu.d. Myworkdt coDpe6alion 'nsuranc.c.rid ahdFli.r trnrbd dcl
Policy NuD6d-Erpn€sl
_lcenifylhar in rhe pEaoroance orllc *ork ior \hich rhis lrrmir is issu.rl. I snall mr enploy.n! psen in ary nranno
e s ro b(o,n€ subjd to the wortm' .ompeNar ion l.ws of (-aliromia. aod asr.r rhar il I should b..onc s'bjd to rl'c
NoltsrconlPdelionpovisionsofSc]1ioDlT00olrh€tiborCod€.lshdLronh$irhcohDlyri(hrhor ovirions
w.{llNlNG: rainrc lo src rvorkd mnpderio. covsas€ is u.la*ful, and slrll subjd' & anployq ro siminnl IEnah'6 od
.ivil lines u! ro one hundred rhousdd dolh (tloo.(x)o), in addi'ion r. nr cosr of corp.rsalion. danases 6 prlvidd id lhc
Sertun:10T6 oirh.lltrr Cod.. inrod ed anomcv s 16
r.lcElsElcoNtaacroa
IIICIAAAIIO!
I hs.by afiimr und6 p.flally o I pgjury lhal I an licas.d urdr Fodrion of ch,prd 9 (.orrnocitS qith Sdion 7000) ot Dir isnrn l
ol rhe ausinN dd Prolsions Code. rd my li.6* is in full force dd efrccl
Li.cns. Cla$ Lic.nscNunbd
coNslBuquolL[lD.lNi;rl(rI(I
I heeby !fii'h und6 pcnalryoapojotnlal rho! is a co,srtudN lcndin! agdR, for Ihe pglomarce of the work i)r\hicnrht pumir i3
issucd(sc l0!r, civ. c )
ATILI(ANLDICIASAIIO!
I hrdry amnn undd pdahy olDcriury on. olrhc l.llowine daldarions
Danolirion Pmirs'Asb6ros Nolifi .dioi Federel Regulaxoc (1n1.,10, Pd6)
Rquir.! Lelrs olNorili.alion
I cdilyrllal the ledoalrcsularions rcsarnins esbBlos r€nF\alarc nol applicablc lo rhis pn,i4r
_l ccniry rhal I lrlc qd rhis applicarion dd n.rr rhar rhc atxr\€ inaomarion is.ond I aBletocomplywilh allCilyandCounry
odmancs B.d Srarc ln*s rehins ro bui ld ina .onsr.ucr io n, ed hc' eby aurlrriz. q,*nlariv6 ofthis Ciiy dCounrylo ord uponrh.
ahrve nErio.ed proDdy lor iNpdion pu,los
,\ppli.atrl or genl Sign.lure
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
i/a son ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL elilu 7t t9)
Certificate of Occupancy rl AI
Notes, Remarks , Etc
ID/SIG.