HomeMy WebLinkAbout10199368 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O199368
Pin #: 78129
Proiect Address: 1417 W River Ln-a- -
Assessor's Parcel: 001-302-13 Lot: 14
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 6161 Historic: No
Building Use: Single F hily Dw.lllng O@upancy: RA,U 1st FL Area 83 Patio:
JobType Addition ConstrType VB 2nd FLArea T.t.Area:
Nature of work Addnrremodel code: cBc 2016 other Areas yerds Req.d 0@o
Existing Bldg. & Use SFD wr.tt garage Flood Zonq AE.{r6023201,14J
proposed use # of stories: r Garage Area valuatlon: l,'5'000'00
Totat 83
Oeacrlptlon of Work E3 3f additlon to cncloas entry; new entry door. Romova wallr & ln3tall beam to crEato opon atla of living room & kltchsn. Romovs
rai8sd tloor in kitchan E pour slab 30 kitchen E living room er9 on lame level
Planning Condition!:All met.ri.b to natch oxlatlng
,
Owner:
Address:
Phone:
Tenant
Son Phan
1417 W River Lane
Santa Ana, CA 92706
(94e) 2824292
Contractor:
Address:
Owner-Builder
L
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation Insurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
Hue C Liu
Hue C Liu
10732 La Batista Avenue
Fountain Vall"y, CA 92708
17141 e64-s7s6
66754
Win Nguyen Design Group
Ha Nguyen
13172 Sandra Place
Garden Grove, CA 92843
(7141 326-3124
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fregoso, Vince
Chehade, Nabil
Hernan dez, Kathy
Date: O3lOGl2019
Date: 0411212019
Date: 0211112020
Subject to Field:
07776002 57607
07776002 s3600
07776002 57770
08907007 24000
07776002 57612
07776002 57600
07776002 57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
I ssuance
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
72286
Total
Fee Total
Paid to Date:
Balance Due:
$466 53
$530 87
$43 01
$1.9s
$1 00
$22 9s
$s7 20
$1 ,1 23.51
$s22 1 6
$601 .35
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
08901 001 24000
$22.e5
$s23 73
$1.00
$43.01
$1 ess8
lnspector MID#: 2019-149875
Ol I / 6ooLq)Lo,?!
BUILDING. INSPECTOR RECORD I
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hrcby affrm utrd6 pctralty of pcrjury that I m cxcmpt fiom thc Contladoc' Licw Law for thc following rcmn (56.?031.5 ''
Busin6s and Prcfsion Code): Any City or County which requirs a pomit to construcl. altc, improvc, danolish or ttpair my
stluctu€, prior tc its isuece. al$ rcquirB thc applicot for such p€nnit to filc a signcd statmmt that he or shc b lic€Nd pNant
to the provisios of thc Contractor's Liccn*d kw (Chapts 9. Commcncing wilh S(tion 7000 of Division 3 of thc Busin* ed
Prcfsions Code) or that hc or shc is cxmpt thqcfrom od the bosis for thc allcgcd cxoption. Any violation of Sc{rion 7031.5 by my.
applicantforagrcrmitsubjetsthc applicanttoacivilpcnaltyofnolmorcthofivchundrcddollm($500).
_.-_[. a-s o\rmer of the proper:ty. or my employees with wag6 as their sole compensation, will do the work and the structure is not
tntendoJ or offered for sale (Sec.7044. Business anci Professions Code: The Contractor's License l-aw does not apply to an owner of
the proprrry who builds or improvs theron. and who does such work hlmself or herself or through his or her own employees,
provided that such improvanents are not intended or offered for sale. I[, however. the building or improvetnent is sold within one year
of cornplaion. the Orvner Builder will have the hrden of proving tha he or she did not build or improve the propoty for the purpose of
sale)./{_\ as owner of the propefiy. am exclusively contracting with liccnscd contractors to conslruct the project (Sec. 7U4, Business
and hofession Code: The Contractor's License Larv does not apply to an owner of property rvho builds or improves thereon.
and who contracts for such projects wilh a Contractor(s) licorsed pursuant to the Contractor's Licensc taw).
I am exemot under Section
o*",4-=/1-ZOLU Owrrer: (
I hereby affrrm under penalty of perjury one of the following declarations:
__i have and will maintain a Certificate of Consent to Self-lnsure for workers'compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which the pennit is issued.
{*rand will mainrain workers' compcnsation insurancc, as required by Section 3700 of thc Labor Code, for the pcrformancc of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
a
Policy Number: Expires:
__l certify that in the perforrnancc of the work for which this permit is issued. I shall not onploy any person in any manner ,so as to becorne subje<t to the rvorkers' compensation larvs of California. and agree that if I should becomc subject to thc
and
the
Section -1076 of the labor Code. interest and attorney's
o^rc, 0Z- il- Z1LO
I hereby affrrm under pcnalty of perjury that I am licensed under provision of Chaptcr 9 (comrnencing with Section 7000) of Division 3
of the Rusiness and Professions Code, and my license is in full force and effect.
Licensc Class:-- .-License Number:
Drte:_
CONSTRUCTION LENDING AGENCY
I hcby affrm unda pcnalty of pcrjury that th6c is a consruction loding ag@cy for the pefommce of thc work for which this pennit is
issucd (Ss. 3097, Civ. C.).
Lender's Name:
Lender's Ad&ess:
APPLICANT DECLARATION
I herdry affum under penalty of perjury one of the following declarations:
Dcmolition Pcrmits-Asbestos Notil-rcation Fedcral Regulations (Title 40. Part6)
-Reqtiired
Letter of Notification
_l certi$ that the federal regulations regarding asbcstos removalare not applicable to this proJed.
/,ceftify that I havc read this application and state that the above inforrnation
ordinances and State Lau,s relating to the
above mentioned propefly for
Applicant or Agent
Penrritee nrrne
and
o*", flZ - l/ - 10ZO
Set Backs
Forms/Steel/Holdowns 3*?-V)L&'-A t
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUl nsu lation
Roof Sheathing
Shear Wall
Framing )-22-Za fbez 7
7
z17
lnsulation/Energy 9,-2" 4t fZeZ
Dmvall 7+tl-o lZe i
'exl)nt.Lath lo-r-p tLc 3 ,u
Trown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL [/,/?-zD (-O^s ,\./fug 21
Certificate of Occupancy
Notes, Remarks, Etc.e4 4rr\4 a
Carrier:_
o)
o)
Na
tot
Eoq
l-o
oa+tc
:=
@oEo.C
(U
=G.V
aao
T'E
G
E
tU
oNoN
o,
tn
oo
No)NN
I(o
o,tfrl
-lLolo)l
uo
-o
Efz
oCo
-Co-
o
f
oc
.9)
U)
(trEo-
(U
=(!Y
o
Eoz
C
o-
a;
=L.4.,
.9
Itso
o*a
lE+,o
o?-+,tFo
o
3(E
o.c+,
LoE'E3
a-J.-
L.o
CL
lFo
+,6tro
CL
LoE'tr
=
rL.E
l-o:
EcE
;g 7 e E E : fr ,€ EeE
EEE'-'EE-i;-i-
GEf E E fri E g €CEf BtE
EEEE EEIE
=efl
EsEt EEE
IEE* EEEEf BE F EEEE
EgE
EEE! EEEEIEEE EEEE EEE
;EE E E; E*;EIF EEEs :E$
EEEEaEPEgEEEEEflE-gEEE*Ea sE35fr3g3 rg=EsEgB
E tfr i+ EE r s; EE ri Ef EfrE iEH.f; =r=8 =E = EaEe
=-#=E =E; €sH
tr
E
o
tr
tr
oj
tr
E
6i
tI
tr
c.i
tr
tr
lt-
tr t]D DE Etr EI
etr
gtr
(o
l()r\
(f)
lt-o)
tlLoll
E
=z
ootro
.9J
Lo+,o
GL+,tro
C)
l-o
o
U)
+tC'=
id
E
Gz
tr
G
CL
Eoo
Lot,o(!
L+,tro
C)
cJ
.Yl-
(tr
TL
3
o)
(f)
f-.r
oool-!,E'
+t
c)o
.IloL
o-
oN'6
fr-
x
\.-
r
Ef
E.E
E
Eqoa
2Eoo-
q3
oo
ca-go,35F-
6o
EEOO
u;9
ETx-c
HE
EEo:ag
- -I-EAo-ot:houEa.9
oEIrEAb8
b<
83EO
EEEFo.Y95
gE
o.9
FE
.. lEO'aa- l-
.EgE9
II .L.4+tL+rceo
=a
.>troa
UJoz
UJea
UJu
J
=lr.
UJJoz-a
E'o?-o(E+aoo
LorF
+,o
a----
C)o
F-o
,^i
o-Y
.9
(E
=o
o+,o.g
o.
L
G
I oo
(O
oN
O
d)()
o
I
o
U)
c"jsrri<or
ii 6
E8#
3,5
=t-v
o-
atr
OForX
E,l IsH
",€i5d*s E
EFrE*ag
Sgsr:Et
F=;ifisl
t
iiiliiE3
I eiEtgg
,E s6fg6
o5
-o
1'
a.l(.,
o
TDo
No..I
o)
zo
=r')rn{o
!7o!m*t
1
o
€zrnv
ooo
-l
1'
-toroo
=o
€
=o
:.!
=oro
E.6'
o)f.o
=-+ro
-l
0)uCg
=(o
Eo
-t3
=oauoof
@cg
3
oo-
='oC-t
=0)
3o
a*.
=(o
oC
@o
<r
a:oo
a..{r
oo-
o
F}
0)a
t+
fooc
o-o
-to+r*Jo
E
=E
-to
o
3o:f
a
€o
o
-lo
E
-lo
q
f(o
oc
=,+=o:f
o
3
o)i(o
oC
o){
o)
-lo
o-+i
oc
-t
-to
@Eo
=9..g
.+
o'
CN
o)
=o-
Eoa
9..(,
o
=.@x
oC
3q)
='c)C-tU
=0)
=(o
.+=a'
Eo-3
o'aCoo-
5'
oc
-t
=0)
3oa
oa
F>=o
o{
=o
-lI(Dc
o-o
-l
$3 65'a
=.t+v
)--.tod6
IEO_.
=. ,'+ Ooot1,--tcc$-ro
E 3l66=
4*a
rilEro(,fq
='-== o-E
-.
,'f )4. ht =.aE;o)c3lr
.?t3
SEl='
J +o o'!'3sd;cl=
qt(
J-ra*od6q
8d-
Fi>i.d
=6-cn' -+io
1B
oJOE
5e6'A'8g
o@F6'
=B<o-o
Eo)€a
3Bo={6
=O-E=
6'
U
Drno
=o
=CN
ta
Doq,
a.
0t
Sa.
\rI\rtrl\.
o)
o
A,o-ra
Vt
FIqr
F}.o
3oIFluo
o{
Flo
UI\.aS\r
a?\o
ah\
sSa.o
aar+
otsa.
o\
o
=..+
Fl-€\rv,
\rT*o'I\t{
o,FT\rop
3:r3*H
-4e=:
ilis" il e
='6-- o q(o= J I a
$ [;Eil
31t;Eq q 6'r: o
ir3FE=E
EE 5naI; ? +B6-:g:o o.tr Y OE -ir
iE 3fi *sEEaE
i.=B q a
=d=QE6
= il a'Q
=o =E;*38=.qq d3aA cn '((5 =_, _. <i
_.@ _t a. Ea = Ec o.7 I =
H HE: dt
ActsE
$ =eflFE
6p ilq
=
o d 5'o 5
=< O f -tH do-o'e
E: 3.gt S
=.9 E a'='
E E; il grE =--'
EB$A 3X,.*(D=XO =o-o) raIg--':Poolg :
= -.ti -o
*E: iH ;d?A==F_ ?
;F flAl's, E'p
- t,3; 9;Ea sarq aq+S q Sor j o=
+.o- f o-5$ auo a Fi c
d g
=Eo - f f-/i (o(o
; Y OE;a il3\!-+J.-'
=w @a
='E. o o
= - o--r6 6 o9o)a=oJ-- f IEg [Egr i;
A= O O-8E * 6'
=E ii uhi 5 =ocra aa5'u o,5'
E:_- # a
=
(I) -
=e E.g
3 i EE6 ct t/oo
=q =3:d- €oEq
=-r=3= q
='6p @EocOO :lo-
= iD'
='f @
-r='@lr' r+cn=;= e
-
J_o_ o)dq 6-r@-=:lht oo= ala Eo=
=='o 9.6Ft u
FF6-- o
o)==ro-o oq;+
ad o
g
ol;flj'l
=ao=
-
Jo-t
8a-
= i\itFla
-tJoo-gr^'eb'
ft+
-lo)oa-tso
-la
o
-lo
-to
-oc
-roo-
U
d{
ooo
oofaoo-
q,
:f,o-oofo-oo-
='c)
o)
'+ro
-t
=or'
o
=o-
.+o
a.+
.+fq.
-l
oofao
fC
3Uo.la
e$REol!I q's,
(D-
-r ..<
=clr= o o-qa$
eefioof,a+ j+ a^lo 6':q
=.--aa o
-+.o) aqa€
q E€_eL9o
-
.+. -t
3 6'E
=O5?
ffso-o
*,8!1 ql
q1 toAo^g8€OEo(D
-t'a
='oPA9oF>).-(o6
_-t(I).+U=oo
-t-J
(I)A
AU-a :ii
=oo=.+J
E.6
,* H..!t
-J aJOq1o-
B9oToofc)e,.6
BPdo)o-=oo-
a tJ5
o
a-l.o
6_
E qs.,
(g,ol\''
3l',*
=Oq35
o 10-I =qf J-@
s.3 g
EE=(J rz6BEo:5':6'R
-X Y
0r- E -"2.
8; B
=sgqBs
@2.gEE
o- x+{rqf
;8 E=
=f c;E A
3 d;io=.0)d3 6'
Eai
il*=#
E'; E
I g"?_
E8lq.oc
E: a3g8E
a 3aiFlo *r
-l\/.+P=ilaO@
-r+3J 0)ilPd
ilai
1a8
?o-
+3ffi,OEPI Y
6.=dd f
o =@fr3gi--i 3 q
H r,tqil oE-o
"-FnU)K =Y _ Jc = uo-dh s q
-.Fl,\
=
C Ll- ,F't
3s rgI33 3
t' v,3 il
()aJrr^rl-1FJVo o +o...ll+J-oo+X ='oiH s&o' '+ ui
F}gB e
=
ilB+-+ r-.i I
=. = -^'=qtdoJ=f *a
q$P
o-oo=f
6 ileD(,jF s$9{PAL$Y=::>sQ
A .OY.o -r+E{dEe
5 $'g
-t -(
-LJ^.(DO-ajo^ a
-!t Of @5< ='-r :(O-.?r A9rd9
aIg
E (/)\<
q$B
I +E+86'
o)o.+
3 ELN: eI'a'n -@-\/3(D9.d=iDo=
--tJJ.t
*3q'''e.g
cq)
-t...t-. -oo-@o,
@U,6et+J1o6{o-=
crQ
oP
aL_,
(t, oc-rFrrlvt .{,raj
P@too-?1;J --
a6{E
=c;OE
=oa=\-/. :t+
- -ltIqd1?6'
--FF?
'<r lli-r)9:o'
JJEoo
--tJ
611
6' u,
ap,d-o+--C-cr=+. o)o<fg.o-o(D-
o'6gda
=' O)-t cr
=6-:e^oo)
-l -t
^*<JJ<ro)='
J)0)tJ
I
o
€:f
I
ir
t\J
lr
a{)
a
It,
7
I
a
t:l-lr
t)
I
{o
.i
\o-\oUl
Goc+'
aso\a(U*,$s
(r
s
GO
.E
.
F
I
-t
'
,
Eb
\FgI
\o$r
3$
ia
.
ooEs
.N
,
i
\r
Fgb
ah\oSE
s.
a
St
r
a
o'
i
E'
E
to
tbt
ES
rD
S
5Es=
ir
ro6
oEEt
Xa
.
$:
q*
.
E
UPE'
i
uoC=or{
-ooE(oz+.Cl-o-
o+,(Uoot-:foc.9aaoC=oEoo-ot-o-
oo-ooo.C+,=oogrE6coal-oo-
EC(Uoo_o(UEo+,
.9
,aaol-oENo.C
,
+to
'l
l-oC=oEoo-oo-o-c+,E(U;(UE>
.8
'i
=
;t
tu
X
o-
6
b9
b'
>
"
==
l\
,
u
-l
-de
au
r-
EOC
1f
,
O
)o
(D
=
EF
()
=
oo
1'
E
uEoo)
EoNo-C
,
f
'l
ol.o-oEf,zoco.C
,
o-
ucoo)
poNo-c*,=,oaaoEo
jicoo)
EoNo-c
.=
ra
.
-ooE(Uz
aaotEot-oEo+,
(UooJ+aoo.o
-
t-o-
,-
.
.Yt-oBrFoCo+,o-
C)aoofo*,oo'o
-
t-o-CoC)
fl-{-
,aco()
'a
ooo-ooo
OLNO
.E
Eo:
=
-c
,
=
5q9b
icE:
o)
\-
/
.C
C
o
j.
c
.=
o
:=
vf8coo+
,
o-
>\
0s
o
(U
O
c(
)
cl
O
AC
oq
n
o-
t
s
>.
.
o
EE
.9
,
3
E8
oo
+r
-p=
oo
EEEr
:
-c
(U
-c
.od
-
-c
.
o)
3'
a
tl
ob
E'
l
.9
>
=o
-
d3
xo
o+
,
o6
-
-=E
foOO
)
c(
U
OE
-b
o
L(
U
Ou
o-
iJ
go
o-
o
Q
,^
.
+t
Ael
E6
EE
S
zP
a
o
*>
-c
.
u)
c
+t
c
rP=
b
.=
ot
F
.'
r
r
.
l
l
-
u
Lr
-
.
-
=O
c
EE
E
IU
}
(
L
lr
.JILu
tr
lokUJz=oFtUJo-oto-zoFooFFzUJ
(,
ILozo-FNtro-Ff
\
\N\fit-oC=oooEoCCo-
ec{a\tt\ajeool-oC3oEoo-ol-o-
rt
soof(UC.9a
EI=l
+.
r
l
(U
I
sl
.E-;
lEI
Ilol
>IHol$
EE
I
EE
]
LO
I
o
.o
l
ES
t
E
.$
I
rI
I
eQ
l
gE
l
o9
l
5b
t
Bs
l
!,
ol
o>
l
c
t"
l
gE
l
tr
a
J
(E
o
l
!,
cl
o
*,
1
+,
ll
.
l
go
l
cL
>l
Es
l
o{
l
ll
..
6s=oE=
E.
€
L
-
OE
;I
te
!,
.r
o
E'
=t
r
O'
=
o)
.r
Ooo
It
'
=EO
19
tr
oo
.=
!l
l-
a-
EO
LEtI
ED
O
.=
E
'=
(
J
JE
lt
6
tu
E,
EI
e5
f;
.
9
:E
(U
;
E
9
9E
E
;
g
(U
0l
lr
r
-
o
.
>
\
o
-C
,
L
6
>
E
9
x
$r
c
r
o
o
l:
EE
S
E
:
9
Es
s
B
B
S
I
a
=
>o
o
r-
'
-a
o
i-
o
()
s
*E
E
a
5
H
EE
3r
=
H
={
=
L-
L
c
E
g.
H
eg
e
8
s€
l=
E
sE
o
6
=
6
=E
#
Pi
3
6
P
o{
--
'
6
F
6;
0
e.
o
F-
.
=
-
=
g-
p
h=
E
s
H
U
l;
:;
5
E
=r
B
q
E
E
.o
B.
=
:
t
r
E
-*
'
E;
o
'
;
9
b
-r
g
E
:
E
69
c.
o
-
o
gE
E
E
g
E
:
il
5
e
E
u
ig
g
f
i
;
g
E
8=
g.
.
I
8-
-G
T
i
€
E
E
.
BE
=8
H[
i
l
Eq
$;
gI
aE
E
E
t
E
t
$;
E
Sf
EE
i
E
P;
!P
E
E
E
;
E<
-
'
(
U
-
EE
E
E
f
E
gs
SE
E
g
;ooEl-o
t+
-
.Eo.C+.
r+
-oCoo*taoo)Co.C
,
(J
l-oU;cooolf
,U;c.9=EE(oCooo+.
.gooEEEl-ora
-
.9
,
.C
,
+.
r{
.
-ol-o:fa.9
,ol-
c+.
I-
BE
+.oa
L-
-C
o
{-
,
P-OO
(l
)
'z
r
Ei
,
6
o.
(
J
.o
sE
-
:o-o
to
lo
t.
-l-
o
lot-t-l;l-
l-l>
l+
t
I
.-
l>
l+
r
to
lr
u
l=
lo
t.
-I
.r
r
l(
)
l=lr
-
I
+-
r
laIClo
I(
)
lo
lof'
gi
I
o-
O
I
ee
A
I
Bo
-
I
a
cr
Eo
tL
l
/
/
^O(
U
rFof
r
,
-O
=
)
9a
\
b(
U
o-
t
r
,
ebHo
:
2'
=
ro
q
I
eb
'
E=
rE
o
\
EE
(u
(
l
)
,
>Boo
)
EE
l-
r
\-
?a
L
a-
,
(U
C
o-
q;
r
oE
5E
f/
)
-
r
G-
r
,
{j
g)
(U
E
-c
io
+)
F
L
o(
o
Pa
A,
B
\.
O(
u
t-
.o
r_
o
-t
I
cr
.
I:
SBlo
,B
:
i
s
E
oo
o
?
E
P.
q
-
o
p*
a
E
EO
C
N
E
Ee
3
fi
*E
H
E
=O
o
E
tr
t
s
t
,
,
^
c
eP
6
'-
ET
;
E,
\
"=
'
E
F
eg
F
;g
f
i
$
EE
h
EE
E
E
Ef
EE
*
s
$f
i
N
=O
O
;,
E:
E
i=
F
e
iH
s
sE
E
E
Eg
s
E,
I
5
E
E
EE
\
P:
E
E
gE
I
€E
g
E
E8
$
E
=E
E
s
g
EE
E
E
g
E
\
€H
I
g
l
E
fr
d
gE
EE
I
Ei
S
-.
l
s
1
2
,
-
.
EE
##
t
:
gE
)
br
r
.
q
t
d
!E
"
-
EE
;
N
E6
'
-
=
c
5-
o>
i
-J
q
E
:E
i
oj
.
.
g
=-
,
3
E
l+
r
oo
r-
>k
E
I
sB
u
vl
>
(/
,
-
c
9
lo
E
rf
f
i