HomeMy WebLinkAbout101100301 - Permitt{Vof Santa Ana 20 Civic Center ptaza (M-19), Santa Ana, CA g27o2 Building
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Permit #: 1O1{ OO3OI
Pin #: 44416Permit Counter. (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2145 W Civic Center Dr
Assessor's Parcel: 004-153-12 Lot: NA
Unit Bldg: Address Range:Suite Range:
Zoning: RlBlock NA Historic: No
Building Use Accessory Dwelling Unit-Detachec Occupancy
Job Type: Revision Constr Type:
Nature of Work. Revision Code:
Existing Bldg. & Use SFD w/det garage & barn Flood Zone:
Proposed Use: ADU w/det Sfd & det Garage # of Stories:
Description of Work: Revision to '10198197-change setback from 5' to 3'
Planning Conditions:
R-3
VB
cBc 2016
x-0602320144J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.lArea.
Yards Req'd:
Valuation:
Contractor: HDEngineeringConstructio
Address: '1402 N Parson Place
Santa Ana, CA.92704
Phone: (714) 495-0056
State Lic #: 934742
Lic Type: B
Bus. Lic #: 350983
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
Engineer:
Apdress'
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
HD Engineering Construction
Hoang Dan Pham
'1402 N Parsons Pl
Santa Ana, CA 92703
(714) 495-0056
c 79089
Duc Van Tran Designer
Duc Van Tran
16435 Vernon Street
Fountain Valley, CA 92708
(71417',t3-3597
Designer
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Arabe, Jill Date: 06/04/2019
CSE-Century Structural Engine0ate: 0612412019
Chavez, Dave Date: 06/1712019
No Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
72673
Total
07776002 53600 Revision
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$444.32
$0.00
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#
Flood Zone Cert. Req'd: No 01116002 53600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afrer its lssuance,or if the work authortzed
on the site by such permit is suspended or abandoned for a period of 360 days after
the time the work is commenced.
$444.32
$222.16
$222.16
lnspector MID#: 2018-143070
sa&r.f
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Tract: NA
Owner: Ngoc Hong Tran
Address: 9051 Belcaro Drive
Huntington Beach, CA 92646
Phone: (785) 550-01S1
Tenant:
l.
SITE.WORK I hrrchy rllflm nn(lcr pcnnllv ()l ltliury lhil I nnl c\cnrl)l lil)nr lhc (i)nlrtcl(n\
D{tcr-.--
Pohcv Nurrhr'r:
-Etfirc*:
Lic('nse Chss:-Liccnsc Nunl{tr:
i\sucd (Scc. .109?. Civ. ('.).
l,cndcr's Namc:
I-.rxlcr'\ n(l(l.es\:
I-rw li)r thc lirlkrwing rcason (Scc.lo-11.5
Blsincss und Prollssion C(xle): Any Cily or C(Nnly which rcquires a lrrnill l() c1,,r5i,1tcl. rllcr. imPr)vc. dcfr)lish or Npair any
t) thc prr)v$t)ns r)l thc (i)nrractlr's Liccnscd l;rw (Chlftcr 9. Commcilcing wilh Sccli()n 7(XX) ol l)ivisi(xr .l of lhc Bu(irrcss dn(l
P()ltssions Codc) or that hc or shc is cxcmpt thcrctron xnd thc ha\is tin thc allcgcd cxcnlplion. Any v!)liltion of Section ?0-l l 5 by any
appticanlli)rapcriltitsuhjcctsthc xpplicanltorcivilfrcniltvo,Dottrx)rcthaillivchun(lrcrldollrrs(S5(X)).
_1. as owrrcr of thc prolrny. or my cnrpl()yccs with wrlcs irs thcir solc cornpcnsation. willdo lhc work afld thc sl@tr|ru is not
trilcRlcd orotttrcdli)r$l(.{Scc.7(}44.Busincss3ndProlcssions(irrlc:lhcConlracl()r'sI.iccnqcl-awdoc\notnpplyk,inown.rol
thc pnrJrny who huilds or improvcs thcN)n. md who (locs such wor{ hintscll'r)r hcrsclfor lhr)u8h his or hcr own cmployccs,
ol con[leti(n. llE Owner Buildcr will hdre thc hurdcn ol pfi)ving llrrt hc or \hc did not hlild or impitvc lhc Pmflny ti)r thc pilrF)s ol
srlc ).
_1. as owner of the pfi)pcrly. am cxclusivcly c(nilrrcting wilh licdrsed c(n(ractors k) conslruct lhc P(ieel (Scc. 7(X4. Un\trrcss
ail Pn)llssiDCodciThcContrnctor'sLiccnscl"awdocsnrilalplyhdnowncr()llroPcrlywhobttildsorimprovcslhcreoD.
ind who c()ntn(ls lirr \uch fr()Fcls with a Corilrirck)(s) licctrscd pur\urtrt t) lhc Conlract)r'1 l-iccnsc lrtw).
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anr c\cmp( undcr Scction-, Il. & P.C. li)r lhis rclson.
IVORKERS' COI\IPENSAl'ION
DECI,ARATION
I hlrcby nl l irN un(lcr I^-rxlly ol p!'riury ()nc ol lhc li)lk)wint dcclrrltions:
Lahor C(xlc. li)t thc Nrli)rnHncc ol'lhe work ti)r which lh!' PcrDlil is issucd.
thc work lr,r which this pcrnlit is i\sucd. My w()rkcrs c(mrJ^-n\ali(nr ir\urancc clnicr nnd F)liey itrlmhcr arc:
_l ccniti lhrt in thc [^*rli]rmancc ol thc work li]r which lhis f^.^rmit is irsuctl. I shall n(il cmpl()y lny JErson in any nlxnncr
s(r as k) hccomc suhjcct t() lhc workcrs'c()mpcnsalirm laws ofCalili)rni^, irrd agrcc lhat il I shoul(l hecotrlc suhjcct k) thc
w6rkcrs'crnnpcn{ationpft)visi(illsoIScction-17(X)ofthcl-ahrr(ixlc.lshall.linlhwilhcr)nrflywilhtlx)sprovisions.
IVARNIN(;: Frihxr k) sccurc workcrs eoml&.-nsrlt)n cr)veragc i( unhwlil. an(l shall suhjccl nn cillpl()ycr tr criminill lEnlltics in(l
civit liDc\ !p to one hundrcd th(rsand dollrrs (.$l00.lXX)). in ddditir)t k) thc cost ol compcn\ali(n. damlgcs as providcd lin lhc
Scctrrn .l{)76 ol thc [f,htr (i)dc. intcrcsl nnd atk)nEy s lccs.
l)"t"'- {oolicnnl:
LICENSED CONTRACTOR
DECLARATION
I hcrcby attirn undcr [Entlty ol pc{ury thnt I am liccnetl undcr pn}visin t)l Chrplcr 9 ((omnrcncing with Sccl(rn ?(XX)) ol l)ivision .l
ol thc Busincss and Proltssions Codc, uil my liecnsc is in ltll Ii)rce ilrd cUacl.
( oNst'RU(TION l,llNI)lN(; ,\(;liN( l
APPI,ICANT I)ECI,ARATION
I lrNhy allirn undcr penall y ol pc{ury oDc of thc l'r)llowing dcclxral ions:
l)cnx,lition ['crnnt\-Astf,'slos Noliliclli(nr Fcdcral Rcguh(ions ('l ille 40 Pxn6)
-Rcquircd
kltcr ol N(ililicali()n
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ccnily thrl thc ltdcrrlrc8ulations rc8.(ding ashcslos rcnrovaluc nol applicrblc k) lhis ptl)ject.
-l
ccrlily that I havc rcdd this application and sta(c that lhc ah)vc irlbrmdtion is corccl l agrcc t) cofiply
on|nrrrccs and Statc l,rws rclating to huiltlittg xil herrhyxullx)rize r.l)t('scnlxtivc\ ol lhi( ('ily and (i)unly lo cnlcr uF)n tlr!'
rtxrvc ntnliinlcd fr(,[x'dy litr insNclxnr
Applicaill or Agetrt
Itcrtrrilcc n{rtre
with rll C(y nnd (irunty
ID/SIG.coMMEN;[SDATE
u$\- 6#0 gI lltSet Backs
UtnlW4,lrtForms/Steel/Holdowns
[,,f vErection Pads b -4 t.rUFER Ground
SLAB Floor /rl 0v
Subf loor/Vent/l nsulation
Roof Sheathino
tyShear Wall '7 I '&t
'-ea- l1 gca)IFraminq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat 'fPu r'v
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
\t
v\\4t)>mfi rf -w87FINAL
Certificate of Occupancy IT,
Notes arks
J-
BU!LDING- !NSPECTOR RECORD
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