HomeMy WebLinkAbout50101092 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2145 112 W Civic Center Dra
Unit:Bldg: Address Range:
Block: NA Tract: NA
Grading
Historic: No
Suite Range:
Zoning: Rl
Permit #: 50{O1O92
Pin #: 23{90
Assessor's Parcel: 004-1 53-12 Lot. NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Description of Work:
Planning Conditions:
Single Family Dwelling
Miscellaneous
Grading
SFD w/det garage & barn
Sfd w/det garage & det ADU
Occupancy:
Constr Type:
Code:
Flood Zone.
# of Stories:
N/A
N/A
cBc 2016
x-060232014/,J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: 0
Patro:
T.l.Area:
Yards Req'd:
Valuation:
CE: UI
lr?.
+: Lt26l
Owner:
Address:
Phone:
Tenant:
Ngo Hong Tran
2145 W Civic Center Dr
Santa Ana, CA 92703
(785) s50-0181
Contractor: HD Engineering Constructio
Address: 1402 N Parson Place
Santa Ana, CA 92704
Phone: (7141495-0056
State Lic #: 934742
Lic Type: B
Bus. Lic #. 350983
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
Engineer: HDT &
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Ly Phan i,. i
10820 Xeenan P[ace , :
Stanton, QA 90S80
C63381 '"' "l'-:''''
Planning Approval By:
Plan Checked By:
Permit lssued By:
J
'II
Date: 1011712018 Misc. Receipt
Date: 03118/2019 Misc. Receipt
Date: o4t25l2o1g Misc. Receipt
Subject to Field:
07776002 57605 Permit Fee
07776002 57606 lmprovements
07776002 57600 General Plan Update
07776002 57606 lssuance
Fee Total:
Paid to Date.
Balance Due:
$320.s0
$308.00
$22.08
$55.04Teri
NPDES lnsp.
PWA lnsp. Req'd:Fire lnsp. Req'd: No
Police !nsp. Req'd: No Account#Planning lnsp. Req'd:
Landscaping Insp. Req'd:Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permit issued 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.
No
No
No
Total
$22.08
$683.54
$70s 62
$0 00
$705.62
lnspector MID#: 201 8-146937
01 1 16002 s1606
-a
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GRADING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Prelimina Soil Report
Excavation
Fills
Sub Drains
Buttresses
Soi Report
Statement of Com
Compaction
Flood Elevation Cert.
Pavi
Sub Grade
Base a
Water Test & Seat Coat
alt Concrete
Soils Cert
ReleaseRoGrad
Final Civil Cert
Notes,Remarks Etc.,
I tmhy nllirm undcr Jrmlly of naiury lhl I lnr dcnrF irntr rlE Conrffiorr' l.i(rn* Lnw [r th. R llo*i.U rc.m (s.?o.r1.5 n!.i|6
ilxl l'mlt$ion Ch.hr: Aoy City or C'ouily which rcguiq r pmir ro olrlilcl. lltcr, imflmrc. rlcmrlidr or rcpnir ony nDdrE. Jrir rc ittisrnmc. llm tqluim thc oFttlicntrl tor sh [Hnil to nh ! ritNl stdmd thot hc s dr ir lhcmd grommm n tire pmrirlmr oftlts .
Colllmclo.'i Licqwl l-iw (OhFGr9. Comrrcrcint wllh Sclion TrIil of lrivhkro ! of thc Rurin6ron t pmfsioN Codcl or lh{t lE arihc h GrorDt lhGcfntor !il| llE h(rii for tlF nllcg.d crcmlrion .A[y violiliotr of S6tion 70J 1.5 $y my n]Tliqil lbr a lsmt rubjNtr tlE '
orTrlioil to r civil rcm[y ofrx{ mrsrlntr liyc hnnlr€d &rlloB (tt iltl.
*Lir osrcr of lhc Fm|Eny, o. fiy csrtloyc vith *ogo ar t|Ei slc qx||troqtioG sill .lo th. sort nill thc {nEtuG [. mt iilcrdcalor oflLtd trr hl. ( ss.nHd Buitw nd Plofsbm c'irdc: 'llE coomrci t .hre hv dG mt .Fnly to nn ow* if rlrc p-pny
.slrr huildr or itnpmq lhrdn oxl sln &16 reh cuk timslltr hareltr thmugh hir or lrr orn cmpLycr. lmrilql tlil ehinnntrrnffir ar. not irlcdcd ororfqql t)r er,., lf. lxrw$s. thc lililding or impmitmn is mfrl qffiftrcni Giof rxinlrtcriu. rtrOeE?-lruildc. will h!rc tlE hod.tr of ,myin! tJH hc0r dE r[ hoitd orinpmr:c lrrlE puqre of Elcr.
---1. ar osE-of lhc prrrt'ly. am crclurilcly milmlil[| rilh lisor.d eilmctm lo @mrruct tlE rmirt ( Sc 704.{, JtrNiffir ilrtPNfcshtr Colcl llE contmor'i LiqE Llw doa nrt npply to on o$B olpmJmy wlxr b[ikk m impmn thcmn. nrxt dncontrutr fo. relr preJsti with, Contmclo(r) liccnNd nxGuotrt lo tlE Coilrrctor.i LieNc l!v.).
..--_-.1 nrrr srernpt turxlcr Scction & P.C. firr tlris rs.'tson.
l)nt t':.. ( )rvner:
w( )tt ti tiBs c( rt I rEN sA t t ( rN tl!.;ct.A RA't't (rN
I lxrchy allinn unrlcr pr:mlry ol'pcrjury one of thc rottrri;rrrg accl,,rnti,,rx:-
l.nlxlr ('otlc. lirr tlrc pcrftrnunnce of the n'ork lirr rrhich the Jnrrrrit is issrrerl
rrork fttr s'lriclr thi.r pcrrrrit is issucd. lvly rvurkv.s' cotrrpctrs:rtiorr innrrancu r.ilrritr :rnrl policy rrurrrhcr are:
Policy . l:xprr cs:
('lhis scction lxrl Jx crrnrylelctl pcrnril is dollnrs l.$1001 rrr lcss)
. ._l ccrtify tlrnt in tlrc prrfrrrrnnnce of tlr srrk firr
hctnrrre srrhjeet lo llrc norkers 'crrntrrcns.rtion larv.s
wlrit:lr thic rq in nny m.lnncr ro lts to
axl thc workers'
corrr;x:nsnt ion provisions o f Sccl krn Ilrosc Jnrvision.q..
lYAltNlN(l: t;:rilure l(t sr.cure rvrrkerr'suhjcct on ernployer to ctimirr,:rl pcnnltier nmlcitil
lirrer up to onr hunrlrerl tlmusarrl tlollars ($ lfi).fi)0).in
lhc latxrr Codc. ilrtcrcs nrxl altnnry's [crs.
of crlnlrcrr:sntirrt rhmages as pnrvirkrl ftrr the Sectirrn J(t76 of
I hercby n[Tirrrr unclcr lrcnrlty of pcrjury
tlr llusitrss alxl I'nrfesskrns (.'orlc, and
llral I irrrr liccnserl (orntrncncing witlr Scction ?(IXl) oI l)ivision ] nl'
rny license is in lirll lirrce nxl
l.re cnse
l)otc:
I lrcrcby rrflinn urxlcr pcnnlty of nerjury tlr:rt $Berrcy fir llte yrrfrrnrmncc of thc rvoik firr which this prrlnit ir
Civ. C.).
l.enrler's Atltlress:
Dcnxrl it io lr Pcr rnits- Anlrcst os Noti licnt iotr l:etlcral
._-... Rcquirc<l l..etter of Norilication
APPI,ICAN'l"S Dt:('l ,tR \'t'loN
Regul:rlirrns ( l itlc 4(1. Part (r)
._._l ccrtify th"rr rlrc rcgu lal irns rt'grrding nshtstos txtl opplicahle to tlris pnrjcct.
rerd this :rpplic:rtinn nrxl rrrfonrrnlkxr is corrccl. I ngrct to corrply with nll ('ily alxl ('ountv
:rhorc rrtcttl
Applicnnt
I'c.nnitlcc
tlurt
protrcily fi)r
lrcrchy nutlxrrizc representntit'es o[this City arxl Courrty ro olrcr uprn rln
rl the
l-ou,r rclat irr;l
4:,t
lo buikling
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