HomeMy WebLinkAbout50101064 - PermitCity of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Grading
Permit Counter: (7'!'4], 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Permit #: 50{O{064
Pin #: 23712 J
Lot: NA
Unit Bldg: Address Range Suite Range:
Zoning: R2Block: NA Tractr NA Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Revision
Revision
Vacant
Sfd w/att Garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2016
x-0602320257 J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:
Description of Work: Revision to precise grading plan.
Planning Conditions:
Engineer
Address
Civil Engi neetDuc H.
Duc H.
16591 l(]Lo
m
a
Archilect /
Designer:
Address:
Huntington Beach, CA 92647
F14\446!7424 :
c33819
Nuqen lno. i
John Nguyed
10321 Calle lndepencia
Fountain Valley; CA 92708
(714) 904-9518
Planning Approval By; Orozco, lvan
Plan Checked By:
Permit lssued By: Chavez, Dave
NPDES lnsp. Req'd. No '9 ""
Date: 05/25/2018
Date:
Date: 05/25/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51600 General Plan Update
07776002 51606 lssuance
$21 .25
$52.98
PWA lnsp. Req'd: No
Planning lnsp. Req'd: Yes
Fire lnsp. Req'd:
Police lnsp. Req'd
NoNo Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shdll bec!.me invalid unless the wo* on the site authoized by
such pemit is commenced within 180 days afret its issuance,ot if the wo* authotized
on the site by such pemit is suspended or abandoned for a peiod ol 1 80 days aftet
the tme the work is conmenced.
$21.25
$52.98
$74.23
$0.00
$74.23
lnspector MtD#. 2015-122706
01 1 '16002 51600
01 1 16002 51606
Project Address: 1010 W McFadden Ave
Assessor's Parcel: 013-062-02
Phone:
Lacense #:
Phone:
License #:
Ln!
Owner: Nhien NguyenrHa BuirLV Developr Contractor: Owner-Builder
Address; 9912 Miloann Street Address;
Temple City, CA 917803927
Phone: (626) 487-0494 Phone:
Tenant: state Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Fee Total:
Paid to Date:
Balance Due:
GRADING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Owk.aund.r D(l.rii ion
I hcrchy am.,n und.r p€mh, oap€.juryrh.l l3m.x.mpt lonn rh. Conkactotr Lk.nsc L.w lor ltc lolkrsin8 rcrsn (ra ?01, 5 llusincsc
.nd Profssbn cod.) A.y ciry or Counry whrh r.quirn 6 t'.rnn roondtod, rhfi,Inlrorc, d.moliih or rcp.n ey sl rudurc, ,ior ro 9r
tsulmc,llroEqutithcapnlicanrforsuchF.rmirrofiL.sirnn ar.mnt rhar hl or .h. ir liceor.d puNrht b lh. ,mviehhs of rh.
Conlrlcrols Lic.ns.d Lap (Chaprer 9. Comnrmrn-s {nh Seriofl 7000 olDivhnrn I ofrhc Blrin6i..d Profdsions cni.) or rhar h. or
sh. is cx.nn th.i.fron ind fi.6$is aor th. all.Scd .x€Et on .Any violah. of Sclion 7011.5 byanylrplicanl fora p€mir.ohj..rsrh.
nnplicanl to acililp.Mlry olnor fr)E lh!tr fivc hutrdrcd dollon (S500).
L s owmr of rh. Dmrr.ny. or my .Dplo,t6 *nh {u.r $ lh.ir mh conD.nslion. *ill & rh. wort .td rh. .tdduE is mr int.nd.d
o. o0.rcd lor sl. ( Sa 7044, Buiiffi id Pmf.srionr Co{.: Thc Cooltutoa. Liee L6w &B Nl alply lo .n ow*r of thc lrmr.n,
vh. buil.t! o. impovd th.mq .d wh. dB Nct work nielf or h.Mlf or rhmush his or hd om .mploFs, phvid.d thll $ch
imrmvcm.nli arc ml inLffH.ro,Iird forsl..l[ how4r, th. ttuildog or imrmEre i3sld eiltinonc yarol@mpl.riol\ lhe
OwFBlil&r will har th. burd.n ofDovins rhd hc o. slE tur blitd or int6v. for rh. purpo* ofsl.).
l, f,r owrcr oadE pro!.ny, an .xclu.iv.ly conlB€iing w n lic.n*d € retod to @nntud lh. pre.,ftr ( Sc. 7044. Busin6s @d
PDf.sion Cod.: Th. Co Eclor'. Lietr* Lrw do6 mt +ply ro d ow. of p,oFny wlh buildB or inpmB tb.6r, and vho
@ nd. for s.h l,mjdk enh a co tuto(i) lico..d n!runt ro th. co d.ror'e Lh.tr€ las ).
I am .xcnpr under sfrnon .B &PC forrirrcrsn
]YASf,TAS.COMTEIIAIIQN.UECIdSAIIQN
I hftby dflim u.d.r p.nlhy of rcrlury o* ofth. f.lhwin! ddlMrio8:
! hlvc.!d sillmiillin a C.nif!@t. olcoMnt ro S.lf-llttc tr @*6' sop.Ndio,r o pDvi.Ld for by selbn 1700.f lh.
Llbor cod., for rlE dfomam of tlE e* tu ehich rh. Ftun ir is.d.
t havc ad eill mintain e*6 @dr.nsrlion intume. a aquiEd by sftrioo l70o ofrh. L6hor Cod., for ln pcrIontue. of rh.
wort fo. sti.h rhis p.mir ii i3tucd My eorkcft cod!.nsrion inMcc ceio and p.licy nunhd 5rc:
Policy N!mbci_Expir.r:
(l his wrion n..d mr t cotrDl.t.d if th. Frhir is for Orc hundEd dollod t5100) .r l.$)
I c.nify rhar in rh. pcrfortuM of th. ao.t fo. which thi, Fmir i! is.rl. I rh.ll mr .nploy r.y td$n in my minn.r m s lobc.E. bjcl ro rh. mrk.R ' oqEnelion hws olc6lif.mE and a8c rh.t if I rh.uld t .o* rubjel lo lk wo*.6
onD.nslion pmvisioN of Selion 1700 oflt l,bor Codq I lhrll, Ionhwilh smrly wiri rho& po!i.ion!..
D6t.: Appli@nr
wARNlNc: l_silurc to 5dE wortd' omFMrion o\es. ir lnbeill, ,r{ {Bll $$jd .. GnploF b ..jointl p.Mllid ,.d civil
fM op ro.ft bundEd rt usd dolls (l loo,om),in.ddnh blh.con of.ohp.Bllioll. drrEEd a pbviH forllE Scrion ]076 ol
$c Lrtoico&. int.E r 5rd lomy'! fd.
LlcEtsI[tollSacl0Sl-Drcuaar&!
I h.cby lllim $dd rlMly of p.ru,y rhtl I u li6ed u.dd pmvnio. of Cn pt( I (@lE@eins eitb setion ?000) or Divhion I of
lL B!IiIB md Prcf.*ioN Co&, .d my licm n in ftU foE. .,n .f,dt.
qAAEIf,IJCJIANIIBIIICIGIXqI
I h.Eby.mrm un.lcr D.mliy of n€dury rhd $.r. is. sn rrucrio. l.ndins .s.my t r thc psfomnc.of lh. wort for which rhis r.rd r
ku.rl (Ss 11197, Civ C.)
AITUCAT].TDIiCIASAIIITN
Dcho[rion P.rnnsAsb.rosNonncorion lr.deral Rcrn hrn'$ (1nL 40, Pdd 6)
Reqxt d lr(rotNonficari.n
_l c.n ify ihd
'h.
f.n ,.l rcg!,ohN ESsding $n iloi Enrhl rE mt .mlicabl. lo fiis pmlct
I c.dify rhar I h!v. rcld rhii rFl,licarion lrd ilar.lh. !tbv. inform.tion ir @ftcr I alrc lo conply sirh rll cily ud Counly
ordimm* and st . L.ws Elo{in8 nd hd.by aurhorn! rrR.nlrtiv.s of lhis Cny .nd Co!trly lo dl6 lrrn lh.
alElc 'ncnlhn d DmrEny aor
,o,.* *,*lo,r*u,*_
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 Release
Final Civil Cert.
/_
FINAL b-7-tK }r.Wlb
Notes, Remarks, Etc.
Dlt : Co r.cror:
N)1..t6 l)./
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