HomeMy WebLinkAbout1337 S Huron Dr & Unit #2 - PlanGN-1
OM
DESIGNS
Drafting Designs
Consulting
1754 MAGNOLIA ST,
LOS ANGELES, CA
323-382-1055
BY:OSCAR MARTINEZ
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SECTION VIEW
DATE: 10/05/2021 DESIGN NO. UL U305
5
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USG Corporation
550 West Adams Street
Chicago, IL 60661-3676
800-874-4968
ASSEMBLY REQUIREMENTS:
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EX. 1-STORY
SINGLE FAMILY
(1,664sf)
EX. GARAGE TO
A.D.U. 602sqft
1337 HURON DR.
UNIT #2
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NEW WATER HEATER
EX. A/C CONDENSER
ELECTRICAL PANEL
EX. GAS METER
WATER METER
EX. 1-STORY
SINGLE FAMILY
(1,492sf)
ADDRESS # 1337 HURON DR
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ELECTRICAL PANEL
EX. GAS METER
WATER METER
NEW WATER HEATER
W/ ENCLOSURE
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EX. APRON
(NO WORK)EX. APRON
EX. WATER HEATER
NEW A/C
CONDENSER
ROOF EAVE
LINE
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DOOR SCHEDULE
WINDOW SCHEDULE CGN-1
CGN-1
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DESIGNS
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w/ 2 rows of 8d @ 12" o.c. to sistered 2 -2x
OMDESIGNS
Drafting DesignsConsulting
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OMDESIGNS
Drafting DesignsConsulting
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MST 37
ST
8"24"
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DESIGNS
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A35 @24"o.c
2X4 STUD @ 16"o.c.
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STUCCO
24 A
W/1-16d @ 6"o.c.
Ø
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ENGINEERING CALCULATIONS
BY: ARMANDO MEDINA, P.E.
LIC. NO. C-83911
EXP. DATE: SEPTEMBER 30, 2027
PROJECT:1337 S Huron Dr Santa Ana, California 92704
DATE 3/4/2026
Building Information
Overall Building Width Y-DIRECTION 51 ft
Overall building Length X-DIRECTION 55 ft
Plate Height 1st Flr. 8 ft
Parapet (if applicable)0 ft
Roof Pitch :22.6 deg.
Peak Roof Height 10.625 ft
Mean Bldg. Height 11.5 ft
Vertical Loads
DL LL (reduceable)
Roof 15 20 psf
Floor 12 40 psf
Ceiling 12 10 psf
Wall 12 psf
Structural Dead Loads
Roof Area 2618 sqft
Roof DL 39270 lbs
Floor Area
Floor DL
(T)(L)
Length of Wall 102 110 212 ft
Wall DL 4896 5280 10176 lbs
Total Structural DL 49446 lbs
6 psf 2.5 psf
1.5 psf 1.5 psf
2.4 psf 1.9 psf
0.5 psf 1.5 psf
1.5 psf 7.4
11.9 10 psf
12 psf
SAY
SAY
Insulation
1/2" Plywood (3psf *1/2 in.) 15/32" Sheating
Framing (2x10@16" o.c.)Framing (2x8 @16")
Insulation
15/32" Sheating
Wall
Drywall (1/2in., 5psf*1/2in.)
Dead Load
Roof
Roofing (clay tile)
(1-Story)
12
STRUCTURAL CALCULATION
Convert ex. Attached garage to ADU
1337 S Huron Dr Santa Ana, California 92704
5
2/16
1337 S Huron Dr Santa Ana, California 92704
Table 1-1 & 11.5-1
Table 12.2-1
Section 11.4.1
Section 11.4.1
Table 11.6-1 & 2
Table 11.4-1
Table 11.4-2
Equation 11.4-1
Equation 11.4-2
Equation 11.4-3
Equatjion 11.4-4
Table 12.8-2
Table 12.8-2
Equation 12.8-7
Table 12.8-1
Section 12.8.2
Section 12.8.2
Figure 22-15
Section 12.8.2
Section 12.8.2
Strength 11471 lbs
ASD 8030 lbs
9222 lbs
11471
11471
Long-Building Transition Period (sec)8
Period (sec)0.21
Seismic Response Coefficient, Cs 0.178
0.188Approximate Fundamental Period (sec), Ta
Coefficient for Upper Limit 1.4
Actual Building Period n/a
Upper Limit on Fundamental Period 0.294
Combination of Load Effects
1.2D+1.0E+0.5L+0.2S
0.9D+1.0E
Earthquake Force
Long:-117.906398
Importance Factor 1
Response Factor 6.5
Short Period Reponse Acceleration, Ss 1.49
1 Sec. Response Acceleration, S1 0.56
Seismic Design Category D
Site Coefficient, Fa 1
1Site Coefficient, Fv
Max Considered Short Earthquake, Sms 1.74
Wind Force
Base Shear Determination
X- DIRECTION
Y - DIRECTION
max
lbs
lbs
Seismic Load
1.3 rho
System Overstrength Factor 2.5 Ωo
Deflection Amplification Factor 4 Cd
Reliability Factor
Max Considered 1 Second Earthquake, Sm1 1.23
Spectral Response Acceleration, Sds 1.160
spectral Response Acceleration, Sd1 0.820
Period Parameter 1, Ct 0.02
Period Parameter 2, x 0.75
Lat: 33.729298
3/16
4/16
ASCE 7-16 Design Wind Pressure - Envelope Procedure
Risk Category II (low risk)
Exposure C 1
Dimensions X (ft) Y (ft)
51 55
Mean roof Ht 11.5 ft
Elevation 59.982 ft above sea level
wind speed (V) 95 mph ok
Roof slope rise 5 run 12
θ = 22.631 deg not flat roof
Kzt 1
Ps30 - Fig. 28.5-1
A B C D E F G H Eoh Goh
θ = 20-25 deg 18 2.9 13 3 -8 -10.9 -5.8 -8.7 -14.9 -12.7
λ= 1.35
𝜆
Adj. Zone Press. A B roof C D roof E F G H Eoh Goh
θ = less than 15 deg 24.3 3.9 17.6 4.1 -10.8 -14.7 -7.8 -11.7 -20.1 -17.1 Ultimate (psf)
14.6 2.3 10.5 2.4 -6.5 -8.8 -4.7 -7.0 -12.1 -10.3 ASD (psf)
*roof - horizontal pressure on the roof
Base Shear (ASD)
Case A (long dir,max)9222 lbs Y-direction
Case B (narrow dir. max)8551 lbs X-direction
Vert Pressures Overhang Pressures
Horz Pressues Vert Pressures Overhang Pressures
Horz Pressues
5/16
SHEAR WALL SCHEDULE
TYPE 1:15/32 OSB w/ 8d @ 4, 6, 12 - 5/8 diam AB @ 48 in
FRAMING PLAN
6/16
1337 S Huron Dr Santa Ana, California 92704
Lat: 33.729298
Long:-117.906398
a. [§1603.1.2 CBC] Roof Live Load =20 psf
(No Live Load Reduction)
b. [§1603.1.4 CBC] Wind Design data:
Basic Wind Speed =95 MPH
Wind Importance Factor II= 1.0
Wind Exposure(s) = C
The Applicable Internal Pressure Coefficient =
Adj. Zone Press.A B roof C D roofE F G H
less than 15 deg 24.3 3.915 17.55 4.1 -11 -14.7 -7.8 -12
Design Wind Pressure(s) for Components
And Cladding =
Adj. Zone Press.Eoh Goh
-20.1 -17.1
c. [§1603.1.5 CBC] Earthquake Design Data:
Seismic Importance factor I = 1.0
Occupancy Category = II
Mapped Spectral Response Accelerations,
Ss =1.49
S1 =0.56
Site Class = D
Spectral Response Coefficients,
SDS =1.160
SD1 =0.820
Basic Seismic - Force Resisting System(s) =D
Design Base Shear =0.178 W
Seismic Response Coefficient(s)Cs =0.178
Response Modifications Factor(s), R = 6.5
Analysis Procedure used:EFP
7/16
658 sqft 6 ft
6 ft
6 ft 25%
ft 1.00
12 240 plf
USE:
11533 lb-ft
Roof Ceiling Floor Wall
Trib. Loading Wall 3 3 0 4 ft
Moment-Resisting 810 648 0 1080 lb-ft
2538 lb-ft
0.14*SDs=0.2352
MRnet=1687 lb-ft
T/C=1641 lbs
USE:HDU2 with 4x4 post
1229 sqft 5 ft
10 ft
5 ft 47%
ft 1
15 359 plf
USE:
14361 lb-ft
Roof Ceiling Floor Wall
Trib. Loading Wall 8 8 0 4 ft
Moment-Resisting 1500 1200 0 750 lb-ft
3450 lb-ft
0.14*SDs=0.2352
MRnet=2294 lb-ft
T/C=2413 lbs
USE:HDU2 with 4x4 post
15/32 OSB w/ 8d @ 4, 6, 12 - 5/8 diam AB @ 36 in : TYPE 1
Gross MO:
Gross MR:
MRnet=MR*(.9- 0.14*SDs)
Percentage of Area:
Aspect ratio factor:
Total:Shear Stress:
Line of Resistance:X2
Trib. Area:Length of Narrowest Pier:
Length of SW:
Shear Wall Design
Direction:X-DIRECTION
Level:Roof
Gross MO:
Gross MR:
Reduction Factor:
MRnet=MR*(.9- 0.14*SDs)
Trib. Area:
Length of SW:
15/32 OSB w/ 8d @ 6, 6, 12 - 5/8 diam AB @ 48 in : TYPE 1
Reduction Factor:
Total:
Shear Wall Design
Direction:X-DIRECTION
Level:Roof
X1
Length of Narrowest Pier:
Percentage of Area:
Aspect ratio factor:
Shear Stress:
Line of Resistance:
THIS PAGE INTENTIONALY BLANK
819 sqft 9.5 ft
9.5 ft
ft 31%
ft 1
9.5 378 plf
USE:
28709 lb-ft
Roof Ceiling Floor Wall
Trib. Loading Wall 13 9 0 4 ft
Moment-Resisting 8799.375 4873.5 0 2707.5 lb-ft
16380.375 lb-ft
0.14*SDs=0.2352
MRnet=10890 lb-ft
T/C=1876 lbs
USE:HDU2 with 4x4 post
476 sqft 6 ft
6 ft
ft 18%
ft 1
6 348 plf
USE:
16686 lb-ft
Roof Ceiling Floor Wall
Trib. Loading Wall 9 9 0 4 ft
Moment-Resisting 2430 1944 0 1080 lb-ft
5454 lb-ft
0.14*SDs=0.2352
MRnet=3626 lb-ft
T/C=2177 lbs
USE:HDU2 with 4x4 post
Shear Wall Design
15/32 OSB w/ 8d @ 4, 6, 12 - 5/8 diam AB @ 36 in : TYPE 1
Gross MO:
Gross MR:
Y-DIRECTIONDirection:
Trib. Area:Length of Narrowest Pier:
Length of SW:
MRnet=MR*(.9- 0.14*SDs)
MRnet=MR*(.9- 0.14*SDs)
Shear Wall Design
Direction:Y-DIRECTION
Level:Roof
Y3
Length of Narrowest Pier:
Line of Resistance:
Trib. Area:
Length of SW:
15/32 OSB w/ 8d @ 4, 6, 12 - 5/8 diam AB @ 36 in : TYPE 1
Gross MO:
Total:
Percentage of Area:
Aspect ratio factor:
Shear Stress:
Reduction Factor:
Reduction Factor:
Gross MR:
Percentage of Area:
Level:Roof
Line of Resistance:Y4
Aspect ratio factor:
Total:Shear Stress:
GRAVITY ANALYSIS
Job Settings
Building Code IBC 2021
Connector Manuf.Simpson
Load Duration
Floor 1
Roof 1.25
Snow 1.15
Wind 1.6
Seismic 1.6
Risk Category II (Residential)
All Buildings and other structures except those listed in Categories I, III and IV
Seismic Loading
Overstrength Factor (Ω0)2.5
Design Parameter at Short Periods (SDS)1.160
Seismic Design Category (SDC)D
Headers per T-R602.7(1)
Roof Rafters per T.2308.10.3(2)
Roof
Member Name Results (Max UTIL %)Current Solution Comments
Ceiling: Attic Joist Passed (71% M)2 piece(s) 2 x 10 DF No.2 @ 24" OC
Huron_1337
JOB SUMMARY REPORT
ForteWEB Software Operator Job Notes 3/5/2026 1:11:28 AM UTC
Armando Medina
ARME/AMF
(323) 679-3802
armandomedina1@gmail.com
ForteWEB v4.0
File Name: Huron_1337
1337 Huron Dr
Page 1 / 2
Design Results Actual @ Location Allowed Result LDF Load: Combination (Pattern)
Member Reaction (lbs)522 @ 2 1/2"6563 (3.50")Passed (8%)--1.0 D + 1.0 L (All Spans)
Shear (lbs)465 @ 1' 3/4"3330 Passed (14%)1.00 1.0 D + 1.0 L (All Spans)
Moment (Ft-lbs)2415 @ 9' 8"3417 Passed (71%)1.00 1.0 D + 1.0 L (All Spans)
Live Load Defl. (in)0.273 @ 9' 8"0.946 Passed (L/831)--1.0 D + 1.0 L (All Spans)
Total Load Defl. (in)0.491 @ 9' 8"1.261 Passed (L/462)--1.0 D + 1.0 L (All Spans)
Member Length : 19' 4"
System : Ceiling
Member Type : Attic Joist
Building Use : Residential
Building Code : IBC 2021
Design Methodology : ASD
Member Pitch : 0/12
•Deflection criteria: LL (L/240) and TL (L/180).
•Allowed moment has been multiplied by 0.97 for the beam stability factor and 1.10 for the volume/size factor.
•Applicable calculations are based on NDS.
• Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed.
Bearing Length Loads to Supports (lbs)
Supports Total Available Required Dead Floor/Ceiling
Live Factored Accessories
1 - Stud wall - DF 3.50"3.50"1.50"232 290 522 Blocking
2 - Stud wall - DF 3.50"3.50"1.50"232 290 522 Blocking
Lateral Bracing Bracing Intervals Comments
Top Edge (Lu)4' 6" o/c
Bottom Edge (Lu)4' 6" o/c
• Only vertical loads are available for Attic Joist member types. No tension loading will be considered in the design for these members.
Dead
Floor/Ceiling
Live
Vertical Load Location (Side)Spacing (0.90)(1.00)Comments
1 - Uniform (PSF)0 to 19' 4"24"12.0 15.0 Default Load
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties
related to the software. Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction. The designer of record, builder or framer is
responsible to assure that this calculation is compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third-party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC-ES under evaluation reports ESR-1153 and ESR-1387
and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/
document-library.
The product application, input design loads, dimensions and support information have been provided by A.Medina
Weyerhaeuser Notes
Drawing is Conceptual. All locations are measured from the outside face of left support (or left cantilever end). All dimensions are horizontal (typ.).
MEMBER REPORT PASSED
Roof, Ceiling: Attic Joist
2 piece(s) 2 x 10 DF No.2 @ 24" OC
ForteWEB Software Operator Job Notes 3/5/2026 1:11:28 AM UTC
Armando Medina
ARME/AMF
(323) 679-3802
armandomedina1@gmail.com
ForteWEB v4.0, Engine: V8.4.5.1, Data: V25.26.55.57
File Name: Huron_1337
1337 Huron Dr
Page 2 / 2
O R A N G E C O U N T Y F I R E A U T H O R I T Y
Plan Submittal Criteria Form
Required for Single Family or Duplex Residences
(Use Commercial form for lots with 3+ dwelling units or new residential tracts)
Complete the Project Information and Questionnaire below, then sign and date the Applicant Certification.
Project Information
New Single Family Residence/Duplex Addition/Remodel ADU Other
Address:
Unit #: City or Unincorporated County Area: ZIP:
Scope of Work:
Existing
Area:
Area to
be Added:
Total Resulting
Area:
Stories: Area Added in Past 2 Years
(excluding this project):
Yes No Questionnaire OCFA Plan Type if “Yes”
1. New – Is this a new single family residence or duplex? *(PR160) Residential Site
with Water Availability
(PR400-402) Fire Sprinkler
2. ADU – Is this a new Accessory Dwelling Unit (ADU) on the same property as a house that already has
fire sprinklers or a house that will have fire sprinklers added as part of this project?
(PR400-402) Fire Sprinkler
3. Addition – Is this (A) an addition to a currently sprinklered building, or (B) an addition requiring a fire
sprinkler retrofit based on a threshold set by local ordinance?
(PR400-402) Fire Sprinkler
4. Distance – Is the most remote portion of the addition, ADU or other detached structure greater than
140-feet from the fire access roadway?
*(PR160) Residential Site
5. Total Area – Will the addition result in a total area of greater than 3,600 square feet (sf) for non-
sprinklered buildings, or greater than 6,200 sf for sprinklered buildings, including the area of all
enclosed spaces, such as garages, stairs, and detached structures separated by less than 10-feet?
*(PR160) Residential Site
with Water Availability
6. Remodel – Is this a remodel of a sprinklered building with a scope of work that includes adding or
removing any interior walls? Note: If “Yes”, then project must be evaluated by a C-16 licensed
contractor to determine if a fire sprinkler modification is needed.
(PR400-402) Fire Sprinkler
7. Detached Structure – Is this a new detached utility or accessory structure (not an ADU), such as a
garage, workshop, game room, pool house, barn, etc., requiring fire sprinklers based on a threshold
set by local ordinance?
*(PR160) Residential Site
(PR400-402) Fire Sprinkler
8. Gate – Is a gate being installed across a driveway or road that is designated as a fire department
access roadway, or a driveway or road that serves more than a single home/duplex?
(PR180) Gate
9. Methane – Is project located in or less than 100’ from a “Division of Oil, Gas, and Geothermal
Resources” (DOGGR) field boundary or well (active or abandoned), less than 300-feet from an oil/gas
seep, or less than 1000-feet from a landfill? (Note: For projects in Yorba Linda, this requirement only
applies to new homes, enclosed accessory structures, addition to existing structure greater than 1000
sf, and ADU’s).
*(PR160) Residential Site
*(PR172-174) Methane
Test/Mitigation Plans
10. Vegetation – Is the property/structure (A) on the perimeter of a community containing, or adjacent to
slopes or hills, or (B) adjacent to an open space or wildland area containing non-irrigated vegetation,
or (C) in a State Responsibility Area or Local Responsibility Area “Fire Hazard Severity Zone”, as
defined by the State, or (D) near an area that could be affected by a wildfire in the open space.
*(PR125) Fuel Modification
(PR182) Accessory
Structure
*OCFA approval required before issuance of a grading/building permit. All other plans types may be deferred submittals.
Applicant Certification
I certify, under penalty of perjury, under the laws of the State of California, that the information above is true:
Print Name:_______________________________________ Signature:___________________________________________ Date:______________
Phone Number:_____________________________________________ Email:_____________________________________________________________
Attention Building Department Staff – After you’ve verified all questions were answered accurately as “No”, then you may accept this signed form as a
written release that an OCFA review is not required. If any questions were answered as “Yes”, then the plan type on the right side may be required.
______If all answers are “No” and the Building Department still requires the applicant to have their plans reviewed by OCFA, or if any answers are “Yes”
and the Building Department prefers for OCFA to determine if a review is required, please initial this line and provide an explanation on the Plan Referral
Form (on the reverse), to be submitted along with the appropriate plans to OCFA for a determination.
For questions and submittal information, please visit ocfa.org, or call OCFA at (714) 573-6100
SFR
APP-13 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvem ents
specified at ___________________________________________________________________________________________.
We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your names as the Owner -Builder.
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this
form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owne r,
obtain the prior approval of the permitting authority.
OWNER’S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
_____1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an “Owner -Builder” build-
ing permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and
his or her employees while working on my property. My homeowner’s insurance may not provide coverage for those injuries. I
am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop-
erty.
_____2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
_____3. I understand as an “Owner-Builder” I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead o f my
own.
_____4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbe rs
on permits and contracts.
_____5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total
value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
“employer” under state and federal law.
_____6. I understand if I am considered an “employer” under state and Federal law, I must register with the state and federa l
government, withhold payroll taxes, provide workers’ compensation disability insurance, and contribute to unemployment com-
pensation of each “employee.” I also understand my failure to abide by these laws may subject me to serious financial risk.
_____7. I understand under California Contractors’ State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontrac-
tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contr act
with a licensed general building Contractor.
_____8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any f inan-
cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workma n-
ship or materials.
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.org
_____9. I understand I may obtain more information regarding my obligations as an “employer” from the Internal Revenue Ser-
vice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi-
sion of Industrial Accidents. I also understand I may contact the California Contractors’ State License Board (CSLB) at 1 -800-
321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
_____10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following ad-
dress:_________________________________________________________________________________________.
_____11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
____12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the informati on I
have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a
license, the Contractors’ State License Board may be unable to assist you with any financial loss you may sustain as a result of
a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to underst and
that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contactors, you will be responsible for verifying
whether or not those Contractors are properly licensed and the status of their workers’ compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned
to the agency responsible for issuing the permit. Note: A copy of the property owner’s driver’s license, form notariza-
tion, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the
property owner’s signature.
Signature of Property Owner _____________________________________________ Date: ______________________
Print name of Owner __________________________________________________
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER’S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):_______________________________________________________
Project Location or Address: ____________________________________________________________________________
Name of Authorized Agent: _____________________________________________________________________________
Address of Authorized Agent:__________________________________________________________________________
Phone Number of Authorized Agent: ______________________________________________________________________
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy.
Property Owner’s Signature: __________________________________________________ Date:______________________
Print Name of Owner: ______________________________________________________________
Note: A copy of the owner’s driver’s license, form notarization, or other verification acceptable to the agency is re-
quired to be presented when the permit is issued to verify the property owner’s signature.
CERTIFI'Ar I
Planning and Building Agency
•
SAUSD Developer Fees
of
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SANTA ANA UNIFIED SCHOOL DISTRICT
ed
FOR PERMIT ISSUANCE
SCHOOL FACILITIES FEE CERTIFICATION OF COMPLI NCE
AND
RECEIPT FOR PAYMENT
FOR
Project Number: PRJM3277778
Project Request ID0
: RTCVKV FWQ
Request Contact: Vicky Juarez (OWNER)
Job Location I Address:0
1337 s Huron Dr, Santa Ana, CA 92704
Permit Issuing Office: City of Santa Ana
Master ID:
Date.
This is to certify Ihat all fees due to the Santa Ana Unified School Iistrict under Provision of Government Code Section
65995 as a prerequisite to the issuance of a Building Permit have been received
iithis Certification informaton,s hereby Executed.
PMT=620573
Address
1337 s Huron Or, Santa Ana,
CA 92704
Permit Number
101126329
Development Type
Residential
based on the above referenced
Construction Type
Accessory Dwelling
Unit AD U)
6205734=Residentl*al Accessory Dwelling Unit ADU) fees as required in the amount of:
$5.17 [Rate] x 602 [Square FootageJ)
Address
1337 s Huron Dr, Santa Ana,
CA 92704
Permit Number
101126329
Development Type
Residential
Construction Type
Tear -Down /Rebuild
62057 esi en ia ear -Down e ui redit given as required in the amount of:
5.17 [Rate] x 172 [Square oo ageJ)
Developer Fees Paid:
Payment Method: CHECK: xxxx 3060
School District Representative
Square Feet
602
Square Feet
172
$3,112.34
$-889.24
29223siO
Check Date: 04/22/2026 09:02 am
Date: 04/22/2026