HomeMy WebLinkAbout101105169 - Permitt
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
. Clfy of Santa Ana
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O11O5{69
Pin #: 6004{
Project Address: 2225 1l2W Downie Pl-a-
Assessor's Parce!: 399-153-09 Lot: 108
Unit:BIdg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 2419 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Accessory Dwelling Unit-Detachec Occupancy:
New Constr Type:
ADU Code:
Sfd w/att garage Flood Zone'.
Sfd w/att garage w/det ADU # of Stories:
R-3
VB
cBc 2019
x-0602320144J
1st FL Area 748
2nd FL Area
Other Areas:
Garage Area
Totat T4B
Patio: 51
T.l.Area:
Yards Req'd
Valuation: $90,000.00
O€cription of Work Construct detached ADU to includo (2) bedrooms, (2) bathrooms, kitchen, living rcom, laundry area and porchlccusD*o578o
Planning Conditions: AII materials to match existing
a Hai Nguyen
2225 W Downie Place
Santa Ana, CA 92706
(7141 258-6943
Contractor: NT&M
Address: 23526 Cavanaugh Rd
Lake Forest, CA 92630
Phone: (7141 706-2824
State Lic #: 1030481
Lic Type: C-10
Bus. Lic #: 367442
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9231543
Expires: 0 511712021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
VP Home
Ben Phan
11541 Elizabeth Street
Garden Grove, CA 92840
(7141 251-4537
57550
Albert
Albert
8563 Amazon River Circle
Fountain Valley, CA 92708
(7141 858-5959
i
Owner.
Address:
Phone:
Tenant
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Soto, Ricardo
VCA Consultants
Hernan dez, Kathy
No
Date: 0211112021
Date: 02109l,2021
Date: 0212512021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
74930
Total
07776002
07776002
07776002
08907007
07776002
0 77760 0 2
07776002
s7607
s3600
57770
24000
57672
5760 0
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
I ssuance
Fee Totat
Paid to Date:
Balance Due:
$643.68
$942.68
$40.50
$1 1.70
$4.00
$23.79
$se.30
$1 ,725.65
$942 68
$792 .gi
PWA !nsp. Req'd: No
Planning lnsp. Req'd: Yes t
Fire lnsp. Req'd:
lPolice !nsp. Req'd:
Noyes Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 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
08901001 24000
$23.79
$702.98
$4.00
$40.50
$1 1.70
L.
lnspector MID#: 2020-162347
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNERBUILDERDELCARATION \
I hcrcby allirm undcr lrcnally ol Frjury that I am cxcmpt from thc Conlract)s' Liccnsc lraw for thc lirlkrwing rcapn (icc.70Jfi
Busilcss ud Profcssion CqIc): Atry City or County which rcquircs a lErmt l{r ?ofisttucI. allcl improvc. rlcmlish or rc[dr ily
sIructurc, ltrirr kr its issuarec, also rcquircs thc applicant for such lErmit kr filc a signcd statcmnt that hc or she is liccnsd pursuant
to thc lr]v$ions of thc Contractor's Liccnrcd tav (Chaptcr 9, Comrcncing uith Ssrion 7000 of Divisi(rn .J of thc Busincss and
Prutbssi(rns Code) or that hc or shc is cxcmpt thcrcliom and thc b.sis for thc allcgcd cxcmption. Any violalion of Sclion 703 1.5 by any
applicant lor a Frmit subjccts thc applicant kr a civil pcnalty of not morc than tivc hufrkcd dollaff ($500).
_1, as owncr ol'thc propcrty, or my empk)yccs with wagcs as lhclr solc compcnsalion, will do thc work arxl thc structurc is not
intcrxled or oll'crcd firr salc (Sec.7044, Busincss and Profcssions Cule: The Conlractor's Liccnsc [-aw drtcs not apply lo an owner of
thc pn)pcrty who builds or impn)vcs thcrc()n. and wtxr drrcs such wort himsclf or hcrsclf or through his or hcr own cmployces.
providcd that such improvcrncnts are not intcndcrl or ofl'crcrl tirr salc. lf, lxrwcvcr, thc buikling or improvcnrcnt is sokJ within onc ycar
of comphtion. the Owncr Buikler will havc thc burdcn ol'proving that hc or shc did rxrt buikl or improvc thc pnrpcrty for the purgxrsc of
sak).
_1, as ()wncr of thc profrcrty. am cxclusivcly contracting with liccnsed contractors to construct the projcct (Scc. 7(W, Busitrcss
and Pnrlbssion Codc: The Contractor's Liccnsc Law does not apply to an owncr of property who builds or improves thercon,
and who contracts lirr such projccts with a Contractor(s) liccnscd pursuatrt to thc Grntractor's Licensc Law).
_l am cxempt untlcr Scction_, B. & P.C. tbr this rcason.
Date:
WORKERS' COI\T PENSATION
DECLARATION
I hercby all'irm unrlcr pcnalty of perjury onc of thc lirlhrwing dcclarations:
_l havc and will maintain a Ccrtilicate uf Conscnt to Sclf-lnsure tbr workcrs' comJrcnsation, as providcd tirr by Scction 3700 of thc
Labor Codc, lirr thc pcrlirrmancc of thc wurk lirr which the Jrcrmit is issucd.
_l havc and will maintain workers' comJrcnsation insurancc, as rcquircd by Scction .17fi) of thc Labor Codc, lilr the Jrcrtirrmancc of
thc work lirr which this ;rcrmit is issucrl. My workers' compensation insurancc carricr and grlicy numbcr arc:
Policv Numhcr: Exnires:
_l certily that in thc pcrlilrmance of thc wrlrk lirr which this Jrcrmit is issuctl, I shall not employ any [rcrson in any manncr
so as to bccomc subjcct to thc workers' comJrcnsation laws of Calitirrnia, and agrcc that if I should bccomc suh.icct to thc
workcrs' compcnsation provisions of Scctkln 3700 of thc Latxlr Culc, I shall, lirrthwith comply with thosc pnrvisions.
WARNING: Failurc to sccurc workcrs'compcnsation covcrage is unlawt'ul, and shall subjcct an cmploycr to criminal Jrcnaltics and
civil lincs up to onc hundrcd thousand dollars (S100,Urc), in adtlition lo thc cost of comJrcnsation, damagcs as providcd for thc
Scction -1076 of thc Latxlr Culc, furtcrcsl and attorncy's
D,rc,;u+ r88{
DECLARATION
I hercby allrm undcr Jrcnalty of pcrjury that I am liccnrctl under provision of Chaptcr 9 (commcncing with Sectkrn 7U)()) of Division 3
of thc Busincss and Prol'cssions Codc, and my liccnsc is in full torcc and cll'cct.
Liccnsc lo,l0 AIl
W
I hcEby atlirm undcr lEnalty of Frjury that thm is a constructbn bnding a8cfty for thc Frfomet of thc work for which this Jsmit is
issucal (Scc. 3(x)7, Civ. C.).
[-cndcr's Namc:
l.cndcr's Addrcss:
APPLICANT DECLARATION
I trcrcby allirm undcr Jrcnalty of Jrcrjury one of thc lirlkrwing dcclarations:
Dcmolition Pcrmits-Asbcstos Notitication Fcrlcral Rcgulations (Titlc 40, Part6)
_Rcquircd lrttcr of Notification
_l ccrtily that thc l'cdcral rcgulations rcgarding asbcstos rcmoval arc rx)t applicahlc to this projcct.
_l ccrtily that I havc rcad this application and statc that the atxrvc inlirrmation is corrcct. I agrcc to conrply
represcntativcs of this City
with all City and County
and County lo cnter up)n thcordinanccs and Slatc Laws relating to building
atxlvc mcnlroncd proprty ti)r
Applicant or Agent
IPennitee nanre
ion. and hcrcby authorizc
- 902.,1
Set Backs y',zz r'71 /',cz,7 ^aDForms/Steel/Holdowns TIMlfr I ?hilil1 igo
Erection Pads I I I I .a-
UFER Ground a
SLAB Floor TlMlat ,frhth
Su bf loor/VenUI ns u Iation
Roof Sheathinq \f r-?, I nr*7"h
Shear Wall ,),/ lJ n '-/
Framing
lnsulation/Enerqy \-- 2{&l h.?4 il\
Drywall I )- 47-Y*)
EftVlnt. Lath {.3o4 ?c ?r
Efrown Coat -/
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL I '.Ct>Je_145 ryl
Certificate of Occupancy
Notes, Remarks, Etc.
Flr:rr nP=n7 3fi1 q,
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