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HomeMy WebLinkAbout16-0542n CITY OF DIAMOND BAR ' ` ' ' ' " DEPARl1'MENTOF COMMUNITY& VELOPMENT tYICES ' 21810 Goptey Drive, Diamond Bar, CA 91765 PRESS 09) 839-7020 Fax, (909) 861-3117 Building Inspection Hotline (909) 939-7027 FIRMLY (9 BUILD�2 PERMIT APPLICATION www.eltya(dismondber.com building@diamondbarea.gov d08 SITE ADDRESS a t42,�— £"'' i a `piftj4 viL-t (zv J oa OWN NflER f ......� APDGESS _ LOT TRACT fz CITY 11 ZIPILAS-TEL •- 10-17 l APPUCANT TEI. 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LEERS NAME. — I >ADORESS I unify mat l late reed so exem an was sMb to Fee aikma Is aced. l aOeO to emaly with AN city ad aedkaam and IM lives mama in bwlalp aas hwbnamtalm mpem"md the madam a man thesaps mmedmD lkMA'4 kN Papa fDn 3 0 PO M TEE MATE Inns} SIGNARRE OFSERM TTEE DATE APPLICATION DATE 1ee71dt!/Itj mte —r . 6 ! o2 ISSUE DATE PERMITO TYPE oowr Li/}M,,-. - i'W occ GROUP Scope of Work �tJ tt�4"Vw) �t?ypiL1 i' "5t f' P DWEL UNITS It STORIES - a BEDROOMS DES RIPTION SO FT FACTOR PSF ADQ AREANALUATION .- r3sra6aE%e1Pert Pe9FOVPok ...... LL POOVSpe Z_ Res RD, 9 Gmanerda m YarFPallort L7Anil Area QUANTITY OESCRIPTION FEE 0 eD � 5 s1 CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL.. INSPECTION FEE LSSUANCE _ SMIP ENERGY PIC ,S'AA icy ENERGY PERMIT ._ cI fi RETENTION FEE PRE-ALT FEE BASF PLOT PLAN ZONING CLEARANCE.(�•L�^ar?. 77 TOTAL FEES u ! /. It• COMMENTS PA: PAID BY d VAUDAITCN _. RECEIPT a PAID 13Y YAUDATION _ E—DaPatneml Copy. YEUDW—Rnatcer Copy. PINK —Answer r Copy cs- wcw-- a y k A 3v, �S; met ",co� wwPv- 1 poO :S Noch-j:r,� C&%" M of- lam ` �q r- Rz4 du,S , 1u,,etb City of T,"> ! n' Los Angeies Uniform Code Program Uniform Procedure I-7: Special Inspections Special Inspection Report the Contactor for conectim►. if cmretdons are not made in a tis8 reportto Buodtng Ot pmtit erd and uples M Colstrach+r. Engineer! timely manner, dds report shoo be used as a discrepancy nodee. An.l>steCt drecord and Owner no later than the business day logawing Submd the orlglnai to BuBding Departlsent and copies to I the conclusion of tine special Inspection, For inspections greater than 5 Type of Inspectlant • Rehfiarced Concrete 0 Suucbzw m3sonay o Piling, Piers & Calssons a Smake Control • Prestress4lPost-tansloned aSolb ConaftMasonry at P.and Fills Energy • Y/ ± i• i Insulating• IDate Arrived Departed Descrlptlion and Location of Work Inspected s J J / / 1 +y X rnj } Remaukst ( , t c — C =rt 8'f t'i,C� /1'/�20 I HEREBY DECLARE THAT THE FOLLOMMO 13 TRUE TO THE BEST OF MY KNOWLEDGE : AX OR MY COMPANY IS, RETAINED BYTHE OWNER OR THE ARCHITECTIENOItiEER OF RECORD TO PROVIDE SPECIAL. INSPECTION FOR THE WORK COVERED IN THIS REPORT. 11 HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE 3. THE WORK COVERED IN THIS REPORT IS INCONFORIAARCETOTHE APPROVED PLANS, SPECIFICATION$AND APP:ICAMN WORKMANSHIP PROVISIONS OF THE COOP, EXCEPTAS INDICATED OTHERIMSEY Signature. Gate S "� - Huan Van Sul, Oeputy Inspector Los Angeles Regional Uniform Code Program "Crr.. °' Committee I-3 Structural Observation LARUCP "b. STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approvec plans and specifications, at significant construction stages and at completion of the structural system Structural observatior does not include or waive the responsibility for the inspections required b Section 108, 1701 or other sections of the code Report No This report Includes all construction work through —I— day of hb 20A Page No � of Project Address 1 IQ� l A4k1C")B0V Structural Observer of Record (SO Phone No of SOR dPz 4v ; rn'd K4, pJ ?cl Building Permit No Structural Observation performed by Professional Li/Reg t of Observer Phone No of Observer uPr C MXP-r' OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED, IF NOT WHOLE ❑ Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑ CUn Lrete ❑ Mat Foundation ❑ Masonry ❑ Steel Braced Frame ❑ Steel Deck ❑ Caisson, Piles, Grade Beams Cl Wood ❑ Concrete Moment Frame ❑ Wood ❑ Retaining Foundation Hillside Special Anchors ❑ Other ❑ Masonry Wall Frame ❑ Others ❑ Others ❑ Others OBSERVED DEFICIENCIES p0 V 1 D 'CYO � 7 '�t✓trw 8� h/ an OyCti Yp UnOIA�: c r, I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE 1 1 AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS TY OR COUNTY HAVING JURISDICTION 2 I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER ESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT TRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH OVED PLANS AND SPECIFICATIONS, 7 ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE, 4 1 RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE JURISDICTION IBE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED 2� GGHUE/yL, NO C 68688 z ClvlI- Q- OF CA��F� STMIP OF STRUCTURAL OBSERVER OF RECORD (Revised 10/29/2002) ised Los Angeles Regional Uniform Code Program Committee 1-3• Structural Observation LARUCP STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVA77ON means the visual observation of the structural system, for general conformance to the approvec plans and specifications, at significant construction stages and at completion of the structural system Structural observabor does not include or waive the responslbulRy for the tnstons Aequirad b Section 108 1701 or other sections of the code r'a v ms nr o a 6—ram Report No p This report includes all Construction work through 3�— day of _ _ , 20,Li Page No --�— of 1 ra �v r OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED, IF NOT WHOLE ❑ Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑ Concrete ❑ Mat Foundation ❑ Masonry ❑ Steel Braced Frame ❑ Steel beck ❑ Caisson, Plies, tirade Beams ❑ Wood ❑ Concrete Moment Frame ❑ Wood ❑ Retammg Foundation Hillside Special Anchors ❑ Other ❑ Masonry Wall Frame ❑ Others I 0 Others ❑Others �.�..1 OBSERVED DEFICIENCIES 3r c4,1,*-r)X it eel p I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE I d AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS TY OR COUNTY HAVING JURISDICTION 2. 1, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER ESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT .7RUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH OVED PLANS AND SPECIFICATIONS, S ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE, 4 1 RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE JURISDICTION ISE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED, NOC6"" '?hol-vf7 STAMP DF STRUCTURAL OBSERVER OF RECORD MI