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.
CONTRACTOR G C e11,1,01 ^t
ADDRESS `� 1211 L� % a6j,P7 f j 3V J
CITY W!`''I-i ZIP JfF2 TEL
ARGNiENCiJ
DESIGNER
...'ADDRESS r
CITY t ZIP i TEL
OWN81.61mM DECLAPATM
I WAY harm WOR MWO Of Palest Nwf 1 ere seem, fit9 nh Cowda'e Sees lea» taw Er Pa assaw"
mmtod be" by me dwcwra") 1 4M OWN fxA m to swlhaNe Aemfs) t ocft I=.% 0426m eM
PmlS rotla An! a1Y a Wgnt1 alelrsA,res a Pemelt0 canehwlcy , Hlposa, , a . any
plats Ne mmaws� euPnpdrata fiweppOtgd rlir Bspamafe Iaee alpaeimbmPW that Ma W
b Ilcmaed puwwa0l m anearousroraMfne Cmo«ar'aSfr�ekeaeua Skappegl Cmae+mNpMaGKfimw
aiDlsawn3W168 Bm6mealPteTeafmaOedelIX Ma9wbamTtpt halldae Nd Paimbfa
inaakgmefnmPaO AmyslowllmaSeceon7ad15byaRr rota Paedr Palatsl�BpPRaeAmedaptaAy
a rot OIpYO k�Om hlNNed Oadae
at a9ne amRPc'Aahe is
emterim am ustaosmIsmseWmpelmdaywltlas{jetl�aUpptlpa
etfib waft.alit a19B Law10sal Interim ore Ia 'EffrsPasse erne anammadr waves
Ilm
Gamatem' Site Damao LeyEmeer Irstmmearms 14treted, tlnfereforwase I assom,#a b na
wris
almprasea Ns Sperry, padded rot eve o al Van On as tart der wW a seas, Id a of Ransil
ni, Ifs is m b a
Imaasmea b aMwdna maymr,oamPbam, deOPnm-WerMO calm fimbaden,paiM fit, kwmaM tmM
abllpawd b tlw Wryane, )
U1,ee owns of Ire earrerly, an ascluPWdy conlra0na all kineed COMM asWOW fine peenet redlm
7044-1tsanao W aroteseaa code The connector Wb Bards tmr don ra applg m en mass Of pnpary wM
bama6npraespaam adMemnsacb MCaptiePp ekw=dCatbardapaa IDVmCatatbW
trade taw>
{-lien ee:m Wfren ibmatrs utWane CaaedorY SmeUi lnenw W We MaWpmum"
BY any,Dnatum Wbw I acbehigde thK assets is IN 90- annews m abkh I mom Iaee me" fix d least awe
yea prim b annermm of the lmpraanssb cPyam by mis teens 404®d a meme" that l lees beltrem
WOW d h has not boss mtanldm in b m1saft by kmmtl caaaaa I ndadmd amf a MR, Of fine
spPO®ae law Sadem M44 at fine Racareve and PMasiaa IsP.adffile upon reWmst Mat the, apoaabw Iswumihetla aPm taaallnB Wm ale IAt{NnYw lednbespoet ehW pml
IICElra4a GONiaALTOP'IS OE'C'L4MT M
I aWm amen sassh', peRayemll ere as 11W1 s a Duper P lanmencitl arm Sedan Rem
a04MM3ofRaSonaWsseredactions CMd my i Is In hest meHITW
I CUSS US NO
DATE ' CORTRAMR
YflWIOa8COs7flErSATi�t DLnaARa11ON
IUUMM"W WIRPONALi1'EW 11"JOYONE0F1111FO OMaMDEDANATIp6
r lase end wa mern a CadOpm, Conmld b If tress fa Warl Compellmam a presided by
Secom 370O,kMLaw 4 Mr dw pabnWtos Na wakta eddtit se, pelmkie bNa3
_._-- I ham end we deting Wabr$CMPM30M Increases a reaaM be Sabeee 37M of fine Uses Dole to
One Dwtmmence d lMveak br w"@b Mom 11 moes My Watar'e Compeaslbo Wool Ower and
PPpcYNumbaua i
TAMER
POCY WiMBM r
(WAS SECTION NEED NOTE CDMRDED F DE PER)l IS fOR OWKM EO WDM3 Islas OR LM%
i I OR Waoadaa of new was ftr anal aes Panmbt w I neaA am" we eamm Inanywnasam a
iamm
ee space b Na issues t ata9 CanaOfceSM,a*an m r l abed bassos abed as km Wait"
fbmwsmtn porletas dkn Sed3700 Of ore LAW00:10, Ielms mean' wet Omm Poelslerm
Due hL_APKIDANT
i WARfi7G Faao6 In 9ause YMere w anneenuFfs us a ew ad am straw m anpAa in aimkM
1 aas Chi Cites w as am hunaed OmumM doles RTMODOj In add fien Is dw we a ON eanr UUW,
i damPkes as pmWN lastsadUn3TlB,tlaWYm oNe Wmm,.etas stlaregelsea
W NSiPllCnOM teO71Nc AEn1O1'
T IhaetrtisP was Ped San 3091 On, aemaeCmatuc mLm,np AAawY fo tie Pm#nWNe,tNo waken
wtddl new passe h roes, San 7037 Ch C!
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