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" CITY OF DIAMOND BAR • -
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cayo(diamondbarcom buddmgn@Jdiamondbarco.gov
JOB SITE ADDRESS -)- D 4 D I ate I C i
APN 621 0 _ _�., LOT ............................. TRACY , 4 Ge,1 q
OWNER Jjt"iq,eA (,AOA
ADDRESS
CITY ZIP TEL
APPLICANT 'J TEL
CONTRACTOR
ADDRESS
CITY ZIP TEL
ARCH)ENG/ �� A
DESIGNER A(-S� idlA
ADDF -LKi t�. [{-q'2 (, jSd,(8Ave,
CITY ZIP TEL.
OWNUt-BUUER DEU MTM
I h%ooy, etfiren oxkt pmmty of p%$ay OI& I em Dan* Man the ramenes'S Stria tksnro tare IQ Ina ra®wpe}
mt ica?ed hebe by NB Cbb& *M I neva WHO Mad to in item(ej (SWUM MIA &xwrma and
Fldmvao lode AM Cry m county but reakfal O PM* to MQA*%M aft,ImesavA demake, arook ant,
atrmhet•p to m alumna, they mmto eppaank ha age parva roANN a Met AN, a afro
a imae mk lbaro ma fit no Wy4mNmY Sate uk LOW m ul9) 9seen, Stonfix,
7000 of Deheian 3 of ft Bmkg Mo ndesm%ro Coda] a Ann ro a she M mempt hen became, and the Minefar
the stated esempflm Myvltt2Aa dSendun 70315Orany appacaai for a pwmhauhjacls Me asaea t0 a Pvi paelty
an no we than fire hun%ee now 45M
ULAs owmrdthe aopeay, army empioones, b wtAef, As mmrbdapxnpMxdlm, Mil da Umlof orUlarhoa
of aro warx, am the sor Loyre a no (mended o Armed he win (Section 7044 &ante and Prdacama Cee The
Contautore' State License Lew aces nen appyto an owner IX moono who thrwph &npa}zes' a Naval mm heads
yrimprovas to oWeal, prattled that ta lmpmaPae6no ere not ldeMeq ordMad to role shwrerer 0a aullmnAa
bromeeent is sold whom me Inner of cympelgn &e Orn%&dba we rata IN badly of mining that a was not Man
Or onpated lathe puryae of sale I
U I, as owner of the pra ieay, em exclusively o none ng WIN licensed Contactors to comm%the purled (Section
7064 (tbaness and Prohniften5 Coda The Conmens0a State team law Dasa not appy to an own%d Worteay, who
IX lmpaes&mean ono wacanUxblIX alaprafat9wlh18 tlp0n9Bd Cmhad%IarxyWlt ly lhnCmbeclall Stab
t Law
U I am exam# lam Ilconsum Manor IaContra"Wa, 5hda Lmma9low for the fDOanng reMenp)
Data Sign
el mY aAmam aebwlankirpwie�athd e4cepta my P&mral reaN78na nwHolrVmmA lave r&Bod torsi baitaa
owner eke, A4 has net Ane constructed
on morel p%mnGmmdntormey B atactiiadIflha cony oe an
aMwr fin a a hat haft 4 of a einem n m as dW&G of Co
tae# 11104, a owes!w0aram hi% a stay in the
eapK4aMe fine, Sarhm 7044 d Me &o4-mS ma RdeaSiaa.4 Goa d malhMe upas reA�i when tlsi oppxaom Is
SWapada %tlalmaMnp Way Na hai✓www batt Aogcmaw moa
LICENSINGCONis MR -S BECiaMTIW
I affirm won, pffmtyd in" that i am i®saed moat 00"Ifa of Chome+# tmnauncnA wah Sam Ton
d nNtmm�3dma bab�es}emtl RdesNaa Eats and ray.. tin hW mRtm admA.
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i AFFWA UNDER i4J4d1.tt 0I PEFLiMYSF1E�i}g:ULtrPFaC4,NUT�S
I iwve &A wee mdmm, m CwtMe a of Consent to SNt Man to Wows Canp61%mMfl, m provision My
SBWon 3700 At oro Leon, Com, far as perfamam'e dOg work to which Are mart IS tango
_Itinearea wnmaNdmn Wok& aianp%aahm lnrt m mentions Seam 3700d IN Lot" Cood for
Man.* i®a9 d &Daae fa waM Nu pamWute9ao My WmWa rm"nMw Mauana Ca her
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CMMEN
P&GCr NUMM
SIM WVM
I arthltMin the performance alga walk lir whkN oespBmN Is aseed IMeAnalempkry atygBRalln erry memerro rola
mined enthe Woriera Conlp&wtlm LBM of Canaria Md epee Cid N I fhOUn aamM 611h#CltB ihOWONm'e
fampB al3%Om 3709al0alHh�gr�V1IaIelutl lIXAMah �M�th tlldl0p
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reailu b uta Waken a Com Mensa n aaaA OODD) I, cal level vuhle c nt f AM c r to mentum
ow am aN real flaw in to ag 7neof Ihaaend de M esW 00fg In mNIMm a the cat d Ne canPeMatbn
oaaapeY a8 paW4eo to In eec9m 3705 d as Iodgs code aMcel W etlaMy'ateas
C4f51Nn DM LOWING AIM"
I arrmy AMrm malar party, of nou7 that there ii a CmshuNm Leasing AAemy We the indanoWca d the wok for
o!b pematb Isom lSec 3097 Cn CI
LEAMOTSI4AME
SAMMESS
Oat I Imre aaatMs appiXafbt also Stale arae the teat olartaiigr N mrd I bate apdnpfy nam %I otymW
amt 6>me uwa�rewgeUmgmbu�rq ma�irinwU�m %la tmatr}jjW�Olalre rtpa9aaM1nciaddw tpailyto
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413-
I.EW WAkG7EE DATE .... �_
APPLICATIONIDDAT�E,.y li.".1 ��� PIC# Pig %1,-- .9-7"(.ISSUE DATE -. / rL-�LZ--PERMIT# M it.. enc% (a
TYPE CONSTOCC GROUP
Scopeof Work hpp il?tk'L cA jar',k,-o I�'_—.
awl �onratt a{
rt12u? Porl� �raLnJr'n �{
# DWEL UNITS ^' # STORIES
patg xn 2�nan_
# BEDROOMS
OESC IPTION _.NFL_ FACTOR PSF
M ��, _
Dara�+Cerpat
ADJ AREANALUATION
_ ()000
Pat Dank
LL
Pennine
2
a-RmN I FEE -
N r 1,
porch I
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YatuRilort
Act Area
OUANTITY DESCRIPTION
FEE
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CONSTRUCTION..
PLAN REVIEW —! 1 QQ
CRS4'pY",�' . -7-1
ELECTRICfl
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
D
/q!{_ YrR
SMIP
sem..•] cs
ENERGY PIC cR %-1 'Ra
r
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
BASF
`-
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES gk.Sq-j
COMMENTS
PIC SXSC;aS PAID BY *leY
VALIDATION �.J.
RECaPr a 55qCn _ PAID aY en7 %~1 VALIDATION ._&
WHITE -D Cary YELLOW -Fhtarca Copy-Assycsa Cagy,
i Special Inspection
5002 Jumper Circle
La Palma, CA 90623
Phone (714) 951-1498
U00rrMoMalLcom
REGISTERED INSPECTOR'S DAILY REPORT
°dt809 06 17 e
TYPE OF ❑ Reeriorced Concrete ❑ Structural Steel welding Q uailty Goned
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing [� Epoxy ,
REQUIRED I] Reallorced Masonry ❑ Noah Strength Soils ❑ Others
"°'Ne"Na 21930 Tolani ct c -Y Diamond bar
,Nb Nude fiouse RemodefingforurrisResldence
PR 16-2766
UwNT
Addnaa
Contractor//��
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/ (r,^
Adana"
"n"a°m Archidas Development Inc
Irop"(pf NP" Joon Lim
Endo"i
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY- Permit # PR 16.2766
- Observed placement of 13 HMA(7/8"dia) & (7)HDSA( 8°die) &
(24 Of sets res is w simpson se -xp
epoxy into is an is mm em e -ol(E)concreTe
for New I Floor
Grid line 1 F to C <13>L=13.6
Grid ,e F 1 to 3, <13>L=12' and L=4'
Grid line 3 F to C <13>L=5' and L=10'
K > _ —
-
<13>L=1
Grid line 2.5 Cta 6'
Grid line 4@ Cto A <12>L=5' and L=12'
As per plan view on S-1.0, S-2.QS-5.Q SD -1, SW1, SW2,SWP.
cted size embedment locations and cleanliness of holes
' All aNpacteYN am based On a minimum of 4 hwn. if over 4 haws Or after 12 W noon an 8 hW,r mnam,m will be Weil end 006112 W monight 8 POW mlmmam #I tuns ane he" w+a De
eFCep[ SaGUNay Sunday d Map Holmday "ATTORNEY'S FEES- If any Wbon at aw Or m eauay n brOutthl 18 amprca of IP mmrpret the terms of thn Contract Iia 011walbnB Party
Phil be entitled to memnable abameys fees was and nacessary disbunemann m aWnon m any Other reser M whwh HMn1 Pany may Oe entNed
CERTIFICATION OF COMPLIANCE
t BY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF NY KNOWLEDGE xL OF THE ABOVE
REPORTED WOBf UNLESS OTHERWISE NOTED I HAVE VFO�UwN�Dw THIS WORK TO COMPLY VATFL THE
APPROVED MANS SPECiF1CATIONS AND APPLICABLE A"INKIS OF THE GOVERNING SaLDmG LAWS
• 01939
County
LK Typo LK NO AGENCY
I VN I INWIW VN MCA I VAV
AN mepwitin based On a mmot um of 4 noun am coef 4 hoer- 8nou, manmem
m addrKm on, » aatetw' arowy-:na1roay�am, 81mW nunanum
APprovBa
Oy
Property O -Kat Of Owners Agate
WYITC t1CFMC r'AwANv INGPF,-rnP OINK CGIPFPiNTCNrWMT
• •R 1:14:191 A•
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the
approved plans and specification, at significant construction stages and at completion of the structural system Structural
observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of
the coda
Report No 1
This report includes all construction work through 6 day of September 2017 Page No 1 of 1
Pro)ecl Address
Structural Observer of Record (SOR)
Phone No of SOR
21930 Toianl Ct Diamond Bar, CA, 91765
, j I n V-; M
714-323-5795
Building Pernut No
R 1, -^
Structural Observation performed by
Jin Kim
Prolessionai Lx iReg No of Observer
Phone No oT Observer
P 1_7
[]Concrete
C64433
714-323-5795
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION
WALL
FRAME
FLOOR
ELEMENT! CONNECTION
OBSERVATION LOCATION
1] Footing, Stem Walls, Piers
[]Concrete
[]Steel Moment Frame
[]Concrete
I] Mat Foundation
[]Modulus of Elasticity"
[]Steel Braced Frame
[]Steel Deck
Concrete Shear Walls
[]Caisson, Piles, Grade
[]masonry[]WoodBeams
❑Concrete Moment Frame
❑ Retaining Foundation
❑Wood
[]Modulus of Elasticity`
[]Others
Hillside Special Anchors
Seismic Moment Frames
[]Otters
❑others
❑Others
*For concrete buildings more than 160 feet in Structural Height Concrete mix meets the modulus of elasticity
requirements in design for seismic force resisting systems
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved pians or in the load path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials )
- Footing size/depth, and rebar/dowel was installed per approved plan
Xe ♦♦e '• f' r♦♦ ♦ -♦
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BESTOF 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
OF THE CITY OF LOS ANGELES
2 I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND is UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS,
3 ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED
ABOVE,
4 1 RECOMME HAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF LOS
ANGELES B HHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED
9-7-17
BttFW oe tai 1) (Rev misfiT)
Q�OfESStO�,�
Iwo atN K+,tz
,w
644��
CIVIL ;$Z
4
OF CALtO
STAMP OF STRUCTURAL OBSERVER
STRUCTURAL OBSERVATION means the visual observation or the structural system, forgeneral conformance to the
approved plans and specifications, at significant construction stages and at completion of the structural system Structural
observation does not include or waive the responsibility for the inspection required by Section 108, 9704 or other sections of
This report Includes all construction work through 1
Report No 2
day of December 2017 Page No 1 of I
Pmfect Address
Structural Observerof Record (SOR)
Phone No of SOK
21930 Tolani Ct. Diamond Bar, CA 91765
Jin KIM
714-323-5795
Build Ing PermR No
Structural Observation performed by
Professional Lic iReg No of Observer
Phone No of Observer
PR16-2766
Jin Kim
064433
714-323-5795
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION
WALL
FRAME
FLOOR
ELEMENT! CONNECTION
OBSERVATION LOCATION
[Footing. Stem Wails, Piers
[]Concrete
[]Steel Moment Frame
[]Concrete
[]Mat Foundation
[]Modulus of Elashcrty'
[]Steel Braced Frame
[]Steel Deck
Concrete Shear Walls
❑Caisson, Piles, Grade
[]Mason ry
[]Concrete Moment Frame
[]+ Wcod
Beams
[] Retaining Foundation
,
[]W°0d
[]Modulus of Elasbcdy*
whets
Hillside Special Anchors
Seismic Moment Frames
[]Others
[]Others
QOthers wood trame
For concrete buildings more than 160 feet in Structural Height Concrete mix meets the modulus of elasticity
requirements in design for seismic force resisting systems,
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the load path. (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance of the work by the building officials)
- Structural frames including shear wall, beam, post were installed properly
I DECLARE THATTHE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE
1 i AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS
OF THE CITY OF LOS ANGELES.
2 I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER
MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
CONFORMANCE Wml APPROVED PLANS AND SPECIFICATIONS;
3 ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED
ABOVE;
4 I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF LOS
ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED
12-1-17
auramPoe(Pmr t) tit" OMM71
Im
CIVIL'_
OF Chl-O'd
STAMP OF STRUCTURAL OBSERVER
-ZHE-:
„�... G,.,� a .t.p .rvc E'110Y Ievc�N1t080@YYnaY e
Structural Observation
Site 21930 Tolani Ct Diamond Bar, CA 91765
1 have observed double joist at the penetrated location of plumbing pipe Double joist with
plumbing hole is structurally sound because the area of section of double joist with hole is
larger than single joist
Joy Civil Engineering, Inc
2122 S Grand Ave Suite B
Santa Ana, CA 92705
Tel) 714323-5795, Fax) 714850-0411 a4ROFESS/Dye
Z�
64 333 x
m
¢
Exp 8.3Q�(9 a
I- t Q�t,df
r a
ft
t
t
-
-ZHE-:
„�... G,.,� a .t.p .rvc E'110Y Ievc�N1t080@YYnaY e
Structural Observation
Site 21930 Tolani Ct Diamond Bar, CA 91765
1 have observed double joist at the penetrated location of plumbing pipe Double joist with
plumbing hole is structurally sound because the area of section of double joist with hole is
larger than single joist
Joy Civil Engineering, Inc
2122 S Grand Ave Suite B
Santa Ana, CA 92705
Tel) 714323-5795, Fax) 714850-0411 a4ROFESS/Dye
Z�
64 333 x
m
¢
Exp 8.3Q�(9 a
I- t Q�t,df
�INSPECTION
DATE
iW71INSPECTOR
INSPECTIONDATE
INSPEM7i°
SETBACK/ LETTER
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
'� T•BM
UG ELECTRICAL
INTERCEPTER
LIFER GROUND
HOT MOP/SHOWERPAN
SEWER LATERAL
'... MAIN WATER LINE
SEPTIC/CESSPOOL
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION'
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING Q -q4
117 x
( ROUGH CONDUIT
SFIEAR WALLS EX
SHEAR WALLS INTERI
POOL/SPA
ROUGH PLUNGING
FRAMINGAXNTING
a
ROUGH.ELECTRICAL
ROUGH MECHANICAL `xC
ROUGH ELECTRICAL W( ) C (
t
- w` ''
ROUGH MECHANICAL
GAS TEST '
ROUGH PLUMBING
.• f
PRE GUNITE
'..' INSULATION WALL
POOL PRE DECK RONDING
INSULATION CEILINGfiftyP-TRAP
DRYWALL,,,.-..
FENCE I GATE/ ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
I
WALLS
LATH INTERIOR
WALL FOOTINGISTEEL
GAS T
WALL STEEL ln( ) 24°( } LIFT
SCRA1 CH COAT
Ell 11Z YL4WALL
BOND BEATl
'. ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL INSPECTION
RO FRAMING PLANNING APPROVAL
'.. FINAL BUILDING
ROUGH FIRE APPROVAL
FINAL FIRE
FlNALELEGTRiGAL
FINALPLANNENGRTMENT
FINALPLUNIBING
FINAL ENGINEERING/ PW-- '.
JC C Of OCCUPANCY
FINAL COMMUNRY SERVLCES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRIAL WASTE