HomeMy WebLinkAbout14-4658 7
CSTY OF DIAMQNA BAR ' S r � �
� DEPARTMENT OF CflMMUNtTY&DEVELa iT BERVICES
21814 Copley Dnve,i?iamund Bar,CA 91765 PRESS .
' {909)839-7020 Fex:(449j$fil•3117 Bmldrng Inspectian Iiotlme(9Q4)&39-?OZ? FtRMLY
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�CIFY OF
oaamond Bar REGISTERED DEPUTY BUILDING INSPECTOR'S �
DEPARTMENT4F CERTIFICATE OF Ct3MPL1ANCE
BUILDING ANQ SAFETY
BUILDING INSPECTION
"�a��°' Pi 9�5 Birds Eye Dr.
��
�--�s DATE OF'T}NS CERTIFICATE
Fehetcsh�r
12l18174
�. PF�144658 ,.��
TO THE 3UPEFtINTENDENT{}F BUILDING CITY INSPEGTt)R.
I hereby certiy lhat thefoilaxring partlons otths wak at the abave address which raqulred contlnuous inspeciNm,end
whlch I was employed to InspeG, wa�e Inspected by me end canply x�I!!h the provlsia�s ofi tlag Bullding Cade appticable
lhereto•
Type of Inspecdan
� I ��rY ( ] RsHer Ptecern+etrt [ ] GoncreGs or Mqxer
( ] Welding [ ] Cafcrete Placemerrt [ ] Gunite
[ ] HFTen 8olts ( j Tendon Ptacemerd [X1 �� �p4�
Descriptlan ar�Iacatlon otwak cornpiet�•
VerlfiBd h018 dl^clm�t�r, depth and deaniMness for#4 rebars into ex�st�ng slab
founda6an per detad S-1/10 for 3 new slot cut"A" foo�rx�s.
Provided canbnuous inspect�on during epoxy placement, used Simpson �poxy-tie SET XP
LARR#25744 I�C-ESR#22v08
sue or sw�ac� �,e nMved �
No.at Sfarles TYne I.eR Job
Cona Mix Deslgn Na Pai Swimml�Paot
3 had sufAcle�rt tlme fo inspeid a0 maDa�iala used at�d plaaed �
I was rrot smpbyed by tlro�oardiactor.au6eorrtr�or rr�a0arlal u�d�
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IN Porm O7{ftev fil1/2005} www.4adbs o�g
County af Los Angeles
vueuc woatts DEPARTMENT OF PUBLIC WORKS BUILDING& SAFETY DIViSION
Las Angeles Regconai Unifarm Code Program
STRUCTURA� OBSERVATION REP�RT Ft}RM
STRUCTURAL QSSERYATK7N means the v�,sua!abservstro»of fhe shuctural system, for genera!eonlormance to the
approved plarrs artd spec�catrorrs, af s�gnrficanf conshuctrorr stages and et awnpJeta�n ot the stnx:turat s�+stem
Stractura!obsen.atron daes»ot ancYuck o�warve the r�asparsrbd�ty for the mspect�ans requ�red by Sectro�+108, 1704 or
ofher secborrs of the Los Arrgeles County BuAdmg Cade (Sect�ons 908 4 5, 1T09)
Report No
Th�s report mctudes aII constn�bon xro�1c through 1 $ day of '3'�.e.tMb50,.20�p�e No _�of�_
Pra�ect Address rai Ohsenrer of Record{SOR} SOR Phane Na
2«�� '��s��s r� t7r�. n+�o+�o &►�. u� �^.�v�� ts�o t,�3 - 3aaa
Buddmg Perm�t No Swcturs!Observabon Obse�vr Profess�on2l Iac tfteg No Phase Na
PR1 - 8 �'�� C-� L3 2. ro b63 -Xia
{}8$ERYEd STF2UGTURAL EtEMEHT3 ANC1 THEiR GCNiNECTIQNS
FOUNdAT{dN WALI FRAMES F��R �MENTSICONNEGTt�+7
Y �SERVATIflN LQCA'fIQN
F�o6ng,Stem Walis l7 Concrete I� Steel Mament Frarr� C}Crnitrete ����� P+t'rt� �
O Mat Farndahon t7 M�an ❑ Steet Br�d frame ❑Steel pecic �Qg' B��� a£KbT�4
Gersean,Wies, t�Wood rr ❑ Cancnete Morr�rn L7 Wasd $Y ��'a'� FoY+�Lll�od
e
Grade Beams Frame i'�.�+►rJ {,3 �*ruG $ 3 r�d
❑Retaimrsg Foundat�on ❑CNhers ❑ Masa�ry Waii ❑ Others ���� '
HiUs�de Special Mchors Frame �� R����15'
❑Others ❑ Okhers (,G t�orAL�
NOTED DEFICIENCIES wifh the proposed correspondmg correetive acbons witl�respect to general
corKormance witli the approved plans or in the load path: (A final repart by the struc4ural observer wh�ch states that
all observed deficienGes have been resolved is required before accepkance of the wor4c by the buddmg offiaals)
{Ue GfiF1G1ErJGIP.o �ac_E2J8�0 � �K�S Lr�.�.+St-Il.++a�rwwJ �ralG�. )orE�a:
� 4teL� ae.+,k� ¢�gwa.s �ea. �en»naGs uAr cevea.ab Darra w��� oE n�sreu.Et1
E S d n1i A M6 N '� C�
SEG. nE.pv ea i2. l� i �o�. E oX w8l ,
C TifAT'THE Ft�. FIG S ATEMEMTS ARE TRUE TQ �8E$T OF MY pGE�p �� � � � � •
1 I AM THE ENGINEER OR ARCHITECT RETAINEb BY THE OWNER TO BE IN RESPON$IBGE ��������
CHARl3E F�R THE 37RUCTURAL f�SERYA710N IN ACCOROANCE YYITH THE ,s�
RE9UiZEMEN75 OF THE GQUtfiY 4F l6S NiGELES ��4(yF�SSt(J�.,
,,YC
2 1, �R ANOTHER EN6INEER 4R ARCNtTEGT YMHO 1 HAYE�$IdNATED ABOYE At16 q.w �� £17,q' fi2
UNUER p7Y RE$PpNSI%E CHkR6E,HAS PERFaRMED THE REQlRRED SITE Vi$IT$
EACH SIGNIFICANT CONSTRUCi7QN STACaE TO VER(fl' IF THE STRUCTURE I$ � � 7
GENEW4IL'flNF�RNAttCEYY17HAPPR01tEhRtItNSANDSPEC�iCAT�XB. w
S All N6TED DEFlCIEMdE3 WHICN REAlAIN TO BE CORRECTEO HAYE BEEM IbllIICATEI�} � *
ABQYE.
� Sr � IV�-
# I RECUlAMEMD TFIAT ACCEPT f#THE STRUCTtHiAt.$YSTE#CS BY THE COUX7Y �r�Ofi � tt4�•
HE UXTIL ALl 08SERYED 6EFIpENpE$ ARE
CORRE
{STAMP CYF STRilC7URAL�SERVER}
SiGNATU STRUCTURAIOBSE �ATE
Versron t 0{20Q8 iAGBC) Jan 10 3tm8
� . �
County of �os Angeles
PUBLIC WQRtfB �EPARTMENT 4F PUBLIG WORKS BUILDING &� SAFEIY DNIStQN
' Los Angeles Regional Uniform Cade Program
STRUCTURAL OBSERVATION REPORT FORM
STRl1CTtJRAt OBSERYATlON means the vrsua!observatmn of the stractura!system,tpr gene�!conlormance ta the
approved ptans and specAir.atrons, at srgnficant construetwn stages and et completron qf ihe shvcturaf system
Sbuctural observatron does rrot inctude or warve the res�nsltxiRy for the rrrspecirons reqa+rod by Sectmn i08, 1704 or
other sectrorrs of the Los Angeles Coanty BurJdrng Co� (Sectrons 1Q6 4 5, i709)
Report No '�,
This report�ndudes ali consbuct�on waic through�day nf DP.LBtwt4B R. .20��Page No �_of 1
Pra�ect Address Strudurai Obsen+er of Recard(SOR} SOR phone No
L � D a � -3bus
Buddang Perm�t No Sbuctura!Observaban 46servr Professmnai L�c iReg No 4bserver Fho�e No
_ j� pertom�ed trr �. ,r G— (a, 2. �3tD � -36u>
OB$ERYED STRUCTURAL ELEMEHTS AND THEII2 CONNECTIOH$
FC?UNDATION WAI.L. FRAMES F��}�}F{ ELEMENTStCQNNECTION
OBSERVATION LOCATION
Footing, Stem Walls ❑Concrete ❑ Steei Momertt Freme ❑Concrete j M�g SUIZ �IoofLt t5
❑Mat FoundaLon ❑Mesanry ❑ Steel Braced Frame ❑ Steel Deck Qu4y 'r�L7P- �aa'1'1NCqr7
❑Caisson, Pdes, ❑ Wood ❑ Concrete Moment ❑ Waod
Grade Beams Ftame �"�' ��r �T �
o Retaining Famdat�an ❑ t�era ❑ Masanry Wa31 O Others �" '�� �����
H{Ilsi�Spec�al Anchors Frame ��'M��
OOthers 0 t7thers
NOTED DEF"ICIENCiES with�re pr carrespa�dmg corTective actio�vui�respect ta generai
ca»fom�ance with tt�e approved pi�ns ar in ttre ioad path: {A finai repori by ttre strocharai obseruer wh�ch states that
aI1 obsecved deficienaes have been tesolved�s requrred 6e#ore acxeptance of the wori�by ihe bu�Id�ng o8iaats}
t� D�c c �c� .,�ss�.v�ta a�- i+*,s S�r��c � C�sr�,r,�,�. ����,c.
to D�urr �N+st��r-n a„� P.�Po ri.r rEr-�a q t tl z� t�t �dr�. ER�x�
QDuVfiL��wifi'd Ft�Y"FAJ�rtS.
f pECLARE THA7 FHE FOLi.OWING STATEMENT8 APIE TRUE Td THE BEST OF M'f IV16NM1.EDGE
7 I AM TXE ENGINEER OR ARCNITECT REfqINECI BY THE OWNER TO 8E W RESP4NSfBLE —
CHARGE FOR THE $TRUCTURAL OBSERYATiON IN ACCORDANCE WITH THE �
REDUIREMENTS OF THE COUNTY OF I.OS ANGELE.S oQ����$g�Q.N�
2 4 OR ANpTHER EN6INEER QR ARCHITECT YYHO I HAyE DESIONATEL A80VE AND IS� �tj.�' pQ,U� C t{',�,
UNDER WY RE$PQNSIBLE CHARGE,kAS PERFpRMED THE REQUIRED SITE VIS(i5 Af ^�. 'S
EACH SM'aNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTVI� IS I�l T ,�7
6ENEIUL CONfORMANCE WITH APPROYED PtANS AXD SPEpFIGA'ftt}NS: W �
8 ALL NQTE��EFIpENqE$WF4CH REMAIN TO BE C4121tECTE61iAVE 8EEt7 IN�CATEO �- ( t py *
A�YE. (
S'• (V 4 �P
d i RECOA�AEND THAT ACCEFTANCE OF THE STRUCTURA�SYSTEHS BY TNE COUNTY 1������,�yr�/
OF I. EL MiY! Ai.I. 68SERVED DEF�IENqES ARE ^^"
GiER
(STAMP OF S7RUGTURAt.flBSERVEFt}
$IGNATURE OF TURRI�SERVER QATE
Vetstan 1 6(Z0081AC8C) J8n i(}2Ct08
. , • „ 1
CITY OF
aiamond �ar REGISTERED DEPUTY BUILDING INSPECTOR'S `
DEPARTMENTQF CERI'IFICATE 4F C4MPLIANCE
BUILDIt36 AND SAFETY
B�ltl.DIN6 tNSPECTIt}N
���°� 21945 Birds Eye Dr.
on.arta �a��nns�ecn�
FeWMamr
12127/14
�r PFi14-465$ vear
T4 THE SUPEf21NTEPIDENT 4F BUILDING' ClTY INSPECT4i2
i hereby cerUfy thatRhe idtawfng portlaets ot the work ettlroe abova addr�whtch required caontlnuous Inspectlatr�and
afild� I was empbyed fo hrs�Ct, wem inspacted by me ara! s�mply wlfh ihe pro�+iisians af tlaa BuBdi� Co�epplk�ble
theretn-
Type of InspecNan.
I ] Masar��l+ [ 1 ReBm`Piaoemerrt ( � Casa+ate et Mhcer
( 1 Weldin9 [ I Concrete Pia�ment [ 1 C,unEte
[ ] HhTen Bdis [ ] Tendcm Plaoement [X] Othar EpdXY
[7esc�Uon and laration oPwark cnmp�'
Verified hole d�ameter, depth and cleantiness for#4 rebars mto exisbng siab
foundabon per detads S-i111 8� S-2l17 tor 2 new slot cut°B"footings.
Provlded contm�us mspection during epaxy placement, used Simpson Epox�-�tie SET XP
lARft#25744 ICC-ESR#22508
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