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CITY O'F DIAMOND BAR . ' �
INSPEGTION• RECORD + � "
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$ETBACHlLETTER TRACTANO LEDGER
EOOTIN�S FORMS �/f, i � SWITCH GEAR
SLAB COMMERCIAL HOOD
11G PLl1MBING !—!�/-/ T-BAR
UG ELECTAICAL INTERCEPTER
11FER GROl1ND HOT MOP/SHOWERPAN
SEWER LATERAL SEpTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLfTION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONOUIT
SHEAR WALLS E7(TERIOR IS POOUSPA
SHEAR WALLS INTERIOR I p ROUGH PLUMBING
FRAMING/VENTING 2 SI ROUGH ELECTRICAL
ROUGH MECHANICAL � ROUGH MECHANICAL
ROUGH ELECTRICAL W( )CO Z � GAS TEST
ROUGH PLUMBING PRE GUNITE
INSULATION WALL POOL PAE DECK BDNOING
INSUTATION CEILING P-7AAP
DRYWALL y� � FENCE/GATE/ALARM
LATH(PRE) FINAL POOL
LATH EXTERIOR s � WALLS
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST H / / - WALL STEEL 1�'(')2N0� )LIFT � I
SCRATCH COAT WAIL BOND BEAM
ELECTRIC METER RELEASE WALL ORAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIALINSPECTION - RQFPAMINGPINJNINGAPPROVPL
FINAL BUILDING ROUGH FIRE APPpOVAL
fINAL MECHANICAL FINAL RHE�EPAHTMENT
FINpL ELECffliCAL FINAL PLANNING
FINAL PLUMBING INpL ENGINEEflING/PW 'I
T,C,of OCCUPANCY FINAL COMMUNITY SEflYICES
CERf.o10CCUPANCY FINAL HEALTH OEPT.
FlNAIIN�UST IPL ASTE
COMMENTS � �J�hLL �TrN •, I• �- l.i
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C4M14I�AFORD Id'dSPECTION INC. DEPT.OF BLDG.&SAFETY
2264 PAPAYA DRIVE i t
LA HABRA HEIGHTS,CA 44631 CITY'aF f� �a,m,tn �f �,.
{562}690-3148 or {562}690-2883
FAX{562}690-488? COUNTY OF �-<.�� #�rrr�r��'S
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SPECIALINSPECTiON REPORT
Sudd�ng Perm�t No � �� � ��� � Job No Date__ � � ����3
Job[dent�ficahnnlAddress r�,.i �S�S ! {�� ✓1nu5a :^'�nte 1�.n �:ionG� �/ .�5� ft7�ri�
Gerreral Contractor 1 Address 'YC'tk w, t y u r.,r. � 1 �..4 k`�i�. �7 r�. , ��
J .............
Sub-Contractar f Address
' S�ucmral Engineer/Address U �. ��Gl,t'� e � t t� ;t _ ;Mo u� +�`:a� „ u e , � al a..�; �{7�'�
TYPE OF WC7RK RETNFORCED CQNCRETE St�MAS4NRY� HI-'['�NS1LE BOLTING_ dRII,LEI}iN ANCHt}R3 f JCI
PRES'f'ItESSGD C4NCRETE_W ELDING_ GYPSUM Ct7NCRETE_FIREPROOFING_,, �
J , } WE�CIER . RECEIRT NIJMBER WELDER RECEIFT NUM$ER
DATE 4F tNSPECTION QESCRIPT'ION OF WORK 1NSP6CI'ED
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irrtci+� {)3 �75(C`}�-I..� �� � ��u��� � naA6( uJ.d e �Ut,a-11 �t ca f ! lo ; t{ �.,�t, . .,
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HQURS
Dete Re O T TIME IN TfMEOUT
1 - �t-t.S Y `7�'ckZ �1 wt Y.�":c:a hl +�-r
SAMFLES '
Grout Mottar Cpncrece Slock Pnsms Dansit '
All tnspeetrQns based on a mtmmum of 4 hovrs&ovar 4 haurs-8 hour mtmmum in addinan,over&hours and Satunlay wt11 be
. billetl at bme and a haif
ATTORNEY'S FEE9-If any acnon at law or m equ�ty is brougEat to enfocce or mierpret the terms of thzs Contract,the preva�t�ng p�xty
shall be enGded to reasonable attomey's fees,cos[s and necessary d�sbursements�n addrtian to any other re1�ef to whtch such pazty,
may be endtled F'
� �
SPECIAL INSPECTION REPORT i
Inspecm�,Name �. J t'J.y+� C � t�'lu f� n lnspectar's Srgnature �` L�V�r'`�
1 [? No .>,�� ��SC� .LLfias been filed and it states that the abave work to the best of h�s/her knowledge complies with the
prav�s�ans of the lntarnat�onal Building Code and meets Approved Plans and Spec�ficauan j
� Respecttuliy Subm�tted
r ��,�� �
Approved by = / ' + By
f4n�ec[Supenn[e�ent ` Commerfard Inspecuan,l�
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COMMERF`(1RD IN9PEC'I'ION INC.; • DEpT.OF BLDG.&SAFETY
2269 FAPAYA DRIVE � ,
LA HABRA HEIGHTS, CA 90631 • C[TY OF .1 �„ � � .t-�-•--
(552}b9Q-3198 or (S62}b90-2883
FAX{562)690-d887 ,� COUNTY QF �--_ - i� r � f -
_. V
SPECIAL INSPECTION REPCII2�
, f �
Bmldmg Permu No �+ � �� $ Sob No Date / '� : �-�
Sob ldent�ficat�on t Address ,i "' ,.. ' . 1 � �;. . �1 = � � ,� � .:�, r , ' i .- �� �f -�
� �
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General GantractorlAddress � t . • + � i-� . 't� � .
Sub-Cantraatar f Addrass
Strucmra]EngmeerlAddcess f3 �� ' � tt � -"� � A ,, tff�� i: - ,'�1�:w .�k, r. t�,f c � t ,I ,f f Cci �• t tG,>
TYPE OF WORK EtE(NF�RCED CONCRETE�'MASONRY_ W-TENSll,E BOL.TII�fG_ DRILLED IN ANCHCIRS,��
` PRESTRFSS�D GONGREFE_,WELDING_ GYpSUM COhCl2ETE_11REPRpOFING.,�
WELDER RECEIFTNUMBER WELDER RECEIPTNUMBER
DA7'E(}F tN$PEGTION DFSCftIFIlON�F WORK INSPECTED
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, 1 Date Re O T TlME IN T1ME OL71'
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SAMPLES
Grout Martar Concrete Block Pnems Densit
All mspections based on a m�mmum of 4 haurs&over 4 hours-S hour mmimum In addmon,over 8 hours and Saturday w�ll be
bdtad at t�me and a hatf
ATTOI2N�Y'S FEES-If any act�on at law ar tin equity is brought ta enfaree or interpret che terms of[his Contcact,tha pravailmg panp
sha(1 be anhtled to reasona6le attomey's fees,costs and necassary disbursements m adtl�tian to any other rel�af to which such party
may be entrtled ' (
SPECIAL[iVSPECT[ON R�['ORT
Inspectors Narne �.�r, , G G �i i _ � tospector's S�gnamre � �• � f �
[D Na K-� > > � � �has been filed and rt sta#es that the abova work to the best of h�sther knowietige co,',m'phes with ttfe
prov�s�ons af the Sntematianal Buzidmg Cpde and meets Approved Plans ant�Spec�ficauon f
_ - Respectfulty Submitted
Approned by ' 3 � By
Pro)Cet Supenm�ndcnt Commesford Inspecuon,[nc
� �l-so3 �
, . - � , , , „
CITY OF DIAMOND BAR �; I I � ' �
Depertment ol Bullding and Salety
•z•
RE�UEST FOR APPROVAL OF SPECIAL INSPECTOR ,,..•,
",:Yee .
Special InspectorsName �a � i p 1 m �`��`� Phone No _S��-7SS-O�(pS
13S?c) N1e�e, y �.J►.�; Z,p r
Address `��- ac �N-� e � 9o�a�
Type o( Inspection ❑ Continuous �eriodic
JobS�teAddress �� $3S � � � � � ��4 �G,e.
Job Name
Type of Pro�ect 1��o wi a c��; `4��h Pea r a� �nJilS �
Attach work expenence and educational qualificalions to this application
The above named person will be employed to �nspect and/ortest and will be responsible forthe following inspections
(Please circle number and provide descnption of work)
7 ConcretePlacement
2 Reinforc�ng and/or prestressed steel
3 Structural Welding
4 High-Strength Bolting
5 StructuralMasonry
g E q u✓ S �� ��.�4d 4 k.v � 2K, �4;�
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Duties and responsibilities of the Speaal Inspector
1 The special inspector shall observe the work assigned for conformance with the approved design
drawmgs and specrtications
2 Thespecialinspectorshallfurnishmspectionreportstothebwldmgofficial,theengineerorarchitectof
record,and other designated persons All discrepancies shall be brought to the immediate attention of
the contractor for correction, then, if uncorrected, to the proper design authorrty and to the building
official
3 The special inspector shall submrt a final signed report stating whether the work requinng special
inspection was, to the best of his knowledge, in conformance with the approved plans and
specificatlons and the applicable workmanship provision of the codes
�-- 9y.r �/ l�� t��/ ,(�
Dafe wner's Signature Confractor's Signefura
Fee$ Approved
e��m�� orr�e�ei
Receipt No Date
OfSTHIBUTION Whrte— File
Cenery— Inspecfor
10012 BD Pink—Speciel InspectOr
• • I � q 4
- WALNUT VALLEY tTN1FIED SCHOOL DISTRIGT
88Q SpUTH LEMON r1VENUE WALNi17'CA '4t789
CERTIF3CA'FE OF COMPLIANCE
W�th Fee Provtsions af
Govemment Code Sechon 65996
DEVELOPERIOWNER f17��"MPr� r�+.�'�Q'�' .
ADDttE55 a`1 $ "� 0 ��4iNlF Stgnature a icant
CITYl7..� �1,hi*�1p N t� (3 A-�! `� �7(y The persan signmg rcpresents that helshe u audwnzed
'I'ELEPHONE 3 t O f.3�'� R 7 �7 �__ W stgn on b�tuzlf of the ownerJdevelaper and t6at flte
mfarmaban prov�ded�s true and acomate ta fhe best of
6iz/6er knowledge
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NEW LOT ADDRESS USE 4F BU3LDING TdTAL SQ FT
Restd�UaUCommerciaUtndustnal
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HOME IIvQ�ROVEMF:NT dR REMOI}ELING PRO7ECT
ADDRESS / DESCRIPTIflN�), TOT SQ FT
��-.�.�" �!�{: t✓' �1 t� R00„vt�tLl=f'�''� t��".
D�amond Bar�_VJalnut (Bedroom,Family Rm,Kttchen,etc)
Signsture o[SugeMntendent of Buitdkogs_�����,,% `���� Dste�d��}/
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TU BE CQMPT.ETED BY SC�IOQL DISTRICT
FEE 3CHBDULB. The develapment fees ievted by the Walqut Valtey Umfied TOTAL,F�ES D��
School D�sMet under provision of Government Code§65995�� S�� �j `�r-� "'"'
are {EFF 121110$) Resid�tisl Develogment �2.97/st�, Rece�pt # �� �-
CnmmerciaVIndustrial $0 471sq ft Date�a y r 1 y
Fees are assessed on T{}TAL squu'e faotage "'hving spacs" of ALL new or remodelang conshuchan projccu OVER—'— Sp4 sq feet
(elunmatinB B�6e or xmcovered pario}
� Thu ts to certify that ap fee�dae to tlte Walnut Valley Un�fied Sch�f Dismct under pxovuian af Govemment Code�ectson
63495 have been rece�ved anti a bmldmg permrt mey be�ss�ced
'Phie �s to cemfy that the above descnbed development has been deta�mmed to be EXEhSP7' fram tBe develo�t fees aF
Govemment Code Sechon 65945 and a build�ng�rmit ayay 6e�ssued �
Exempbon 7ushficahon PROJEC'F IS SINi OR LESS St2UARE REET � -
fITHER
�-�X�t'`., /� `� �ay� �G.Q
Celia Mnynihan�'"f�
Director, Fiscal Services
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