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HomeMy WebLinkAboutNo Permit Number (101)z w w Cl- t5 z J_ Co Co m F=— 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 JOB SITE ADDRESS �' v 1 APN LOT TRACT OWNER ADDRESS S2MC- A15 CITY ZIP TEL. APPLICANT TEL. O D CONTRACTOR X ✓/ S / ADDRESS D W q y CITY ZIP /�70 TEL 2g ARCH/ENG/DESIGNER '54n.-Q a S 4420. ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 70M of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U 1, as owner of the property, or my employees with wages as their sole compensation, will do CJ all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose o1 sale.). U 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License taw does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License taw.). U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: http/www.leginfo.ca.gov/calaw.html. DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: �� 17 _ LIC. NO.: DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation �crsi s of Section 3700 of the Labor Cale, I shallq'Qrthw coIDply with those provisions. DATE: ✓ ; 1 APPLICANT: D4.11) �"`��/�r WARNING: Failure o secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). LENDER'S NAME: _ LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes. p'1 W %-D t tit1 PERMIT TEE NAME (PRIN SIGNATURE OF PERMITTEE DATE APPLICATION DATE: / ISSUE DATE: TYPE CONST. P/C# PERMIT# OCC GROUP: /- ZONING SETBACKS FRONT REAR SIDEJSIDE STREET SIDE RW RW ❑ ❑ ❑ ❑ PROPOSED USE # DWEL. UNITS # STORIES !� # BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport N W Patio/Deck LL Pool/Spa ZRe -Roof 0 Commercial m Valuation: ?- 00 Adj. Area: QUANTITY DESCRIPTION FEE U EC H W w z in J d J Q x U W CONSTRUCTION: PLAN REVIEW: 3� ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: lD r SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE-ALT FEE: BSAF: , TOTAL FEES 33 57. 77, COMMENTS: V15 TV-0 RECEIPT fl :� 3 S PAID BY: SZ$� VALIDATION:___-_ WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF D-IAMOND BAR INSPECTION AECO'RD INSPECT.I.ONDATE INSPECTOR SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG: ELECTRICAL UFER GROUND .` SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR ". FRAMINGNENTING ROUGHMECHANICAC ROUGH ELECTRICAL W( ) C ( .) ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING TC.ofOCCUPANCY CERT.ofOCCUPANCY COMMENTS: NAo--. INSPECTIONDATE •. TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-TRAP FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1-( ) 2ND( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL = ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE . U !�i✓LO'Ste�6- G/ �i.�au4 a G F_.r_ zfs-Mt- z 1 .. b*A G" In ,i JUT* A' w tic Ct3' ! r -` L -- Elul b MrpLA- 100� CITY OF DIAMOiV ' BAR Planning Division Plan Check Approval Case/file number: PL1�13 S'�� Date: Approved by: A-&r With Conditions as Listed: 1. This approval is for: d2T 1S'CIn{� 2. No other approval is implied by this one. 3. This approval is valid for "a (s). 4. Shall comply with Planning, Z.onI Engineering, and Bldg. & Safety requir ments i72 R CEIVED OV 1 4 2013 YN�j 3 '�\6I G 4 4-C 6V+ sw 1 42-411� I if, V OF DIAMOND BAR n— ' THESE -A AND DETAILS AR APPROVED CAN`foN VIEW RIDA17 NOV 2-1, zo i3 The construction documents submitted for plan check and/or subsequent development shall be in substantial THE APPROVAL OF 1HESE PLANS SHALL NOT BE CONSTRUED TO BE A PERhiH r"R ANY VIOLATION OR ORDINANCE OF THIS CITY. compliance with the architectural plans approved by the (Planning Commission/Planning Division/Administrative OF ANY CODE THESE PLANS SHALL BE ON THE JOB Hearing Officer/City Council) on file with the Planning INSPFCTICNS Division, as modified pursuant to the conditions noted, and thereafter maintained in conformance with such approval. OF DIAMOND BAR 'i` &wre LJIL4,vtI14 FDC & Associates Corporation 4 CORPORATION A DEVELOPMENT COMPANY PROJECT No- MSL-102513 FDC & Associates Corporation & MAMMOTH SOILS LABORATORIES INC. ENGINEERING CERTIFICATION OF COMPLIANCE FOR COMPACTED EARTH FILLS PROJECT No: PREP. / REV. DATE: SITE: PREPARED FOR: MSL-102513 s Swimming Pool Backfilling October 28, 2013 1, 22819 Canyon View Rd., CA 91765 APN # 8713-024-007 Tom C Yuan 22819 Canyon View Rd., CA 91765 'F� I- 7 72--1961% October 29, 2013 FDC & Associates Corporation PROJECT No- MSL-102513 COMPACTION INSPECTION REPORT GENERAL INFORMATION: Prepared by: Hector Moreno, PE Register Civil Engineer. - C66015 Mammoth Soils Laboratories, Inc. 236 West Orange Show Road, Suite 105 San Bernardino, CA 92408 Project Number: MSL-102513 Subject of Report: Compaction Testing Certificate Dates: Preparation 10/29/2013 Prepared for: Tom C Yuan 22819 Canyon View Rd., CA 91765 Site: 22819 Canyon View Rd., CA 91765 APN # 8713-024-007 Legal Description: Tract No 51169 Lot 3. Location: See Attached Vicinity Map. Proposed Development: Existing Swimming Pool Demolition and Back filling Hector M. Moreno Professional Engineer October 29, 2013 FDC & Associates Corporation COMPACTION REPORT PROJECT No- MSL-102513 Submitted here with this compaction report for backfilling placement and compaction procedure with demolition of existing swimming pool old structure. DISCUSSION The purpose of this testing operation was to.determine densities for consecutive back filling lifts in the empty swimming pool structure performed with off -site soil. One testing session for the top entire area were performed on 10/29/2013. REGULATORY COMPLIANCE All fills processing from under the purview of this report have been completed under the inspection and with selective testing by FDC & Associates Corporation and are found to be in compliance with the Grading code of the local agency. The completed work has been reviewed and is considered adequate for the construction now planned. Our findings and recommendations are prepared in conformance with generally accepted engineering practices. No further warranties are implied or made. All construction on the site work applied on the subject project after, by the contractor, sub -contractors, or future owners, etc., and results thereof are the sole responsibility of these parties. This report is subject to review by the controlling authorities for this project. This opportunity to have been of service is sincerely appreciated. If there are any questions regarding this matter, please contact this office. Respectfully submitted, Hector M. Moreno Professional Engineer October 29, 2013 FDC & Associates Corporation Field Density Results Visit Date: 10/29/2013 Maximun Proctor Density 121.5 psf PROJECT No- MSL-102513 Top Elevation 1076 ft Test Location Dry Density Wet Density Moisture Moisture % Proctor Remarks 1 112.1 122.6 10.5 7.9 92.3 Pass 2 111.6 122.1 10.5 8.6 91.9 Pass 3 112.1 121.9 9.8 8.0 92.3 1 Pass 4 112.7 121.9 9.2 1 7.6 92.8 Pass 5 110.9 120.3 9.4 7.8 91.3- Pass 6 112.2 120.2 8.0 6.7 92.4 Pass 7 114.3 123.9 9.6 7.8 94.1 Pass 9 109.8 121.6 11.8 9.7 90.4 Pass 10 109.4 120.5 11.1 9.2 90.0 Pass Coordinates FIELD RESULTS 330 58' 26.53" N FOR: Eclosure: 1170 49' 11.14" W Tom C Yuan Swimming Pool Backfilling at Al Elev. 1,078 ft DATE: 22819 Canyon View Rd. JOB NUMBER 10/29/13 Diamond Bar, California 1 102513 FDC & Associates Corporation October 29, 2013 FDC & Associates Corporation GALLERY PROJECT No- MSL-102513 October 29, 2013 FDC & Associates Corporation VICINITY MAP PROJECT No- MSL-102513 �Evengelical•Free' // _� ' f•' t— "o '� Church'of Walnut 4 � a mI''�;e� , .�POtnO�f j Calvary Chape( �, � q�0 �. Golden Spnngic,, y 0 1 f •`�pT �r 'amonj"drt vf' _.,�)D_iarm'ond BarCiry •Ha. ll Vet-C! l" , R Gatewayve , Friends extstep•° r°kw �i P Summlt S i Ma le Coaching B I ,` Ridge Patti-=� Gte° (` +, `Hill Park.Consulting Paul C I I a st 1 ���� / Grow Park V , �a0� m St Denis Catholic Chr "'athflgCer, ' Diamond Bar \Aa Ohited Church Diamond Hig 'Stadium VALLE �. LINDO Country Hills a Town Centel ` •Shopping Center $0 HeritagePark 5 I �"— I AIan.Aata Fi701.'1 (,nmla._ FAIL In Annnle Man Ma4er Rnc Coordinates Vicinity M8 330 58' 26.53" N FOR: FB(02513 ure: 1170 49' 11.14" W Tom C Yuan Swimming Pool Backfilling at Al Elev. 1,078 ft DATE: 22819 Canyon View Rd. NUMBER 10/29/13 Diamond Bar, California FDC & Associates Corporation October 29, 2013 SOILS SOUTHWEST, INC. SOILS, MATERIALS AND ENVIROMENTAL ENGINEERING CONSULTANTS 897 VIA LATH, SUITE N - COLTON, CA 92324 - (909) 370-0474 - (909) 370-0481 - FAX (909) 370-3156 December 31, 2014 Crable & Associates 765 W. Altadena Drive Altadena, California 91001 Attention: Mr. Dennis Crable Project No. 14017-FDN Subject: Opinion Letter -Foundation Plan Review Proposed Addition/Alterations to Existing Residence 22819 Canyon View Road City of Diamond Bar, California Reference: 1. Report of Soils and Foundation Evaluations Project No. 14017-F, Report dated July 25, 2014 Prepared by Soils Southwest, Inc. 2. Foundation & Structural Details by FAR Engineering Dated 11-14-14, Sheet D-4 Gentlmen: Based on review, it is our opinion that the referenced foundation details prepared for the project include the minimum geotechnical recommendations as described in our soils report dated July 25, 2014. During grading, in event the subgrades exposed dictate subsoils conditions considerably different from those as described in the soils report supplemental evaluations will be made and revised/updated geotechnical recommendations will be provi Q�nFESS/o Respectfully submitted, ��QO`{ K. G� < Soils Southwest, Inc. " 08 Moloy Gup4,E 31708 Exp.12-31-1Ff dist/1-addressee (dennis@ Established 1984 soilssouthwest t,aoI.com SOILS SOUTHWEST, INC. SOILS, kIATERIALS AND I_NVIR(:YNIF rAl_ F..\(ANr.ERItiG C'(1Ntil. L rANl ti 897 \ IA LAl A. SUITE N C("1LTC». C,\ ?�=' J (909) _ 70-0474 December 31, 2014 Crable & Associates 765 W. Altadena Drive Altadena, California 91001 Attention: Mr. Dennis Crable (9 0) 70-04 l . FAX (909) 370-31 )0 Project No. 14017-FDN .Subject: Opinion Letter -Foundation Plan Review Proposed Addition/Alterations to Existing Residence 22819 Canyon View Road City of Diamond Bar, California Reference: 1. Report of Soils and Foundation Evaluations Project No. 14017-F, Report dated July 25, 2014 Prepared by Soils Southwest, Inc. 2. Foundation & Structural Details by FAR Engineering Dated 11-14-14, Sheet D-4 Gentlmen: Based on review, it is our opinion that the referenced foundation details prepared for the project include the minimum geotechnical recommendations as described in our soils report dated July 25, 2014. During grading, in event the subgrades exposed dictate subsoils conditions considerably different from those as described in the soils report supplemental evaluations will be made and revised/updated geotechnical recommendations will be proviaaeY�Fc�;� Respectfully submitted, K. �c�,�� Soils Southwest, Inc. z w_ MBA 708 m Moloy Gupta, E 31708 Exp.12-31-19 dist/1-addressee (dennis@c CfVtle m) Emahlished 19X ! soilssoullm.csua::IoLcom