HomeMy WebLinkAboutPR16-1039CITY OF DIAMOND BAR
I I i DEPARTMENT OF COMMUNITY & DEVELOPKENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
TIL,.
r , (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027FIRMLY
BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@ ca.gov
JOB SITE ADDRESS c %�V l �Aoy /
APN LOT TRACT
OWNER I A,147 _W,�
ADDRES L �j
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APPLICANT �� TEL.
CONTRACTOR r
ADDRESS G
CITY ZIP
ARCH/ENG/ 3 - 67d t'',.0
DESIGNER
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, after, 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
7000 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 U 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 of 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' State License Law 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 Law.).
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 Cade is available upon request when this application is
submitted or at the following Web site: http/www.leginfo.ca.gov/calaw.htmi.
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 CLACTOR:ASS: LIC. NO.: b
'DATE: I O CONTR
WORKER'S COMPEL SATION 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 Carder and
Policy Number e: y�
CARRIER
POLICY NUMBER
(THIS SECTION NEED NOT R OM D IF THE PERMfT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
I 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
become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's
Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
DATE: APPLICANT:
WARNING: Failure to 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 3706 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 TTE N
SIGNATURE OFfMIMITTEE DATE
M
APPLICATION DATE: 1
ISSUE DATE: �I W -1016 PERMIT# :
TYPE CONST.
/nP/C#
P A It- 101
OCC GROUP:
I p
Scope of Work J l�l�io i/:! Ung (l L
# DWEL. UNITS If STORIES
M� L
# BEDROOMS
DESCRIPTION SO. FT. FACTOR PSF
ADJ. AREA/VALUATION
SFR/ADD/REM
Garage/Carport
rn
W
Patio/Deck
W
LL
Pool/Spa
ZRe
-Roof
Commercial
DO
DO
Valuation:
Adj. Area:
QUANTITY DESCRIPTION FEE
4
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U
W
J
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CLON,STRUCTION:
PLAN REVIEW:
ELECTRIC:
PLUMBING:
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
SMIP:
-TSA
1 n L/
ENERGY P/C:
ENERGY PERMIT:
RETENTION FEE:
PRE -ALT FEE:
BASF:
0
PLOT PLAN:
ZONING CLEARANCE:
TOTAL FEES
COMMENTS:
d44 ` 7
P/C: PAID BY: VALIDATION:
RECEIPT # PAID BY: ;IIP' CGI VALIDATION:
WHITE— Department Copy, YELLOW— Finance Copy, PINK —Assessor Copy
CITY OF DIAMOND BAR r
INSPECTION RECORD-
.. r
INSPECTION DATE
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
ROUGH MECHANICAL
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
T.C. of OCCUPANCY
CERT. of OCCUPANCY
INSPECTION INSPECTOR
TRACT AND LEDGER
SWITCH GEAR
COMMERCIAL HOOD
T -BAR
INTERCEPTER
HOT MOP/SHOWERPAN
SEPTIC/CESSPOOL
HERS REPORT RECEIVED
DEMOLITION
ROOF DRAINS
ROUGH CONDUIT
POOUSPA
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 1sT( )2 ND( ) LIFT
WALL BOND BEAM
WALL DRAIN/ SEAL
WALL FINAL
R0. FRAMING PLANNING APPROVAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PW
FINAL COMMUNITY SERVICES
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
• 1 80wally t2� -.�
i
• T. K. ENGINEERING CORP.
Geotechnical Consultants
3831 Arden Drive
EI Monte, California 91731
(626)575-2856 - E-mail: TKEngineering@aol.com
COMPACTION TEST RESULTS
Swimming Pool Backfills
23858 Chinook Place
Diamond Bar, California
TKE Job No. 16-133CC
May 25, 2016
Prepared For:
Mr. Pouring Huang
T. K. ENGINEERING CORP.
Geotechnical Consultants
3831 Arden Drive
EI Monte, California 91731
(626)575-2856 • E-mail: TKEngineering@aol.com
May 25, 2016
Mr. Poming Huang
23858 Chinook Place
Diamond Bar, CA 91765
Subject: COMPACTION TEST RESULTS
Swimming Pool Backfills
23858 Chinook Place
Diamond Bar, California
TKE Job No. 16-133CC
Dear Mr. Huang:
As requested, this report presents the results of laboratory and field density tests
pertaining to the placement of compacted fill in the previous Swimming Pool area at the
subject property. The approximate locations of compaction tests are plotted on Plate A-1
and the results of laboratory and field density tests are tabulated on Tables I and II,
respectively.
Prior to placing fill soils, the bottom of pool was punctured with three (3) 2.5 feet to 3 feet
size holes for drainage purpose. The depth of pool varied from 3 to 9 feet.
The fill was placed in thin lift (i.e. 8 to 10 inches), watered as necessary to near optimum
moisture content, and compacted to at least 90% relative compaction. Compaction was
achieved by a Whacker and water was provided through a water hose.
Page 1 T.K. Engineering Corp.
TKE Job No. 16-133CC
May 25, 2016
Field and Laboratory Testing
The approximate test locations are plotted on the Plate A-1. Compaction tests were
performed at every 2 -foot vertical interval or less and were conducted in accordance with
ASTM D 1556, sand -cone -test method. Laboratory maximum dry density and optimum
moisture of the soil used as fill are determined in accordance with ASTM D 1557. Test
results are tabulated on the Tables I and II, attached.
It shall be noted that T.K. Engineering Corp. did not perform any test beyond the limit as
shown on Plate A-1.
Conclusions & Recommendation
The approximate limit of compacted fill is shown on the attached Plate A-1. Test results
indicated that the compaction is adequate at locations and elevations tested. For
landscaping purpose, the top 12 to 14 inches backfill soils were not properly compacted. It
shall be noted that the backfill area is currently 4 to 6 inches lower than the adjacent
concrete slab.
The scope of our work in this report was limited to perform compaction tests at the
previous swimming pool backfills only. The adequacy of subsurface soils beneath the
compacted fill blanket for structural support has not been studied by T. K. Engineering
Corp. and it is beyond the scope of this report.
Page 2 T.K. Engineering Corp.
TKE Job No. 16-133CC
May 25, 2016
If the backfill area will be used for structure support, it is recommended that a geotechnical
engineer be consulted.
We appreciate this opportunity to be of service to you. Please contact the undersigned if
there are any questions concerning this report. The following Plate and Tables are
attached to complete this report.
Table I .......... Laboratory Maximum Density Summary
Table II .......... Relative Compaction Summary
Plot Plan ......... Plate A-1
Respectfully submitted,
T.K. Engineering Corp.
X'_ / _ - z�-'___ z
Wan -Lain (Allan) Tsai!RGE 2121
Principal
XC: (3) copy: Addressee
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Page 3 T.K. Engineering Corp.
TKE Job No. 16-133CC
May 25, 2016
TABLE
LABORATORY MAXIMUM DENSITY SUMMARY
(ASTM D 1557)
Soil Type
Soil Classification
Optimum Moisture
Maximum Dry
Moisture
Content %
Unit Dry
Wt.,pcf
Content%
Density cf
A*
fine to coarse silty sand
10
126
113.2
w/ gravel
2
5-13-16
*: Import
TABLE II
RELATIVE COMPACTION SUMMARY
Test
No.
Date of
Test
Elevation
❑
(Feet)
Soil
Type
Moisture
Content %
Unit Dry
Wt.,pcf
Relative
Compaction
%
1
5-13-16
-7.0
A
8.7
113.2
90
2
5-13-16
5.5
A
9.9
113.5
90
3
5-13-16
-3.5
A
10.2
114.4
91
4
5-20-16
-1.5
A
9.8
113.3
90
5
5-20-16
-1.5
A
11.0
114.5
91
❑: Based on the adjacent existing grade.
Page 4 T. K. Engineering Corp.
PLOT PLAN
Place
0i000X
® .Approx. test location
(� >.Approx. limit of compacted fill
L�
23858 Chinook Place
Diamond Bar, California
T.K. ENGINEERING CORP.
GEOTECHNICAL & ENVIRONMENTAL ENGINEERS
JOB NO. 16-133CC
SCALE V= N/A
PLATE A-1
CITY OF DIAMOND BAR
Community and Development Services Department
21810 E. Copley Drive • Diamond Bar, CA 91765
�> Building Inspection Request Hotline
(909) 839-7027
Building Planning Engineering
(909)839-7020 (909)839-7030 (909)839-7040
CORRECTION NOTICE
a.m.
PERMIT NO. i �� DATE: �7 �a / 1 TIME:
p.m.
CONTRACTOR/
OWNER BUILDER
ADDRESS (Project Site) .Z,j'? C'
P K daV-V I,. wG Ii
❑ PLEASE CONTACT THE UNDERSIGNED
J2(PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION
❑ REINSPECTION FEE REQUIRED
❑ PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK
INSPECTOR: �l C AP T-0 L
(print name)
SIGNATURE OF INSPECTOR: