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HomeMy WebLinkAboutPR14-3641Net'\ \ ey 10TY OF DIAMOND BAR I I I i t i DEPARTMENT OF COMMUNITY & DFIVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS 909 839-7020 Fax: (909 861-3117 Building Inspection Hotline(909)839-7027 > ; ( ) K p, N FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS 33 gieA Can OCL d• APN LOT TRACT OWNERX A•fC0 Office, Tales tl %-mt r L...(, ADDRESS 057,91 F_ (4&VJd.J CITY Citl of 1,n6W T% ZIP q0qg TEL. 21157-8843, APPLICANT TEL. CONTRACTOR X A0 LAdtZ_ J - ADDRESS 2-; PO CITY _ gi Q4? TEL. f.A,,� ARCH/ENG/DESIGNER>t- VPi GVL I89.CG1G1teC ADDRESS 1%l� QVW,6%11) St- CITY 6tjof ZIP ql TEL. 6 -2 -b7913 -6&L_ 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions o1 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 hurt or improved for the purpose of sale.). U I, 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.). (, 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: httpAwm.leginfo.ca.gov/calaw.html. DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: � LIC. N0.' � D ATE:CONTRACTOR: /4(_< 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 '_M XJES R%IE ck ZA34 ~AAM POLICY NUMBER (f HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 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 Workers Compensation Laws of California. And agree that if I should became subject to the Worker's Compensation provisions of Section 3700 o1 the Labor Cale, I shall forthwith comply with those provisions. DATE: APPLICANT: WARNING: Failure to secure Workers 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, r 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. PER ITTE NAME(PRINT) n GNATU t 0 r DATE Z APPLICATION DATE: ISSUE DATE: "R \ gj- TYPE CONST. � P/C# ff. T ^ 1 PERMIT# Pct \A -- A --TYPE OCC GROUP:_ ZONING SETBACKS. FRONT REAR SIDE/SIDE STREET SIDE RW ❑ ❑ RW ❑ ❑ PROPOSED USN gftW400 Of EXIST OXce C&Ick Nlildo6 # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport to W Patio/Deck W Pool/Spa (D 2 Re -Roof Z Commercial M Valuation.( 4"?).000 Adj. Area: QUANTITY DESCRIPTION FEE a U 2 r— w J 7 Z a v z x w .. CONSTRUCTION: / PLAN REVIEW: ELECTRIC: Z% PLUMBING: MECHANICAL: , ,� i• a:.% INSPECTION FEE: ISSUANCE: All f SMIP: oLf ENERGY P/C: J ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: l p,5 . DO BSAF: % _:Mf TOTAL FEES COMMENTS: VV RECEIPT If ��-157' PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy. GOLDENROD — File Copy, GREEN — Applicant's Copy SETBACK/ LETTER CITY OP DIAMOND BAR INSP'ECTi&jN RECORD SHEAR WALLSEXTItRIO�� SHEAR WALLS-INTERIA FRAMINGNENTING, ROUGH. -MECHANICAL:.: ROUGH ELECTRICAL. W(. C I ani mw Pi i im d L FOOTINGS FORMS' 17 V A/,," SLAB INSULATION CEILING T -BAR UG. PLUMBING,-,',, DRYWALL UG: ELECTRICAL LATH (PRE) LIFER GROUND. - HERS REPORT RECEIVED SEWER LATERAL -DEMOLITION ROOF DRAINS MAIN WATER LINE LATH INTERIOR SEWER CLEANOUT GAS TEST ROOF SHEATHING .7-1114 M� FLOOR SHEATHING 0 SHEAR WALLSEXTItRIO�� SHEAR WALLS-INTERIA FRAMINGNENTING, ROUGH. -MECHANICAL:.: ROUGH ELECTRICAL. W(. C I ani mw Pi i im d L TRACT AND LEDGER/X INSULATION WALL 17 V A/,," COMMERCIAL HOOD INSULATION CEILING T -BAR DRYWALL HOT MOP/SHOWERPAN LATH (PRE) HERS REPORT RECEIVED LATH EXTERIOR -DEMOLITION ROOF DRAINS LATH INTERIOR POOL/SPA GAS TEST ROUGH'ELECTRICAL SCRATCH COAT GAS TEST, ELECTRIC METER RELEASE fj0 GAS METER RELEASE ;° - FENCE/ -GATE/ ALAR SPECIAL INSPECTION WALLS: FINAL BUILDING .. A FINAL MECHANICAL 7 04 IFINAL ELECTRICAL, RO. FRAMING PLANNING APPROVAL FINAL PLUMBING FI r N I AL,FIRE . -DEPARTM 'ENV " T.C. Of OCCUPANCY FINAL HEAL.TH DEP' C5U of OCCUPANCY COMMENTS: edb,)- Ca~'u eK fiumll� TRACT AND LEDGER/X 21'11 SWITCH GEAR 'Dw, -p ekiv, LA-�Wq 'A COMMERCIAL HOOD 51av � T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED -DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH'ELECTRICAL ROUGH' MECHANICAL: e GAS TEST, PRE GUNITE POOL,PRE DECK BONDING ;° - FENCE/ -GATE/ ALAR 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 FI r N I AL,FIRE . -DEPARTM 'ENV " FINAL PLANNING FINAL ENGINEERING/ P4; - FINAL COMMUNITY FINAL HEAL.TH DEP' -FINAL INDUSTRIAL WASTE 1 -tlo LJ o , A" , a ok�1-Is 'Dw, -p ekiv, LA-�Wq 'A 51av � 4:f4 14 A I' etc- Y//sVir a ' :tea • r .. .. REPORT 0' ARMSTRONG'S INSPECTION SERVICE Phone (949) 429-6055 SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636 CONTR.'JOB # �OBSERVATION REPORT Fax (949) 429-6056 Building Permit No., -'F`&14 -3-(p �:1, : Pit Date: 01-2�-JjDepartment of Building .& Safety - City of: ,p Project Name/Address: ?j?j F (t,�,,J�(o,, X471 A"f��-tZ r Structural Engineer/Address: Ec--`peJ CL4A General Contractor/Address: A>JAJ, UC> Sub Contractor/Address: TESTS MADE: V 1S1),Nk TYPE OF INSPECTION: ❑Welding ❑Hi Tensile Bolting ❑Reinforced Concr to APPROVED MIX DESIGW LIFire roofin p g OMasonry DAnchors DEpoxy []NDTOther: �— ELECTRODE: Off -Site Fabricator Address: r9!l�sT Welder Certification No. Welder Certification No. HOURS: MON. TUES. WED. THURS. Date of Inspection Inspection Summary:• Location of Work, Detail & Sheet No., • Material Description - Type, Grade, Research Report No., Work Rejected or Pending Approval NUMBER OF SA PIES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT I yalk- All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary \\ department upon receipt of final payment In recognition ofthe relative risks of the client and Armstrong's Inspection on the project, Client agrees to the extent permitted by law, that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Armstrong's Inspection. // Approved By: '- Company: ,4o16kw - /'�r�S , — - �> a z�S — S�� A& S. i CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge, with the information provided, all of the above reported work unless otherwise noted. I have found this work to comply with the approved plans, spe!Fectors , and ica le ns of the governing building code. Regis ered Deputy Building Inspector's Certificate Signed by—'" -" l � S;•`I 1011- 44 9 Z C- L— —�-- Cert cation # ©l cq 1 l Type L,A C� Name: (Please Print) �1/�rC�j t1 . Lq-A DATE: - HOURS: MON. TUES. WED. THURS. FRI. SAT. I SUN. NUMBER OF SA PIES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME HRS. PREMIUM TIME HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with the local building department upon receipt of final payment In recognition ofthe relative risks of the client and Armstrong's Inspection on the project, Client agrees to the extent permitted by law, that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Armstrong's Inspection. // Approved By: '- Company: ,4o16kw - /'�r�S , TERMS, DUE UPON RECEIPT A late cha;e of one-half percent (1 112%) per month, (18%) per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing parry. WHITE - Building Dept. CANARY/PINK - Office T. K. ENGINEERING CORP. Geotechnical & Environmental Consultants 3831 Arden Drive El Monte, CA 91731 (626) 575-2856 • Fax: (626) 575-1582 tkengineering(&_ aol.com --- -- FIELD MEMO -- --- Page: /of I Date: Weather: Sunny Cloudy, Rainy Job No: � f � /-yC. _L -- Job Addr ss: City Compaction Equipment: Loader, Scraper, Whacker, Other: - ------------------------------------ Watering Equipment: Water Truck, Hose Type of Observation ❑ Job Site Visit/Meeting ❑ Compaction Tests ❑ Other see below ❑ Subdrain Observation ❑ Caisson Observation ❑ Excavation Bottom Observation Footing Bottom Observation OBSERVATIONS /TESTS DESCRIPTION j't •� � ` t o � &J i 22 i � yr Traveling Time: Total Milage: Signature: Approved By: --� TIME IN TIME OUT /0; / /0 1 �' WHITE -OFFICE COPY * CANARY -JOB SITE COPY * PINK- INSPECTOR'S COPY City of Los Angeles Uniform Code Program Uniform Procedure I-7: Special Inspections Special Inspection Report • 1)1bL;M1'ANC:Y • CONFORMANCE _ Al; discrepancies shall be brought to the immediate attention of If work conforms to approved design and code requirements, submit i the Contractor for correction. If corrections are not made in a this report to Building Department and copies to Contractor, Engineer/ I timely manner, this report shalt be used as a discrepancy notice. Architect of record and Owner no later than the business day foilovjing f Submit the original to Building Department and copies to the conclusion of the special inspection, For inspections greater than 5 Contractor En ineerlArchitect of record and Owner. I days duration submit a conformance report at least once every creek. This Is a: - - Progrl Protect Address: '33 xj • Final �'- C�Y6 U No. _i Page No. Ion of ProreQ: of Record: Nuan Van Sul P013049___ .._..._. ...,,w�. Phone Number: VanSui Inspection 714345-8266 Type of Inspection: o Reinforced Concrete o Structural Masonry o Piling, Piers & Caissons o Smoke Control o Prestressed/Post tensloned o Bolts in Conaete/Masonry a Excmtlon and Fills :3 Energy Compliance o Shotcrete/Gunite ASWucWral Welding o Spray-Appited Fine proofing a Testing Reports o Insulating Concnete/Oypa,ete a High Strengttr Bolting a Other Time Time M/Date Arrived Departed Description and Location of Work Inspected /S_//; 1"401 Q � W /I em Remarks: _ / �_2/% — e /1/� 2�2-Z Cf -E70 T 014 HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWi.EDGE. 1.: A.M. OR MY COMPANY IS, RETAINED BY THE OWNER OR THE ARCHITECTIENGINEER OF RECORD TO PROVIDE SPECIAL INSPECTION FOR THE WORK COVERED IN THIS REPORT. 2. 'HAVE PERFORMED THE REQUIRED INSPECTION DURING THE 71ME PERIOD AS STATED ABOVE. 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS, SPECIFICATIONS AND APPLICA 7 iCy WORKMANSHIP PROVISIONS OF THE CODE, EXCEPT AS INDICATED OTHERWISE. Signature: Date Huan Van Bul, Deputy Inspector To Ke ENGINEERING CORP. Geotechnical & Environmental Consultants 3831 Arden Drive El Monte, CA 91731 (626) 575-2856 • Fax: (626) 575-1582 tkengineering(d�,aol.com --- -- FIELD MEMO -- --- Page:lof / Date: L Weather: Job No: / —T ll( -)12 v l�] Sunny Cloudy, Rainy Job Address: City / �� 3 3 �r��� Cc �� �� �►G�/I��i�GC �Y Compaction Equipment: Loader, Scraper, Whacker, they: watering Equipment: Water Truck, Hose ------------------------------------ Type of Observation ❑ Job Site Visit/Meeting ❑ Subdrain Observation ❑ Excavation Bottom Observation ❑ Compaction Tests ❑ Caisson Observation? Footing Bottom Observation ❑ Other see below) OBSERVATIONS /TESTS// DESCRIPTION —/Vle Z-19 Z!�) /C -7�i � c�-��- v� -�r � _Z4 / 14 S 11,- liz1 11(�L//I A I �0 6-f %LIQ iL-� Grp /�� O� • ��o`r� v ' �/ �� `I -PC�d' — � -P � G��S �% ���-P e/1 7!G /ISP 61 l z�' i r/111� Traveling Time: / /� Total Milage: Signature: Approved By: TIME IN TIME OUT /a 2 WHITE -OFFICE COPY * CANARY -JOB SITE COPY * PINK- INSPECTOR'S COPY CITY OF DIAMOND BAR Community and Development Servizes Department 21810 E. Copley Drive • Diamond Bar, CA 91765 Building Inspection Request Hotline (909) 839-7027 Building 0 Planning . Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION NOTICE '4'Ja.m. PERMIT NO. DATE: TIME: p.m. ❑ PLEASE CONTACT THE UNDERSIGNED 1' - PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑ REINSPECTION FEE REQUIRED ❑ PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: (print name) SIGNATURE OF INSPECTOR: c DATE: PROJECT ADDRESS: _ PERMIT NO: TYPE OF INSPECTION: D Inspection Reguest Form PC i y. A y Contact: J,P Preference: AM Spec Re t• Comments: Required Releases: ❑ Planning ❑ E gineering omm. rv. Special Case:: ❑ Code Case ❑ Co plaint INSPECTION DAY: MON WED THU FRI rq� 3-AI303. Inspection Request Form DATE: 2 PROJECT ADDRESS: 13 PERMIT NO: - �l� �- TYPE OF INSPECTION: �u�L Contact: Preference: n�� ]PM Comments: Required Releases: Planning Special Case: ❑ Code Ca; INSPECTION DAY: MON Special Request: ngineering ❑ Comm. Serv. .omplaint TUE WE THU FRI REPORT # ARMSTRONG'S INSPECTION SERVICE Phone (949) 429-6055 SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636 CONTR. JOB # OBSERVATION REPORT Building Permit No.?&V\ Permit Date: _Department of Building & Safety - City of: �91A %01) e� Project Name/Address Structural Engineer/Address: General Contractor/Address: Sub Contractor/Address: TESTS MADE: TYPE OF INSPECTION: ❑ Welding ❑ Hi -Tensile Bolting ❑ Reinforced Concrete A%C&-%A APPROVED MIX DESIGN#: ❑ Fireproofing Cl Masonry ❑ Anchors ❑ Epoxy ❑ NDT tether: ELECTRODE: Off -Site Fabricator �� Address: �C Welder Certification No. Welder Certification No. HOURS: MON. I TUES. WED. Inspection Date of Ins P Inspection P Summa • Location of Work, etail & Sheet No. Summary: • Material Description - Type, Grade, Research Report No., Work Rejected or Pending Approval SUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME HRS. PREMIUM TIME HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with S permitted by law, the Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspectio 00,00. Whichever is greater. No warranty, expressed or implied is made by Armstrong's Inspection. Approved By: Company: ICg G� ll�a CERTIFICATE OF COMPLIANCE I herby certify that I have inspected to the best of my knowlec found this work to comply with the approved plans, specificati Registered Deputy Building Inspector's Certificate Signed by v ` — Certification # 5t1AVC11- 41 Type C -L Inspectors Name: (Please Print) lave DATE: I 7 -SA\ HOURS: MON. I TUES. WED. I THURS. FRI. SAT. SUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME HRS. PREMIUM TIME HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Armstrong's inspection on the project. Client agrees to the extent permitted by law, the Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspectio 00,00. Whichever is greater. No warranty, expressed or implied is made by Armstrong's Inspection. Approved By: Company: TERMS: DUE UPON RECEIPT -A late /rge of one-half percent (1.1/2%) per month, (18% per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party. WHITE - Building Dept. CANARY/PINK - Office REPORT # ARMSTRONG'S INSPECTION SERVICE Phone (949) 429-6055 SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636 CONTR. JOB # OBSERVATION REPORT Fax (949) 429-6056 Building Permit No. �Gi1yr-�3(a.'{ ` Permit Date:Q-'S–I&t Department of Building & Safety - City of: _DtA_4%o.3b1A9,_ Project Name/Address: U LN, (Utj. ��LC,g_ C,DkA 1>0 Ls — 942–M eX115. IZZ I Structural Engineer/Address:yzzs (P>J C"A0 General Contractor/Address: `SSS PEaQ_\1)aC_-1r– Sub Contractor/Address: TESTS MADE: �1 ��t9p, L.I V}'y TYPE OF INSPECTION: ❑Welding ❑Hi -Tensile Bolting ❑Reinforced Concrete APPROVED MIX DESIGN#: _ / ❑Fireproofing ❑Masonry ❑Anchors i$Epoxy ❑NDT ❑Other: ELECTRODE: o-""_ Off -Site Fabricator / Address: / Welder Certification No. Welder Certification No. I I q�— — HOURS: 1 MON. I TUES. I WED. I THURS. Date of Ins ection p Ins ection Summar • Location of Work, Detail & Sheet No., p y • • Material Description - Type, Grade, Research Report No., Work Rejected or Pending Approval NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT — All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary SFJ I r ✓ that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. Whichev s reater. No warranty, expressed or implied is made by Armstrong's Inspection, Approved By: Company: Rrg��� CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge, with the infor provided, noted. I have found this work to comply with the approved plans, specificatio and a plicable s) Registered Deputy Building Inspector's Certificate Signed by ted work unless otherwise ng building code. Certification # Type '�L'r�._ Inspectors N\arm . (Please Print) ly`UT-4,- DATE: I I I I I q�— — HOURS: 1 MON. I TUES. I WED. I THURS. I FRI. SAT. I SUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY. REGULAR TIME HRS. PREMIUM TIME HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Armstrong's Inspection on the project, Client agrees to the extent permitted by law, that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. Whichev s reater. No warranty, expressed or implied is made by Armstrong's Inspection, Approved By: Company: Rrg��� TERMS: DUE UPON RECEIPT- A late charge of one-half percent (1 1/2%) per month, (18%) per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party. WHITE- Building Dept. CANARY/PINK - Office r REPORT # ARMSTRONG'S INSPECTION SERVICE Phone (949) 429-6055 SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636 CONTR. JOB # OBSERVATION REPORT Fax (949) 429-6056 Building Permit No. Qi'Z`+� Permit Date: Q=tr 1 gDepartment of Building & Safety - City of: �> 1A0w p s 3AA 1. Project Name/Address: Z�c1 ��raJ , 0�PLC_4C L&�'S3 S, &SUN oly1,3 . (ZJ?, Structural Engineer/Address: P2RSC J CA—AA,jt) General Contractor/Address: Sub Contractor/Address: YJ 0,00C A.1-,—rNL_ TESTS MADE: TYPE OF INSPECTION: ❑Welding ❑Hi -Tensile Bolting Oeinforced Concrete APPROVED MIX DESIGN#: L% 43❑Fireproofing ❑Masonry ❑Anchors ❑Epoxy ❑NDT ❑Other: ELECTRODE: `�1k Off -Site Fabricator Address: -r— Welder Certification No. Welder Certification No. HOURS: I MON. I TUES. I WED. THURS. I FRI. Date of Ins ection p Ins ection Summar • Location of Work, Detail & Sheet No., p y• • Material Description - Type, Grade, Research Report No., Work Rejected or Pending Approval - dz�c. ayr'� S 4 t CIL �A to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with the local building JVIZ�--— 3 that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to _ Iti Approved By: Company: S w v S CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge, with the informati rovi ed, all oft aboA�vern' ed work unless otherwise noted. I have found this work to comply with the approved plans, specifications, a applic sectio of theg building code. Registered Deputy Building Inspector's Certificate Signed by ( / qCAL ZCL_ Certification # 01W 9 Type LA. C;0 Inspectors Name: IZ�aAI�-�S� LAI. DATE: HOURS: I MON. I TUES. I WED. THURS. I FRI. I SAT. I SUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME HRS. PREMIUM TIME HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Armstrong's Inspection on the project, Client agrees to the extent permitted by law, that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. er is greater. No warranty, expressed or implied is made by Armstrong's Inspection. Approved By: Company: TERMS: DUE UPON RECEIPT- A late charge of one-half percent (1 1/2%) per month, (181�.ger annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party. WHITE - Building Dept. CANARY/PINK - Office REPORT # ' ARMSTRONG'S INSPECTION SERVICE Phone (949) 429-6055 SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636 CONTR. JOB # OBSERVATION REPORT Fax (949) 429-6056 Building Permit No. Permit Date: 4 Department of Building & Safety - City of:Z >VA �-)a� 1R�` Project Name/Address: ly; r (Dyke -9- _ . 462$pw W . jZg� Structural Engineer/Address: ' General Contractor/Address: -VQ C-3— Sub Contractor/Address: 2Ma, r� L'�C. r_ TESTS MADE: S�,M.IoLIG_ - TYPE OF INSPECTION:Weldin Hi -Tensile Boltin ❑ g ❑ g T�dReinforced Concrete APPROVED MIX DESIGN#: 18CE" I S ❑Fireproofing ❑Masonry ❑Anchors ❑Epoxy ❑NDT ❑Other: ELECTRODE: / Off -Site Fabricator 1� Address: Welder Certification No. Welder Certification No. HOURS: I MON. TUES. I WED. THURS. Date of Ins ection p Ins ection Summar • Location of Work, Detail & Sheet No., p Y• • Material Description - Type, Grade, Research Report No., Work Rejected or Pending Approval NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT _ S l 4 - -s - s _ department upon receipt of final payment. In recognition of the relative risks of the Client and Armstrong's Inspection on the project, Client agrees to the extent permitted by law, that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Armstrong's Inspection, LOCA=l 01,3 o r-.. Approved By: �- Z � m 9 -SD 1� CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge, with the infornjattoTrpiovided, al noted. I have found this work to comply with the approved plans, specificatio and ap able s$E Registered Deputy Building Inspector's Certificate Signed by Certification # SZ -A (01 1—qC1 Type 771 Ins 579—r6Nrted work unless otherwise e gover ing building code. DATE: HOURS: I MON. TUES. I WED. THURS. I FRI. SATSUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME HRS. PREMIUM TIME 41 HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon kill be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filled with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Armstrong's Inspection on the project, Client agrees to the extent permitted by law, that Armstrong's Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for that specific work to Armstrong's Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Armstrong's Inspection, Company: Approved By: �- TERMS: DUE UPON RECEIPT- A late charge of one-half percent (1 1/2%) per month, (18%) per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party. WHITE- Building Dept. CANARY/PINK - Office To Ke ENGINEERING CORP. Geotechnical & Environmental Consultants 3831 Arden Drive El Monte, CA 91731 (626) 575-2856 • Fax: (626) 575-1582 tken2ineering(a,aol.com C - FIELD MEMO Page: Lof j Date: _�/� 2 015 Weather:Job unny Cloudy, Rainy No: X Job Address:City 3 Compaction Equipment. Loader, Scraper, Whacker, Ot r: ------------------------------------ Watering Equipment: Water Truck, Hose Type of Observation ❑ Job Site Visit/Meeting ❑ Compaction Tests ❑ Other see below) ❑ Subdrain Observation ❑ Caisson Observation ❑ Excavation Bottom Observation Footing Bottom Observation OBSERVATIONS /TESTS DESCRIPTION O' G 7 44�,T / 0 r G z P,2 `?<<lzli` r Traveling Time: AllTotal Milage: TIME IN TIME OUT / 0` WHITE -OFFICE COPY' CANARY -JOB SITE COPY • PINK- INSPECTOR'S COPY REPORT # ARMSTRONG'S INSPECTION SERVICE Phono (049) 429.9055 SPECIAL DEPUTY INSPECTORS Coll (909) 214.8936 CONTR. JOB # 013SERVA'I'I0N REI101Y1' Fay. (949) 429.6058 Building Permit No, Permit Date: Department of Building B Safety - City of: + �� Project Name/Addressb�rrFt Structural Engineer/Address: General Contractor/Address:�}k��.l�j— Sub Contractor/Address: TESTS MADE:�y�L� TYPE OF INSPECTION: U Welding U Ili -Tensile Bolting U Relnforcod Concrete APPROVED MIX DESIGN/l: U Flreprooring O Masonry U Anchors U Epoxy 0 NDT U Other: ELFCTP0r1F• Scanned by CamScanner -"' CITY OF DIAMOND BAR ' DEPARTMENT OF COMMUNITY E DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS j (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION -* (j�.i",S�.„\ JOB SITE ADDRESX 33 3 6 RaA 00fiq oh APN LOT TRACT OWNER ADDRESS CITY ZIP TEL. APPLICANT TEL. CONTRACTOR ADDRESS CITY ZIP TEL. ARCH/ENG/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, 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 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 (S500). (, I, 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 Cade: 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 I, 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,) 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.leginto.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: 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). 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 became subject to the Worker's Compensation Laws of California. And agree that I I should became 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 cast of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 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. Pres ro PERMITTEE SIGNATURE OF PERMITTEE DATE APPLICATION DATE: 1 1 S —P/C# ISSUE DATE: PERMIT# TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT REAR SIDE/SIDE STREET SIDE SIDE RW ❑ ❑ RW [a— ❑ PROPOSED US Mei ] ' 1 7 E' lJ Apilos _ADA attest Chun 'b # DWEL. UNITS # STORIES d(Fk(tnt eiirtU # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport LU Patio/Deck LL Pool/Spa ZRe -Roof 0 Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE j J w CD m J a U Q U w CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BSAF: TOTAL FEES COMMENTS: RECEIPT # PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy SETBACK/ LETTER"' TRACT AND LEDGER FOOTINGS FORMS' SWITCH GEAR DRYWALL UG,,PLUMBING d ;',a,: W. ELECTRICAL a _ .UFER GROUND LATH INTERIOR j SEWER LATERAL GAS TEST MAIN WATER LINE _ SEWER CLEANOUT ELECTRIC METER RELEASE ROOF SHEATHING j FLOOR SHEATHING —� SHEAR WALLS EXTERIOR FINA61VIECHANIC41L SHEARWALS INTERIOR FIN ELECTRICAL: FRAMINGIVENTING-- �`�-�° °�; ROUGH'MECHANICAL T.C: 4-66 tUPA46 RO(I(.H.FI FrTRIrAI sW( 1 C.(: , CITY Of DI_A.MO.ND BAR INSPECTION RECORD n TRACT AND LEDGER ' SWITCH GEAR DRYWALL COMMERCIAL HOOD d ;',a,: T—BAR _ INTERCEPTER LATH INTERIOR j HOT MOP/SHOWERPAN GAS TEST SEPTIC/CESSPOOL _ _ HERS REPORT RECEIVED ELECTRIC METER RELEASE DEMOLITION GAS METER RELEASE SPECIAL INSPECTION i ROOF DRAINS FINAL BUILDING "z ROUGH CONDUIT r INSULATION WALL s. INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR � � LATH INTERIOR j GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION i FINAL BUILDING "z - FINA61VIECHANIC41L 4r POOLP.,RE DECK -BONDING FIN ELECTRICAL: FINAL PLUMBING (�# P TRAP �� T.C: 4-66 tUPA46 — Eqs. COMMENTS: POOLISPA Y s. ROU PLUMBING ROUCH'ELECTRICL � � < ROUGH MECHANICAL GASxTEST PRE. C,UNITE 4r POOLP.,RE DECK -BONDING P TRAP �� — Eqs. FENCE /'GATE/ FINAL"FOOL WALLS: j WALL FOOTING/STEEL WALL STEEL 1S-( ) 2N°( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNINGAPPROVAL` 'DI�II� 0 D Bi�R City of Diamond B-ar . 1. . Building & Satet4 Division 21810 Copley Drive Diamond Bar, CA 91765 Building Division (909) 839-7020 / Inspection Request Hotline (909) 839-7027 k PERMIT # DATE ISSUED: ADDRESS: —DESCRIPTION: POST IN SAFE, CONSPICUOUS PLACE AT FRONT OF JOB. PROVIDE PERMIT NUMBER WHEN CALLING FOR INSPECTION. HAVE APPROVED PLANS ON 10BSITE AT TIME OF INSPECTION. INSPECTION REQUESTS SHALL BE MADE 24 HOURS IN ADvA6CE YOU MAY CALLUS THE DAY OF YOUR INSPECTION Ar 9:00 AM AT (909) 839-7020 TO OBTAIN AN APPROXIMATE TIMEFRAME. INSPECTION DATE: SIGN: IINSPECTION DATE: SIGN: SETBACK /LETTER �- PACT AND LEDGER. ` A- FOOTINGS FORMS SLAB;, _ ! g� l �; SWITCH GEAR _.OMMERCIAL HOOD — — - UG. PLUMBING -BAR _— UG. ELECTRICAL {T INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL SEWER CLEA-KOUT HERS REPORT RECEIVED MAIN WATER LINE R�,O: SHEATHING (`DEMOLITION IROOF DRAINS FLG ,� S"EATHING Ak7 - !ROUGH CONDUIT —_ VVALL.S EXTERiOR�f+UOLL�P-- ESHFA" 1II'A,L:�S IN-EPIOR (ROUGH PLUMBING __...__._......:_ _. .._. t _._....—_...__.. 1i?OUGH ELECTRICAL 1 __.___.._.....�� RCj.:t,1.ECHANICAL MECHANICAL _ R0;'E.•_ECIRICAL W( ) C O {IP.OUGH (GAS TEST RG. FLUMBING� b i !PRE GUNITIE _— I'NSl1LATION WALL_ _ POOL PRE DECK BONDING INSI,LATION CEILING / P -TRAP DRYWALL FENCE / GATE / ALARM LATH (PRE) FINAL POOL LATH EXTERIOR �% I WALLS: LATH INTERIOR WALL i=00lING/STEEL_ GAS;TEST WALL STEEL 1ST( ) 2ND(') LIFT SCRATCH COAT A 4 WALL BOND BEAM ELECTRIC METER RELEASE - \WALL. DRAIN / SEAL GAS METER RELEASE !HALL. FINAL SPECIAL INSPECTION F;O. FRAMING PLANNING APPROVAL FINAL BUILDING"0"04 ZOUGH FIRE APPROVAL FINAL MECHANICAL 'INAL FIRE FINAL ELECTRIC4L rINAL PLANNING FINAL PLUMBING of-'INAL ENGINEERING/PW i. T.C'- of OCCUPANCY CERT OF OCCUPANY rThYAL r0MMUNI7I'SERVICES :7NAL HE4LTH DEPT. 1 �VDUSTR.IAL WASTE FINAL