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Home My WebLink AboutPR14-3942InEI' 1 >;-jl ,•Ill i:l'' J* .� �-�%Qs�ie ►"r'��M�' X14 CITY OF DIAMOND BAR r r DEPARTMENT OF COMMUNI fY & DEVELOPMENT SENXICES_i 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection` Hotline (909) 839-7027 FIRMLY //�� 13UILDING PERMIT APPLICATION JOB SITE ADDRESS X6 k t ke Wyy A bnVe., AP "I_ TRACT % e7 OWNER 1214.1 I�`1I�3it�ylE:,►rs.�1.c, ADDR SS�"ID ArIP�IL S CITY�IM ZIP 1-13b TEL. IM?f11��I'lOiS APPLICANT-30'e-W�V,NfI�S63 TEL. 0'1 CAII-g1_157 CONTRACTORT� ` ADDRESS 1 Q 70 ry1�Gey CITY9WZIP'Ir30 TEL. 10 11 211' -1105 ARCH/ENG/D SIGNER `=1VZU1L1 M`54WS ADDRESS '` �1 L CITY ANNE ZIP9144 TEL.M 4— OWNER-BUILDER DECLARATION 1 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 mor7,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 LJ portions of the wore:, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractor: 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 im ved for the purpose of sale.). , 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.). (-)1 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 permiLl 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 Pro es 'ons Code is avai ble upon req this application is submitted or at the followimrft W .leginfo.ca.g DATE: V SIGN: LICEINWID 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 BusinessC/ \ and Professions Code, and my license is in full forQce and effects I — LICENSFcLLASS' A � � LIC.NO.: DLJ 3(P DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION „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 ection 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 o1 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: ��•�� G•�y� -1 I,�,.�C CARRIER '' �r•`v �IVIr`i�_t+Nj1l`e 109416 TWO POLICY NUMBER SsCJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I can 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' 1 should become subject to the Worker's Compen ti ro ' i s Section 3700 of t r ,II wi ith those provisions. DATE: PPLICANT: r WARNING: Failure to secure Worker's Com nation 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. 4 "AiA 0 SIP�y1ASE'� PE I I'D ATURE OF PERMITTEE DATE A-,PLIr.ATION DATE: �r3O� IV. P/C# p� 3 ISSUE DATE: `'I ZIS 1%4- PERMIT# 34 26 TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USM XDC) l71D 0 1"a kr I %r Fu6oiit 0 AVO ftii0 F(20 -'Adi-n Sloe 2 VWLY # DWEL. UNITS I If STORIES 4- # BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREAIVALUATION SF AD REM Garage/Carport toalio LU eck ,K,1 LU Pool/Spa Z Re -Roof liO •A O Commercial m � Valuation: Adj. Area: QUANTITY DESCRIPTION FEE a 3-7 F I 5 J 32 -0IT w n f•_ �, SVN\0ILt Z -i s i d si�l�tE 5 a -k6 40W ELS Z w S CONSTRUCTION_: PLAN REVIEW: \4--c a 3 ELECTRIC: a co PLUMBING: -I1 MECHANICAL: �oS • bg INSPECTION FEE: ISSUANCE: SMIP: C� ENERGY P/C: \A1-0 • �� ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: _ BSAF: Lo Ott TOTAL FEES COMMENTS: 47L-- 9tc:j,&e3 ✓ a3a cp �n RECEIPT # 1 Ln q 9 PAID BY: VALIDATION: �Y1 WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy a CITY OF DIAIQOU 'a BAR ' I.NSPECTIOlilf ,'ORD COMMENTS: JOB# 1989-113-1.401 TODAY'S DATE 2/3/2015 0 Complies ❑ Non-conformance ❑ Repair CONSECUTIVE DAILY FIELD REPORT O REPORT NO. KMH INSPECTION SERVICE 562 712-9200 O FOR WEEK 2 / 7 / 2015 ENDING I AM AUTHORIZED TO PERFORM SPECIAL INSPECTION IN THE CATEGORY CHECKED: ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ SPRAY -APPLIED FIREPROOFING ❑ PRESTRESSED CONCRETE ❑ DEEP FOUNDATION ❑ REINFORCED MASONRY ❑ OTHER 3 JOB ADDRESS q 858 FEATEHERWOOD DR. DIAMOND BAR BUILDING PERMIT NUMBER lu PR 14-3942 PLAN FILE NUMBER 11 OWNER OR PROJECT NAME 5 RJJ PROPERTIES APPLICATION/IL NUMBER 12 CONSTR. MAIL (TYPE, GRADE, ETC.) 6 EPDXY ARCHITECT SUZUKI DESIGNS is DESIGN STRENGTH O SOURCE OF MFGR. O SIMPSONS ENGINEER HTK STRUCTURAL ENGINEERS Iq DESCRIBE MAT'L (MIX DESIGN, RE -BAR GRADE, WELD -ROD, ETC.) O GENERAL CONTRACTOR YOUNG HOMES 0 CONSTR. DOING REPORTED WORK i75 CRAWFORD CONSTRUCTION SPECIFICATION SECTION REFERENCE INSPEC- (D DATE ARRIVAL 0 TIME DEPARTURE TIME DETAILED REPORT LOCATION OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. OF WORK INSPECTED 0TION 02/03/15 1200 Hrs OBSERVED DRILLING AND EPDXYING OF #4 ASTM A615 GRADE 60 REINFORCING STEEL DOWELS INTO SLAB WITH 6" MIN EMBEDMENT DEPTH. USING SIMPSONS XP -22 EPDXY BATCH NUMBER 153T288T AND EXPERATION DATE 11/03/2016. APPLICATION AND HOLE PREPERATION PER ICC -ES ESR 2805. 1800 Hrs DISCREPANCIES NOTED: UNLESS OTHERWISE NOTED, TO THE BEST OF OUR KNOWLEDGE, THE OBSERVED WORK CONFORMS TO THE APPROVED PLANS INSPECTOR/TECHNICIAN KENNETH M HUNT AND SPECIFICATIONS, AND THE APPLICABLE WORKMANSHIP ,yam PROVISIONS OF THE UNIFORM BUILDING CODE. SIGNATURE e DATE SIGNED 2 / 3 / 15 REGISTRATION NO. 1111264 CONTRACTORICLIENT SIGNATURE REVIEWED BY THE WORK Q WAS ❑ WAS NOT MATERIAL SAMPLING ❑ WAS ❑ WAS NOT ❑ N/A INSPECTED IN ACCORDANCE WITH PERFORMED IN ACCORDANCE WITH APPROVED DOCUMENTS. THE REQUIREMENTS OF THE APPROVED DOCUMENTS. r ''w • � 1 r " MEMORANDUM DATE: February 5, 2015 TO: Jonathon Siemsen HTK PROJECT: 828 Featherwood STRUCTURAL ENGINEERS, LLP PROJECT NO.: 14288 Danielson Street • Suite #200 • Poway, CA 92064-8819 (858) 679.8989 • WWW. HTKSE.COM • Fax (858) 679-8959 I have reviewed the footing excavations and reinforcing bars. All footings and reinforcing bars have been place in conformance with the construction documents and any additional information that was provided due to discrepancies to the as built conditions discovered in the field. There are new fill footings at the front of the house that replace the existing condition where the wall was bearing on slab only. The existing footing for the fireplace is more than sufficient for the new loads. The new footings have been doweled into the existing fireplace to limit differential movement. The existing pad footing in the garage is adequate for the new loads. There are no deficiencies and, in my opinion, the concrete may be poured. From: Ben Seibel Copies to: File Page 1