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HomeMy WebLinkAbout16-0733 —..�``�i5'"� CITY OF DIAMOND BAR • ► �I I i c DEPARTMENT OF COMMUNITY a�.DEVELOPMENT SERVICES 111' `c ' 21810 Copley Drive,Diamond Bar,CA 91765 ` PRESS �� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY � ����'D"=,� BUILDING PERMITAPPLICATION www.cityofdiamondbar.com building@diamondbarca.gov � w gy � �� APPLICATION DAT ' P/C# a JOB SITE ADDRESS ��o Q � � APN LOT TRACT ISSUE DATE: PERMIT#: �a v� 0 N OWNER C. TYPE CONST. OCC GROUP: I � ADDRESS Z W a CITY iGtnMOYI��c I'ZIP TEL. O � �// � � � Scope of Work V / o APPLICANT TEL. I � o .CONTRACTOR �/1 H � ADDRESS � �� #DWEL.UNITS #STORIES #BEDROOMS � o CITY .¢ ZIP G TEL. �� -pa` o ARCH/ENG/ z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Z ADDRESS SFR/ADD/REM m CIN ZIP TEL. Garage/Carport a � Patio/Deck a� OWNEfl-BUILDER DECLARATION w oI hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) � Pool/Spa w indicated below by Ne checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and � zProfessions CoOe:My city or county ihat requires a permit to construct,alter,improve,demolish,ar repair,any Z Re-Roof� a structure,prior ta its issuance,also requires the applicant for the permit to file a signed shatement that he or she � Commercial � is licensetl pursuant to the provisians of the Contractor's State License Law(Chapter 9)Commencing with Section � � 7000 of Division 3 of the Business and Professions Code]or ihat he or she is exempt from licensure antl the basis for m � 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). � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(�all af or(J portions Z of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Va/uation: Adj.Area: w Contractors'State License Law tloes not apply to an owner of property who,through employees'or personal effort,builtls � or improves the property,providetl that the improvements are not intended or offered for sale.If however,the building or QUANTITY DESCRIPTION FEE p improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built � or improvetl for the purpose of sale.). � Z (J I,as owner af the property,am exclusively cantracting with licensed Contractors to construct the project(Section � � 7044.Business and Professions Code:The Contractors'State License Law does not apply to an owner ot property who � Y builds or improves thereon,and who contracts for the projects with a licensed Contractor pursuant to the Contractors'State � o License Law.). w � (,I am exempt from licensure under the Contractor's State License law for the following reason(s�: � � z Z m � dy 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 a X owner-builder if it has not been constructetl in its entirety by licensed contractors.I undersfand that a copy ot the w 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. � v LICENSED CONTRACTOR'S DECLAHATION � x � 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 eBect. o LICENSE CLASS:.�_ LIC.NO.: �6 h�J d D CONSTRUCTION: �I Q DATE: CONTRACTOR: p WORKEfl'S COMPENSATION DECLAflATION PLAN REVIEW: Q I HEREBY AFFIRM UNDEfl PENALTY OF PERJURY ONE OF THE FOLLOWING DECLAMTIONS: ELECTRIC: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provitled by PLUMBING: jSection 3700 of the Labor Code,tor the performance of the work for which this permit is issued. MECHANICAL: � I have and will maintain Worker's Compensation Insurance,as requiretl by Section 3700 of ihe Labor Code,for ¢ the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier antl INSPECTION FEE: Policy Number are: Z CARPoER ��Wt�� ISSUANCE: � POLICYNUMBE���n Z�'�,� SMIP: � ,�,r. � �'Fi —�—" � v r ni � . (THIS SECTION NEED NOT BE COMPI.FfED IF 1'�iE P�RMR IS fOR ONE HUNDRED DOL.WiS($100)OR LESS). ENERGY P/C: p 1 certify that in the peAormance ot the work for which mis pertnit is issued,I shall not employ any person in any manner so�to EN ERGY PERM IT: O become subject to the Worker's Compensation laws ot Califomia.Md agree that if I should become subject to the Worker's �, �O— J Campensation provisions of Section 3700 of the Labor Code,I shall forthwith compty wim those provisions. RETENTION FEE:_ � DATE: apPLICaNT: PRE-ALT FEE: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal gASF: ) � w� penalties antl civil fines up to one hundred thousand tlollars($100,000),in addition to the cost of the compensation, /;� p damages as provided for in section 3708 of the labor cotle,interest,antl attorney's fees. PLOT PLAN: � � � CONSTRUCTION LENDING AGENCY ZONING CLEARANCE: = I hereby affirm untler penalty of perjury that there is a Construction Lentling Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). C LENDER'S NAME: � LENDER'SADORESS: TOTAL FEES / /� w a I certity that I have read this application and state that the above intormation is correct.l agree to comply with all city and Z county ordinances and state laws relating to building conshuction,and hereby authorize representatives of this county to COMMENTS: p enter upon the above-mentioned property for inspection purposes. � I�en��la- Wt� m ¢ PERMITTEE NAM RINn P/C: PAID BY: VALIDATION: `� w �. 3�z�l(-�7-- � ' RECEIPT u PAID BY: VALIDATION: � SIGNATURE OF RMI7TEE ` DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy CITY t3F C31A!1�OND BAR INSPECTIC'�N,RECORD r „ . � f a � � � i , � i � SETBACKILETtER TRACT AND LEDGER FOOFINGS FORMS SWITCN GEAR S�g COMMERCiA�H040 UG.PLUMBING T-8AR UG.ELECTRICAL INTERCEPTER UFER GROUND HO7 MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT REGEiVEO SEWER CLEANOUT DEMOLITiON RdOF SNEATNING ROOF DRAiNS FLQOR SHEATHiNG ROUGH CQNDUIT SHEAR UVALLS EXTERlQR POOUSPA SHEAR WALLS INTERIQR RQUGH PLUMBING . FRAMINGlVENTING ROUGH ELEGTRIGAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )CO GAS TEST ROUGH PLUMBING PRE GUNITE iNSULATiON WALL POOL PRE DECK BONDiNG INSULATION CEILING p_j(�p DRYWA�L FENGEIGATEJALARM LATH{PRE) F1NAL P44� LATH EXTERlOR WALLS: LATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 15�( )2ND( )LIF7 SCRATGH COAT WALL BOND BEAM FLECTRIC METER RELEASE WALL DRAINI SEAL � GAS METER REt�EASE WALL FINAL . SPECIAI.INSPECTION R0.FRANIING PLANNING APPROVAL. 'j FtNAL BUILDING Ii, I ROU6N FIRE APPROVAL FINAI MECHANICAL FlNA!FlRE DEPARTMENT FINAL ELEGTRICAL fINAI PLANNIMG F4NAL PLUINBING FINAL ENGINEERING/PW 7 T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAI INDUSTRIAL WASTE COMMENTS: �.� iJ� f � j'f 1 I ` �t��A� Dl� l�En�r"�jq ,f�bM�'!-�G / GF G�r�rtA&C�ro�/1, al'�0/'f 1L ��t�r� RC�E'Pi%�'�''� • ,.. � ` �`."::� � Page 1 c � f r -� Customer: WU BE� � ' � \ ,:,f , ,,� �NVD�Ci� Online WM e2Pay ID: 00016-69974-131 WASTE MANAGEMENT Invoice Oate: 04/15/2i WASTE MANAGEMENT OF Invoice Number: 9502407-251 SAN GABRIEL/POMONA VALLEY • Account Number: 012-0244219-251 PO Box 43530 Due Date: 05/14/2� PHOENIX,AZ 85080 (800)266-7551 Total Current Charges Total Amount Due 761.21 149.40 � -_-------�- ----- � Account Summary Description_i___ _ busine say total amount due.Thank you for your �— Previous Balance 0.00 Total Credits and Adjustments 0.00 �Total Payments Received 611.81- �� Total Current Char�es _ _ 761.21 Total Amount Due 149.40 " Total Amount Past Due - �- O.UO `-" -� " �� , �� PLEASE RETURN THE REMITTANCE STUB WITH YOUR Service Period: 03/30N6-04/15N6 PAYMENT&WRITE YOUR ACCOUNT li ON YOUR CHECK. Description Amount Roil-Off 761.21 � Total Current Charges 761.21 If full payment of the invoiced amount is not received within your contractual terms,you may be charged a monthly late charge of 2.5%of the unpaid amount,with a minimum monthly charge of$5.00,or such late charge allowed under applicable law,regulation or contract.Additionally, if your service is suspended for non-payment,you may be charged a resume charge to restart your service. For each returned check,a charge will be assessed on your next bi�ling equai to the maximum amount permitted by applicable state law. Use your iPhone or Android mobile device to manage yoi account,pay your bili,and schedute a roll-off pickup,simi to wm.com.More at wm.com/GoMobile. 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L ����. �ay�� oc.i ;. � �•F" u`�,n� �l� '�A; , g. + ., � t . s"' w "y, �� ,^^,� yr / � �,, M a �,� -,� � .� �" ''�; {<! e�i; <���'�' �<' ��.� t � . 6 � '' 1. � t �:�:4;`;;� ., �:,� Er�.i���/4. ,a"' yr��.-k�� '+n'i. :�3�✓ ,�ylJ=.� �� �Y '����' r,:.�� r i .,ah ..fL;'.z� �.�.�c.� �'�"i+�: �" � � � • �' • • � ' � � �� � • . ���• � � � • � � � . �� . • ' �� � / . � � � . i � / . • � i . � • ' � � • � � � � �i � �� � •� 1 � . • • C • � . • • : • • • - •1• L�1 S �• •I• L�I 3 • i � � . ' April 21, 2016 To Who It May Concern Subject: Rough Grading Certification—Soil Compaction/ 21823 Tenderfoot Way, Diamond Bar CA 91765 KTL Project No.: 08-404-055 Gentlemen: Representatives of Keantan Laboratories visited and performed surface compaction inspection of pool backfill for the abovementioned site on 4/20/2016. . Compaction testing was performed in general accordance with testing procedures as follows: TYPE OF TEST TEST PROCEDURE In-place Density ASTM D 1556 Compaction has been tested and certified to be at least 90% of maximum dry density determined using ASTM ;. procedures described above for pool finish grade only. Pool backfill pad have been inspected and approved by the undersigned. If you have any questions regarding our reports, please contact us at(909)860-1896. 'i Very truly yours, Keantan Laboratories Q�OQ�pFESS/p�y,,_ � �� � �Y� � �� �, z �Xa� � Kean Tan, PE - *, Principal �"'`' ��Q' ,. ,-.. April 21, 2016 Project No. 08-404-055 "��� . �- . -� . S : . . : :� �nu+a:�rK.u�nr� .. . �1- k ,� �'.� ;� sicu�+mc<w.aa�i�.inrt�+� ,�: �b $ � ti� Q� w a:: 'ry I '�'� � � ,� �g� �p... 3 �y;�.�. �.��c�''t� ' �..-;,�5� � , .i�isi :D 'MAt:a+' .� Ap:. . .. . . . � �.. .CAfr`u'4: S('1 tlht3C . ... �Ci . ,. � ' `'� �rS . ' � �. k . �, . . . r ' ,..� �, .��w" c�,a,�a ` '� n-� ., iarsmn�. : � . w 'h � ,�'�aa�w a.� ?3 � '' ea«m�e a+ .Q . . � y fkJP$•kMl. lWillO[!FS'h :�5. ''lnlyd' (36TMCBMCLIK�iy . , * ...�.�� . 'i�' . �. .. /btAnxUtk+Mn'.. �S.. '��. �; ', �,�. a. , . �`a� : ft "'�r.a. ",� , r ;pY�u�dBr . ': : .. , ' . .. { h.i•F� . S�Msu.;� .� m t��. :� �yR �``� �' Y IiqiitY�{.. .� . � a i k+r:t1�`aWLJwye A3'.. ...� E a ,2 :-� : �i�t� �� C�fsenm ' �s '� 7tN �. . �ra.Na . ,.M� "� d' a �x �m�; �r. uN��M . ine4T' �.. .. Y �. : r. �� �r ... , � _. `$c x � �xi„: r :u�r.nw'roaw.r ' ��,: " �. a .,4 . �ry � q�F . , ��c 4 r k: ¢ u�p �c� �, ' ��`� `�.� "': X�� �: s .r{ � Mli y . r .. �� -ga� ��o ;� } . .. . . r �� `��� , �� a g �, F:. "D� �K wn'' . Su 6w Y &��. � � n d, e ' d✓�Ci,f�Ot � . . . � � N.tr�ce� �' .SC . J' y . . '� �� � Y tX y �Q '� . �.`• ��n 1��:� ' . '. . � ' . � a�' . f r�wrM�+ . ��'GE' S" � .�y� t � . .. . . ; �, cf� � �. . sh � ' �� x ' iw` �' B . 4y �� � � . ; � � ' , ;. `� ' Go;gl� `. � x� _ � ,t,� U ; z : ,�, Courtesy of googlemap.com North KeanTan Project Name: 21823 Laboratory Tenderfoot Way Diamond Bar VICINITY MAP 04/16 Figure 1 3 KEANTAN LABORAT07RIES 640 north diamond bar b/vd.,diamond bar,ca 91765 � '- ,>Pt_ �.^. � " KEANTAN LABORATORIES ��N'W KEANfANLABe rnnt EMAIL: KEANTANLAB�iilAOL COM DAILY FIELD REPORT PROJECT NAME: 21823 Tenderfoot Way,Diamond Bar PROJECT-TASK NO: 08-404-055 CLIENT/OWNER: Rosa Chen CLIENT REPRESENTATIVE(S): Benny Wu DAY; Wednesday DATE:4/20/2016 SUBJECT: Compaction Inspection CONTRACTOR: Benny Wu SUPERINTENDENT: Benny Wu FIELD CONDITION: Sunny,Cleaz EQUIPMENT: Nuclear Gage, Whacker,bodcat TIME - FIELD ACTIVITIES/OBSERVATION Left Office at 640 North Diamond Baz Boulevazd Diamond Bar, CA 91765 Arrive at Site: 21823 Tenderfoot Wa , Diamond Bar CA 91765 Note: Compaction and Backfilling of pool completed prior to my anival. Job Description: Compaction Inspection on pool backfilling. Based on Benny Wu, crush Concrete from pool is backfill into former pool site. No observation conducted on drainage hole drilling on the bottom of pool. Based on Benny Wu,drainage holes were drilled at the bottom of pool and inspected by city inspector. Import soil was delivered to the site by Benny Wu(Prosperity Construction Inc)from 1532 Fishburn Avenue,Los Angeles � California 90063 (no inspection conducted for delivering of import soil). Original Source of import soil: 709 22°d Street, Santa Monica, California. Approximate pool Depth range from 4-11 feet , Note: Based on information from contractor Benny Wu, area on top of pool backfill will be used for landscaping purpose only(no structure or pavement is going to situate on top of pool backfill). Recommendation: For concrete paving; addition compaction is needed to minimize subsidence otential between com acted ool backfill and ool surroundin . Note: Modified Proctor Compaction information for import soil obtained from Benny Wu (Benny Wu Disposal Services). Modified Proctor Compaction for import soil;Maximum Dry Density 127 pcf, Optimal Moisture Content 10%(see attachment I for import soil modified roctor com action curve Figure 3 *Approximate Test Locations Adjacent Property Adjacent _� Property *::.. Proposed Pool House `�� Backfill and test - point Tenderfoot North Way Adjacent Property Drawing not to scale Compaction Inspection with Nuclear Gage Import Soil: Silty-Clay(CL) Test Point Result(Refer to Data page for detail) T-1 90% Pass(Finish Grade) T-2 90% Pass(Finish Grade) (Refer to Figure three for test location) Refer to appeadix II for photolog Left Site HOUR: ONSITE TRAVEL --•''�,�J �� ��' WRITTEN Y•`� Jonatha�n-�� giin •.��-__-_�...�v... 640 NORTH DIAMOND BAR BLVD,DIAMOND BAR,CA 91765 • TEL: (909)860-1896 •FAX: (909)860-1856 �"� /� sN �o N�� p. c'np � � `� N a�,^� .r-,- . N N "' Gn 'o�'" 4 � U a� � � tDr una�~�� �' o ''� w <. �`�`- E m � ��„ o r � ` � e- N 0. " m tY1 Q �, ` e Z it m G � J � L � t � p � � C1 �lp � � � .; c .- E r ,n� R � � C � m � �s �� Y. G C � � G y �y � +C � p ��Os? i71 4 � O N ! " �r O � � '� � O 3 G �� ��'4� Z D � G o�' y �° Q y°� ;'�c`o � N � '.: � ✓ � �',.t .� O d '% ;; �qn1 Groi O o � � ., �'�.�Y Y � N a N" N ��U .�, 01 7^ ��G M °' �ul s� a� c � y �`° co a.J � �a � � � � .�.y O o �N� t%6 p � p• � l�0 Z .ti�t�Y„' N O �GyCa .c u �� ��'N Z�'`Z - .z''`�i' - � p r --- — ,w� . v.:....t. � �- �FANTAN � � - . ..._ .._.. .. .. . ��" . _�...,.. ...._...._.. _......_____. .: �-:` �� - l.A►BC�RATDRIES �.�°°,��� _w�. ..�,;t�r�k.�,��:�, +y4N�V Appendix I Mad�ed Practar Campac�ion Curve S40 N. Otamond 9ar Btvd., Dtamond Bar�CA 81798�7'el,:($d9}88t3-1886•Pax:(908j 660-1866 — KFA�I1�l'AN - ��; i�BQRATUR�'FS ��°b..�,,, � . �,��,r����.�, Modified Compactian Test Resutts ASTM D 15�7 PRQJ6CT NAMB:!324 SouU�Cardova Stteet(imgort) KTL NO,:OY-404-008 PR4JECT NO.:PtlA CLIENT:8tau�y Dlsposai Srtviccs QATE: luno 2D09 DEP?tt(ftj: 80RtNG NO.: N!A USCS CLASS.: � SAMPLB NO.: N/.t METHOD;e4 RAM WE[CHT.14 L8S DKQP:!l lTJCJiE3 RAM 7YPE.MAF!l1At, 1VUM&EA OY LAYERS;S BLOWS/LAYER:25 l30- t28-- ` — . z�ro�ro�s u� .126— _._ s.o.•z.a � !24 -- -- - - - s.c.•za � 222 — � I20— — G` lt8— � ��,,, !!6 _-�-. � � i.t4 . � [!2 � c' � � ' !i4 � 108 � -- !06 � \ � !04 � t02 �--- . � 100 0 2 4 6 8 10 12 t4 !6 i8 20 22 24 26 28 30 Maisture Ctsnunt(pucent} t7ptimum Maisiurc Ccnteat,4''o M,a�ctasam Dry Denstty�pcf !0 !2? • PLA'T'8 CM-t 840 N. Dtamand Bar Sivd., Dlamond Ser, CA 81765•Tet.:(606j 888-1898•Fax:{909)660-1858 — — ,„;:. .. -:. � ���`v. 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