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Home My WebLink About14-4722 , 1�ti =�'�„"';a��.;.......,. CITY OF DIAMOND BAR �� S�� I W, � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ . . . � ,� =' 21810 Copley Drive,Diamond Bar,CA 91765 .� PRESS �h,��,;� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION � APPLICATION DATE: ` � `1GI e�p/Cq I x JOB SITE ADDRESS � Ie i n /'3 � APN��1'30S�CX�IjmT TRACT ISSUEDATE: 7�a�/ V'�I y PERMIT# � y—y'� �� y OWNER S/_.)t1 oI r m��r�'ca.I /Y✓1��/' TYPE CONST. OCC GROUP: � ADDRESS O '' CITY ZIP��EL. ZONING SEfBACKS FRONT RW ❑ � � APPLICANT TEL. � REAR ❑ � n SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR � Ir�GY1 ��f C �py��/. �i�G SIDE ❑ � ADDRESS �L�[� Gl�• TCi �f /I�d¢- PROPOSEDUSE ! � I x CITY_� ZIP��TEL.�� ,S�'�C7 LARCH/ENG/DESIGNER �I�f�� tJ�IY� O'�n �y� y�'� � ADDRESS � � - • #DWEL.UNITS #STORIES #BEDROOMS � CITY �� C ZIP .3 TEL. G � � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNEH-BUILDFA DECWHATION � I hereby affirm under penalty of perjury that I am exempt trom the Contractor's State License Law for the reason(s) SFR/ADD/REM I L indicatad bebw by the checkmark(s),I have placed nezt to the applicable Rem(s)[Section 7031.5,Business and Garage/Carport I = Rofesslans Code:My city w cowriy that requlrea a permlt tn consWct,alter,Improve,demdish,w repalr,arry z strucWre,pria M its Issuance,also requlres the applicarrt for tt�e permR to flla a signed stetement that he a she � Patb/Deck I i Is Ilcensed pursuaM to ttie provlslone of the Contractor's SGte License Law(Chapter 9)Commencl�with Sectlon w � 7000 of DNislon 3 of the Buslness and Professlore Cada]or that he or she is exempt fmm licensure and the basis for � P�VSpa I J' the alleged exemption.Any Wolation of Section 7031.5 by any applicant for a permit subjects Ne applicant to a civll penatty C7 I xof not more than flve hundred dollars($500). ZQ Re-Roof � U I,as owner of the property,or my employees wlth wages as thelr sole compensatlon,will do U all of or(,portions � Commercial I y of the wark,and the structure Is not intended or oftered for sale(Sectlon 7044,Buslness and Professlons Code:The � � Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds m � L � y or improves the property,prmlded that the improvements are not intended or offered for sale.If however,the building or � � Improvement is sold within one year of compleh'on,the Owner-Builder wlll have the buNen of proving that it was not built � or imprwed for the purpose of sale.). I :..) (J I,as owner of the property,am exclusivety corrGacUng witli licensed Corttractnrs to consWct the project(Section I Z 7044,Business and Professions Code:The Contractors'State Llcense Law does not apply to an owner of property who V8luetion: lXJO Adj.AreB: � buildswimprwesihereon,andwhowntractsfortheprojeciswlthalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.�. � C 1 I am exempt from licensure under the Contractor's State IJcense law(or the following 2ason(s): � 3 � 1 By my signature below I acknowledge that,ezcept}or my personal residence In which I must have resided fw at least one � I � year pria to completlon of the improvemenis covered by mis permtt,l cannot legalty sell a shucture that I have buitt as an w I owner-builder If tt has not been cons W ded In tts eMi2ty by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professlons Cade is avallabla upon request when this application Is submitted or at � the following Web slte:Mip/vnvw.leginfo.ca.gm/calaw.htrnl. � z_ I � DAlE: SIGN: � — LICENSEO CONTlIACTOR'S DECIAHATION � I ' I hereby affirm under penalty of perjury ihat I am Iicensed under provisions of Chapter 9(commendng wlth Section 7000) � y� of DhAslon 3 of the Business and Professions Code,and my license Is in full force and effed. J I ;� LICENSE CLASS: L1C.N0. I I �� . �Z DATE: COMRACTOR:�r��a t/! . C C�Lb f'!Lf id�L1l'� � I ¢ WOHI�1'S COMPENSATION DECLApATION � I y I HEREBY AFHRM UNDER PENALN OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will maintaln a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: `��i� Sectlon 3700 of the Labor Code,for the pertormance of the work for which this pertnit is Issued. �— �/ PLAN REVIEW: � ll I have and will malntaln Worker's Compensation Insurance,as required by Section 3700 of the Labw Code,fir . � T�the performance of the work for which this permR is issuetl.My Worker's Cqmpensation Insurance Carrler and ELECTRIC: Zd PoIIc,yNumberare: /� PLUMBING: � CARRIER_ ��_�i_�_�_FG✓Y�C � MECHANICAL: � POIJCY NUMBER_� ,.,n H��j l � - O I '+I n �f INSPECTION FEE: _ (THIS SECTION rEED NOT BE COMPL.EfED IF1HE PHiMR IS FOR ONE HUNDRED DOIIMS($10�OR LESS). ISSUANCE:_ f P 7 � I certtfy ihat in the performance of the work for which this permtt is issued,I shall not employ any persan In any manner so as h� = becorrie sub�ect m the Warker's Cam SMIP: � 1 pensation Laws of CalKomia.Md agree that' should become suhject to the Workers • 6� J com�saeo p�ovisions ot Sectlon 3700 of th code�, a�i ramrrdm wttn mosep�js ions. ENERGY P/C: y DATE:��3_App��: ��,/( ��e�_f� ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensatlon coverage Is unlawful,and shall subject an employer to criminal �,o0 z penalUes and civil Flnes up ro one hundred mousand dWlars($100,000),In addition to the cost of the compensatlon, RETENTION FEE: � damages as provided fw in sectlon 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTIIUCTION LENDING AGENCY BSAF:_ ��O a' = I hereby affirm under penalty of perjury that there is a Construction Lending Agenq for the pertormance of the work for 3 which this permR is issued(Sec.3097,Cfv.C.�. LENDER'S NAME: = LENDER'SADDRESS: �76� i I certlly that I have read this application and state that the above informatlon is correct I a ree to com TOTAL FEES g pty with all cfry and � c6unty ordlnances and state lavrs relatlng to building consWctlon,and hereby authorize represenhatives of thls courrty fi COMMENTS: Z enter upon the above-mentioned pmperty for Inspection purposes. � � � ¢ PERMITTEE E(PRINn � -� n = E F PE RECEIPT# . � J PAID BY:�VALIDATION:��a WHfTE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—P,pplicanYs Copy CITY OF DIAMOND BAR , �T, INSPECTIOfV RECURD � � � , • • • � � • • ;5ETBACKt.LETTER ��" �= ��` � ,�;,� ��`�� -�� ; TRACTAND LEDGER � % �.,� F ;� �:t��: �� SWITCH GEAR ' �FOOTINGSFORMS �� ,�_��, �� `��,. SS�� ,�^t ��, � � -: �a, €� �,��'.'x COMMERCIAL HOOD ;UG.PLU�MBING�� `�t r � ��,.., ��` ., ' a� ��' T-BAR !, �� °��:,�� sa� ,UG.�LECTRICAL� �'�� ` .��'� .� ,�� INTERCEPTER �UFER�CF{OUND=x�� '�� '��`�,.,. ."x a3 '" '��a` ' ��,,�; HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER IINE HERS REPQRT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT , . , � � �, �- ,� -. � �°��.. ��;, �� P�OOUSPA��` .,�°��a �`�� a �. SHEA�i WALtS EX7ERI0R; ,� �� R �'� R , � � � ��`" � �. � `' �,.g �„'' ;�� I�OUGN`PL"UMBING� �� r �� ,,� SI-IEA,R WALLS'INTE,RtORm� y;� � � . k � .., ��` � .� _ �`�'�� '� �`�� " �.' � �`a y' " . �_. � �y �'' � � � ' ��. �R'OUGH�E ECTRICAL � g,_ �``-� '� -,�e"� �� ` �FRAMIN�GNENTIN6�,• � �� r � ,� � �' �- � _ �ROUGH MECHANICAL � „ � ��'�'�� ROUGH MECHANICAL �� ROU�GH�ELEGTRICA��W(�)�C{�)�` ' �',��.�"�� , �"` �. � tiAS�TEST ��'' �� .�� " � � j" .,�:. s �. ��»�?�� Ea�a�� ;PflE GUNITE� �"�� "�- � '� ��`" g�`«�'�'� L = _ � ;, � „c•. �' �� ",, �'.�� ,ROUG.H PLt1MBING��,> . �� ,�"� ` :;�.�� w �.� � . � . ,.� , INSULATION WALL �POOL PRE-�DECK BOND(NG �� °��'�, �� '�� .._ INSULATION CEILING �p�F{�p�- � � � ��ti° � �' ��`��°�� "��i , '..,� '� �� DRYWALL 'FENCE/GATE/�ALAiiM,„„�� "" � ��' «�,^ ��°, . ��n �„�. t � LATH(PRE) gF1NNL POOL�y ��. ',�°�.�� ;�_ �._u._. �� " .�; LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2�m� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �� ,�: � ,� 3�� - �-= �._. : ,�,;. � t��,� � � ,.„M . ,�� 9 , 'EINA��BUILDING� ;" _ �. '� � �� , � � � �� - �� HOUGH FIKE APPR01tAl� ,�� x.� �� m�' � �� ., �� ,�--. � �FINdL FIRE§DEPARTMENT.' � �. �,e�� -`,� � �� ,FINAL MECH�iNiCAL� ,� ��'� _ ,� � �� - --- FINAL.ELECTftICAL n,�; �� , ��, �� '� „ �� +�" ,�� °�. FlNAt:Pt:aNNING� _� �� «�^_ � ;`�� }°� 3�� _ :. .. :, �:, !�' ., ,'; �y�,;� - �, ; �� . ., �e ,.. ..�n��":�:^^��r�� FINAt.PLUMBING�� „a� �,. '�� " � ��-�� FINAL-ENGINEERIidG/P�W�,^,� �s ,��_+ 3,�. �� ,T.C,of;OCCUPANCY,�;, �� .d}� �° � �. �4: � ,� �� _ �` � ,� �' �� `� � � � . FINAL COtWtUIUNITY SERVICES� ,„„ � � , . � �` , � � " � � ��, ��- � �� '� ,� �'�, �;� FINAL HEAtTH`DEPT� �, � �r , r�. �� '� � `, ��`,. ; ,CERT�M„OCCUFl1PICY��, . � �,,�:�� w �� ,� _�� ,� � �{NA`L�INI?OSTRIAI WASTE� ��_��a ��"`�- , -+E �;,� d . COMMENTS: � � _ _ �_ _ _ _� � -%="'-> CITY OF DIAMOND BAR ��S �� 1� E r V� " DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES ' ti` 21810 Copley Drive,Diamond Bar,CA 91765 '� PRESS „�„Y��;� (909)839-7020 Faac:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �''��°� BUILDING PERMIT APPLICATION i JOB SITE ADDRESS :� �• ��I� I�)A �. APPLICATION DATE':}� b � P/C# w 6�O I i ISSUE DATE: �V/'Z / a o�y PERMIT# �Y�' �D'V = APN�iZ�I-��i- l'7��T' TRACT i y OWNER '�. �V�e 1[ca C�. �f TYPE CONST. �- OCC GROUP: �_ n ADDRESS , J ZONING SEfBACKS CITY ZIPq��TEL. FRONT RW ❑ � APPLICANT TEL. � C/� � REAR ❑ n SIDE/SIDE STREET RW ❑ i � CONTRACTOR ` � �-' SIDE ❑ � ADDRESS x CITY ��G1.�G'1l.� ZIP� PROPOSED USE � ARCH/ENG/DESIG ER �_ [� � n,�2 = ADDRESSy.��'J O� 7[J1f' �, •: 1,�1 C L1J 7 #DWEL.UNITS�/� #STORIES�_ #BEDROOMS � CITYVILIG{'�/�I G ZIP�TEL.��/DO 24( 78541 � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNFJI-BUQD61 DECWiATION � I hereby afflrm under penalry of perjury that I am exempt from the Contractor's State License Law fa the reason(s) SFFVADD/FiEM � indipted below by ihe checkmark(s),I have placed next to the applicable item(s)[Sectlon 7031.5,Business artd Garege/Carport I Prolessiare Code:Any cfty a courrty that requlres a partnR to co�truct,alter,Improve,demolish,o�repair,any z structure,prlor to fts Is�nce,also requlres the applicairt Tor tice pertnit to file a signed statement that he or she � Patlo/Deck I i Is Ilcensed pursuarrt to the provlslans oi the Contractors State License Law(Chapter 9)Cammencing with Sectlon W � 7W0 of Dhislon 3 of tha Business and ProTesslans Code]or that he or she is ezempt from licensu2 and the basis for � PooVSpa I � the alleged exemption.My violation of Section 7031.5 by any applipnt for a permlt subJecLs the applicant to a civil penatty Z Re-Roof = oF not more than five hundred dollars($500). o I � (�I,as owner ot the property,or my employees with wages as their sde compensatlon,will do U all of or�J portions � Commercial � L I y of the work,and the structure is not Intended or offered fw sale(Section 7044,Business and Professians Code:The � � Contractors'Shate License Law dces not apply to an owner of property who,through employees'or personal effoR,builds m Q JV� j ,�� I y or Improves the property,provlded that the improvements are not intended or offered for sale.If however,ihe building or I � Improvement Is sold vnthln one year of completion,the Owner-Bullder wlll have the burden of proving that tt was not bultt � or improved for the purpose of sale.�. I U (�I,as owner of the property,am exclusively cont2cting with Iicensed Conbactors[o consWct the project(Section � 7044,Business and Professions Code:The Contractors'Slate License Law dces not appty to an owner of property who Valuation: U Adj.Area: I Z buildsorimprovestharaon,andwhocontractsfortheprojeclswtthallcensedCoMractorpursuanttotheCoMractors'State QUANTITY DESCRIPTION ' FEE � :n Y ucense Law.�. I j (J I am exempt from licensure untler the Contrac[or's State License law(or the following reasan(s): � ` � I � �1 By my signature below I acknowledge that,except Por my personal residence In which I must have reslded for at leaffi one - I � year prior to completlon of the improvements covered by thls pertnft,l cannot legalry sell a structure that I have built as an w � — awner-builder If tt has not been cronstructed in tts entl2ry by Iicensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon request when this application Is submitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. � I z = DATE: SIGN: � '�= LICENSfD CONTHACTOH'S DECLAf1ATI0N � I y I hereby affirm under penatty of perjury that I am licensed under provisions of Chapter 9(commencing with SecUon 7000) I � of Divislon 3 of the Business and Professlons Code,and my license is In full Mrce and effect. � J I � Q� � r n IJCENSE CLASS: r� L1C.NO.: D - � , � DATE: I -3�1 —I C� CONTRACTOR:�^r�r nn n,. .1 C� � I � WORI�R'S COMPBISATION DECLAHATION � I � I HEREBY AFFIRM UNDER PENALTY OF PEAJURY ONE OF hiE FOLLOWING DECLARATIONS: y /D � ? I have and will maintaln a Certiflcate of Consent to SeK-Insure tor Worker's Compensation,as proWded by CONSTRUCTION: p = Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVIEW: D 7• S�� > I have and will mainhain Worker's Compensation Insurance,as requlred by Section 3700 of the Lahor Code,fw � �the peAortnance of the work for which ihis permtt Is Issued.My Worker's Compensation Insurance Carrier and ELECTRIC: 7d" PoIIcyNumberare: PLUMBING: . � y CAfiRIER 7 MECHANICAL:_ �.� Z POLICY NUMBER ry � � �5+�,�2�-� INSPECTION FEE: n (THIS SECTION N�NOT BE COMPLEiED IFhiE PERMfT IS FOR ONE HUNDHID DOLLMS($10p)OR LESS�. ISSUANCE: �'yd.!(j = I certiry that in the perfarmance of the work for which this perm's Issued,I not employ any person in any manner so as m ;� 7 � beoome subject to the Workers Compen�atiou.L�ws of 'fa ia g2 at it I shou�d becane suhject to tl�e waker's SMIP: J Canpery�' p � �ofSection3700 1heLab�Co , hall rm � wmptywlthtliose � ENERGY P/C: 3 . 1 �A�'�� P��' ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: •��p y penattles and civil fines up to one hundred thousand dollars($100,000�,In additlon lo the cost of Ne compensation, � damages as provided tor in sectlon 3708 of ine labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTFIUCTION LENDING AGEHCY BSAF: � y I hereby afFlrm under penalty of perJury that there is a Construclion Lending Agency fa the pertormance of the work for � which this permit Is Issued(Sec.3097,Clv.C.). LENDER'S NAME: � , z LENDER'SADDRESS: }i' I certi that I have read ihis a Ilcatlon and state that the above intwmation Is crorrect I a ree to com i{y TOTAL FEES . �h'i b� �' PP � 9 PN with all c� and � ,� b d county ordinances and state lavrs relating to building consWction,and hereby authorize representatives of this counry to z COM M ENTS: � e the above-mentioned propertyforinspection purposes. J � � Y] ¢ AME( � d \ p� = SIG R E DATE j RECEIPT N q�� J PAID BY:;��_� /�VALIDATION: ��c a, Y • b,� �i �} . WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � CITY OF DIAMOND BAR : ,_ INSPECTION RECORD • ` � = • r . • � - • � , • � - ;SETBACK/LET�TER ;�.:: � � " �, ��,3 �"��.��`�;� �'�'.�'�' e�� ' TRACTAND LEDGER �FOOTIPIGS FORMS � ` �.�� "F��..g..a.� , � ��"�;�«��a � a`.°�.�. SWITCH GEAR `SLAB" �, � > �:; ,��j "'�� COMMERCIALHOOD ;UG:PLUNIEiING`�� ;�,�.. "��`�'-�� ; "� �°� �� T-BAR UG;-EL'ECTRICAL.„ ��'T��,� ... '" ��'� ; ��`� �.��F'.. , ��=�:�h' INTERGEPTER ,U�ER GROUND�� ` ' ��>,��„; " � ��"�� -u� �� ,�: HOT MOP/SHOWERPAN c},,, SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEiVED SEWER CLEANOUT DEMOLJTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT `SHEAR�WALL�S�IXTERIOR�;� ��`" �� .�;�� p00USPA;;�� :�� .=�.� � .�` .��;�d ¢' �� :SNFAftWALLS�ihlTERIOR;' �� 1� ` ��' �� ' �� FiOUGHFQLUMBiNGw��,��'��.��'_ -"�'�� '�� ' ' ,�� ` � _� y, �FRAMINGNENTING f �� '� � ,;�� _�� .�'�.�"� �"�� sFiOUGH ELECTRICAL° � ` �� ,��"�:�,��"�' . �' ��.:�� . � � ROUGH�MECHANICAL�� `�"�� `'�`��:'� ,''� � e �."�;�,� flOUGH�MECHANIGAL� ",�� ;�� ,�� .�� e�� `�°.� � � � ff � r�...'. e"..�� a,.�.z'�°" a.�ws9' -GAS TEST,,,:�.�� ,,��'�� *z��. �s��. "�� a �ai� �ROUGH ELECTRICAL �N(�;}C( � ,;� � � � FiQUGH PLUMBING��<�x, �� a�,� . .,.. ,�.�" �s�� , �� ,�� „ � ` �� .�.b > .��. __.: �,. . � , sPREGUNi,TE�� ., . ,w . . � � ��`� r� INSULATION WALL 'POQL PR�.DECK BQNDING., �.,� ��"�� _, � "��._ .� � �� ,� . .��, , `, � �� INSULATION CEILING - � 'P*TRAP�'�u.�»��°�� `�� ,. � � �.�,��' DRYWALL aFENGE 1 GA7E!ALARM ;'� �� kvY �� ` LATH(PRE) °FINEtL POOL��.�, .,.��`�"� ��'�� `��. �� IATH EXTER�OR �a��s� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1ST( )2Ne( j UFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL .. � — ��:. y �,,� ��.. �„'Y SPECIAL INSRECTION `RO FRAM�1GPlANNIN6APPfiOVAL �� •.' , �F�.; �. ,.� ' .�.�'�r�`� ' � � � �.A, � ��.� � „-> � �� GH�FIR � �� .� , �,,�� a��, _ FINAL'BUILDiNG� "��` �� :��' �� : ROU : E APPROVAL�� ` ` � � � � � e � � �� fi �� ,;� �� s�� kEINAL FIRE DE'AARTMENT��.� �. �� •,',` �� z,�� FINAL MECHANICAL� �1� : � - ,. FI�NAL°ELEC'fR(CAL x ��`��`��Z.�a'�� 1�, � ��.� �.�F � FINAL�P1ANNtNG � � $HI ,�� '��`�',�� ..m'�� , , "'...._ . .. � : .� ,�.° � '� �r"}�^�,- �*� � �� ,�<��^`� '`'�� r� ��';�� ` . �INAL PLUMBING �°`�� t�� ' �.' � � � FElNkr!ENGINEERING/�P'W�� ,.��y �m. , . � � �� ,T:G.;ofOCCUPANCY$ � � �� e ��¢� ��,��. �'��'� , �°` � �' FINAL,COMPAUNITYSERYICES ��`�°��x. � A ��,�� "�' g,�-�� , � „�3,«. �-��_ � ' ��°� " � ., �:�.� �` � � � ,�` � �,� � .� � :�� .�z ;FINAL.HEAL7H DEPT � �„�� a.. � �,� f.Ei�'t of OGCUPANCY�-�, . .;��` �,�m� ��; .,�; _ � .F.INAL�INDUST,RIAL,WASTE��. ` ,�d.��. '< w �`,�°`� �� "�� COMMENTS: .: � '� — a , , „ Ta lor � y Air Balance Company Date: 01-02-2015 Page: 1 of 6 TEST AND ANALYSIS REPORT FOR I JOB: SJHH /SJuHMG - Diamond Bar 1514 SOUTH VALLEY VISTA DRIVE DIAMOND BAR, CA � � CONTRACTOR: GOLDEN STATE CONSTRUCTION, INC. I 743 W. TAFT AVENUE ORANGE, CA 92865 � ; •, . ARCHITECT: ROBERT A. MARTINEZ - 15487 SENECA RD., SUITE 203 VICTORVILLE, CA 92392 ENGINEER: PASCOE DIRPES �ASSOC. 5430 TRABUCO ROAD, SUITE 100 IRVINE, CA 92620 � II 3171 Sunset Ct., Norco, CA 92860 PH: (951) 737-6681 Ta I r ' yo � Air Balance Company Date: 01-02-2015 � Page: 2 of 6 INSTRUMENTATION LIST INSTRUMENT MANUFACTURER MODEL NO. CALIBRATION DATE AIR DATA MULTIMETER SHORTRIDGE ADM-850 6-2010 AIR FLOW HOOD SHORTRIDGE CFM-850-3SP 6-2010 AIR FLOW HOOD SHORTRIDGE 84000 8-2011 VOLTAMP METER FLUKE 32-C NA AMP VOLT METER FLUKE 333 NA AMP VOLT METER AMPPROBE RS-3 4-2007 ANEMOMETER EXCEL 451126 2-2010 INFRARED THERMOMETER FLUKE 65 1-2011 INFRARED THERMOMETER RAY TEK RAYMT4U 2-2011 PITOT TUBE DWYER 24" NA MAGNAHELIC PRESSURE DWYER 0-5.0 NA MAGNAHELIC PRESSURE DWYER 0-1.5 NEW 3171 Sunset Ct., Norco, CA 92860 PH: (951) 737-6681 Y Ta lor y Air Balance Company Date: 01-02-2015 Page: 3 of 6 ABBREVIATIONS SA Supply Air RA Return Air CD Ceiling Diffuser CR Ceiling Register RG Retum Grille SG Supply Grille DO Duct Opening EG Exhaust Grille SO Screened Opening ' DX Direct Expansion Coil NM Not Measured NA Not Applicable DNL Data Not Listed NI Not Installed NS Not Specified NG Natural Gas NR Not Recorded C COMMON 3171 Sunset Ct., Norco, CA 92860 PH: (951) 737-6681 � � Ta lor y Air Balance Company Project Name: SJHH/SJuHMG-Diamond Bar Date: 01-02-2015 System: (E)AC-1 8(E)AC-2 Page: 4 of 6 AIR MOVING EQUIPMENT DATA FAN (E)AC-1 (E)AG2 Equipment Location ROOF ROOF Area Served EXTERIOR OFFICES INTERIOR OFFICES Equipment Manufacturer CARRIER CARRIER Model Number 48HJD006�32— 48HJD006 Serial Number 3598G20470 17 Specified Actual Specified Actual Total CFM-Fan 2000 2267 NS NM Total CFM-Outlet 2000 2267 NS NM R/A CFM NS 1949 NS NM O/A CFM NS 318 NS 260 Total/Extemal Static Pressure NS NS Inlet Pressure NS NS Discharge Pressur�e NS NS Fan RPM NS NS Speafied Actual Specified Actual Motor Manufacturer G.E. G.E. Motor HPlBHP Phase/Hz 3 PHASE 3 PHASE Voltage 460 460 Amperage Motor RPM 1725 1725 Motor Service Factor/Frame# Starter Location/Size O.L.Heater S¢e/Rating Motor Sheave 8 Shafl Fan Sheave 8 Shaft Belt Size/Number A40 A40 Sheave Adjustment Tums Open Tums Open C to C/Motor Mount Adjustrnerrt In Out In Out Remarics: 3171 Sunset Ct., Norco, CA 92860 PH: (951) 737-6681 � Ta lor � � y . Air Balance Company Project Name: SJHH/SJuHMG-Diamond Bar Date: 01-02-2015 System: (E)AC-1 Page: 5 of 6 AIR DISTRIBUTION DATA Terminal Room Tertninal Design Test-FPM or CFM Final Number Number T Factor ype Size FPM CFM Test 1 Test 2 Test 3 FPM CFM ZONE 1 SA 10 INCH 1.0 300 308 ZONE 1 SA 10 INCH 1.0 300 334 ZONE 1 SA 12 INCH 1.0 500 542 ZONE 2 SA 10 INCH 1.0 250 318 ZONE 2 SA 101NCH 1.0 250 308 ZONE 2 SA 10 INCH 1.0 250 296 ZONE 2 SA 8 INCH 1.0 150 161 TOTALS: 2000 2267 � NS CALC. 1950 � OSA 3�g Remarks: ZONE DAMPERS OPEN 100% 3171 Sunset Ct., Norco, CA 92860 PH: (951) 737-6681 � , � ,: , • Ta lor � Y Air Balance Company Project Name: SJHH/SJuHMG-Diamond Bar Date: 01-02-2015 System: (E)AC-2 Page: 6 of 6 AIR DISTRIBUTION DATA Terminal Room T�� Factor Design Test-FPM or CFM Final Number Number Type Size FPM CFM Test 1 Test 2 Test 3 FPM CFM 1 SA 81NCH 1.0 150 115 132 132 2 SA 101NCH 1.0 250 199 232 232 RA 101NCH NS NM OSA NS 260 Remarks: 3171 Sunset Ct., Norco,CA 92860 PH: (951) 737-6681 - � s'-�""'� � CITY OF DIAMOND BAR � I ' � I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � • 21810 Copley Drive,Diamond Bar,CA 91765 PRESS y) (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �'�R'" BUILDING PERMIT APPLICATION FIRMLY = JOB SITE ADDRESS �) tl l APPUCATION DATE: IO I3 I I ZO(? P/C# P�Z 1� '" �� V ZI y 1 ISSUE DATE: PERMIT# z PN LOT . T ACT � ' � OWNER ' TYPE CONST. OCC GROUP: � ADDRESS � � ' J CITY i WV'��j� ZIP . TEL. ZONING SEfBACKS FRONT RW ❑ � APPLICANT Y1U�% TEL. Z RE,qR � � � Q CONTRACTOR SIDE/SIDE STREET RW ❑ � _ SIDE ❑ � ADDRnESS PROPOSED US x CITY/'" IP � � li � ARCH/ENG/DESIG R � L = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � C ITY I P owNEA-euaoea oECLABATIOH DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � = I hereby aKrm under penalty of perjury mat I am exempt from the Contractor's State License law for the reasan(s) SFWADD/REM I L indicated below by the checkmark(s),I have placed next to the applicable ttem(s)[Sectlon 7031.5,Business and Garage/Carport I � Professlons Code:My ctty w coimty that requires a permit lo construct,atter,�mprove,demolish,or repatr,any z structure,prlor to Its Issua�e,also requlres tlie appllcaM for the pertntt ro flle a slgrred statemeM tlwt he ar she � Patio/Deck I i Is Iice�ed pursuantto the provisloire o1 tlre Ca�actor's State Llce�e Law(Chapter 9)Commencing wfth Sectlon w � 7000 of Dlvislon 3 of the Buslness arM Profasslons Cotle]or that he or she is exempt hom Ilcensu2 and the basis fw LL P�VSpa I n the alleged exemption.My vialatlon of Section 7031.5 by any applipnt for a permit subjects the applicaM to a dvll penalty Z Re-Roof I = of not more than Flve hundred dollars($SDO�. Q � U I,as owner of the property,or my employees with wages as their sole�compensation,wlll do O all of or(�portions � Commerdal I y ot the work,and the structure is not Intended or otfered for sale(Section 7044,Business and Professions Code:The � '--� Corrtractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds °° .i P�/n' ��. „? �•� I y or improves the property,provided that the Impmvements are not iMended or oftered for sale.tf hrowever,the building or I � improvement is sold wlthln one year of completlon,the Owner-Bullder will have ihe burden of prming Mat it was not bultt � or improved for the purpose of sale.). I ' I,as owner of ine ro U p perty,am exclusively conhacting wlth Ilcensed Cantractors to construct the project(Sectlon I Z 7044,Business and Professions Code:The Contractors'State License Law does not appty to an owner of property who V8luatiOn' Adj.Afee: n 6uildsorfmprwesthereon,andwhocontractcrorthepmjectswlthalicensedCoritractorpursuanttotheContracfirs'State QUANTITY DESCRIPTION Y License Law.). � U I am exempt hom licensure under the Contrac[or's State License law for the following reason(s�: � � � U 1 � Z By my signature below I acknowladge that,ezcept for my persanal 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 struclure that I have buitt as an w owner-builder if it has not been constructed in ils entlrety by licensed conUactors.I understand that a cnpy of the applicable I � law,Sectlon 7044 of the Business and Professlons Code Is avallable upon request when thls appllcation is submitted or at I i the following Web site:htqNwww.legi�o.ca.gov/calaw.html. z I ? DATE: SIGN: � — LICENSEO CONiRACTOfl'S DECLAMTION � I a I y I hereby affirm under penalty of perjury that I am Ilcensed under provlsions of Chapter 9(commencing wRh Section 7000) - � of Division 3 of the Business and Professions Code,and my Ilcense is in full force and effec[. I � � n LICENS CIAS : ,�I �C, .: � I Z DATE: CONTRACTOR: � I ¢ WOHI�H'S COMPENSATION DEC TION � I y I HEREBY AFFIRM U ER PENALTY OF PERJURY ONE OF 1HE F9LLOWING DECLARATIONS: � I have and will maintain a Certfipte of Consent to Sett-Insure for Workar's Compensation,as prmided by CONSTRUCTION: i�g� b� � on 3700 of the Lahor Code,for the pertormance of the work for which this permit Is Issued. PLAN REVIEW: �n 'Z�S � S� � have and will maintain Worker's CanpensaUon Insurance,as required by Section 3700 of the Labor Code,for � the parformance of the wo for which this permit Is issued.My Worker's Compensation Insuran Carrler and ELECTRIC: =d PolicyNumberare: A_� PLUMBING: y CARRIER �� MECHANICAL: � POLICY NUMBFA INSPECTION FEE: n (THIS SECTION NEED NOT BE COA�LEfED IF THE P6iMR IS FOq 0�HUNDR�DOLLARS 100)OR LES$), �� ISSUANCE: � I certify tliat in the performance of the work for wiilch ih rmit is issued,I shall not emplo�any person in any manner so as h� y h � become sub� h�th orker's Campensatbn Laws ffom' And e that if I sh d ubJect to the V� SM IP: Y J Compensatio provisi m 3700 of the Lab ,I I wm p sions. � ENERGY P/C: J DATE: LICANL - i ENERGY PERMIT: � WARNING Fallure to se re Worker's Compen tlon cwarage is unla shall su ect an employer to c inal x RETENTION FEE: �a.,jIa i penalties and Gvil fnes up to one hundred thousand dollars($100, ,in additlon to the cast of the compensation, = damages as provided tor In section 3708 of the la6or code,Interest,and ariomey's tees. PRE-ALT FEE: i � COHSiAUCTION LBIDING AGBICY BSAF: � �(� . = I he26y affirm under penalty of perjury that the2 Is a Constructlon Lending Agen�y fw the pertormance of the work fir � which this permlt is issued(Sec.3097,Civ.C.�. LENDEfl'S NAME: = LENDER'SADDRESS: ��'� i I certify that I have read this applicatlon and state that the above Information Is correct I agree to compry with all ctty and TOTAL FEES az.�2.S �1/a` 1 "7 4� � county ordinances and state laws relating to bullding construdlon,and hereby authorize representatives of this county to COMMENTS: z J enter up n a6ov-mentioned property for ins e 'n purposes. �. � � i� n ¢ PERM E (PR t � ' C. I/�C J I B I� C�� = SIG E 0 EA E DATE RECEIPT# Jr!�-I PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR - INSPECTION RECURD � `� — . e � . � . . � � , . � . , ,. � _� � � �� r SETBACK/LETTER � ` �„,:�� ,' ,u,� N. � ,,� �y��_.y� TRACT AND LEDGER �FOOTItJGS FORNIS �' � �� '�� . <v ��=€ :.� .. :. _ �r�� ' .� � .�� .-,� �.. �x �� r �. a SWITCH 6EAR ;g�qg� �;;.,> �� COMMERCIALHOOD �UG.RLUMBING.�� :�:�� ,'�� .y�,r,. ;, `� � »�:��,� � �'`,,,�� T-BAR ��' � �� `` `�� `� �� INTERCEPTER 1UG.ELECTRICAL�'� � � v�� "rs> ��° �`:` ,UFER�ROUND�� „g,��;�. �; ��.�� '_'��,. ,�� ' ;'� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF dRAINS FLOOR SHEATHING ROUGH CONDUIT � ., . .., . ...�, �€�' ta�'�,..': � ��_._:.� ,.. � �,�� POO .� �'<a} � s��, 3.s";�`� c;��,. ��„k-� , i, ;SHEAR'WALL��EXTERIOR�� : , ` � . USPA� �, �� _, ..� � �� `�� • ,� � _ ,�._� � �� . 'SNEAR WALLS"INTERIOR: �� s� � ,, ROUGH PIUMBING�° ��*� ��`° �� .�� ,� ,, � � FRAM N6IVENTlNG ��"�;� s�- a � �� " �' :� ,s.�. tt� ,f30UGH"ELECTRiCAt`� ,- �� " � �,< �. �" � � "' ,ROUGHMEGHAIViCAI : � �� '� � � �� "�� ROUGH�MECHANICAL ��- __` � ' ��'��` � , _� � �� ,�� k� ::A �� "GAS TEST��,��,` ��.. � � � �� ROUGH E�,ECTRICAt W(�°)C( � � � �' � � ,� �, � � �, � � � � .� � .�x » �� : � � - � : r � `: � '` . �ROUGH PLUMBiNG �� .� �°� , �a �� ,z �.�� .' aPRE�GUNiT,E �"�"� �.a� ��z: � = ��..e.�.4�� ,��r¢�� ,e - � � '� . . .�,�- �„ A �x,� _ � INSULATION WALL °P,OOL PR�DECK�BONDING�,� �` � °° � �°�� `� �'� - � `� � � INSULATION GEILING P T(�pp�' ��.;- �� "., � -� �� °��:~ �� E� DRYWALL ;FENCE�I�GATFJAtAiiM ��°�� °^ �� ' � � �� FINAL'�t70L.� �:..� ' p� ��_ ,��``�, �p ,� ��°., � _� LATH(PRE) �.��,�„ .,;, � .__ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �BO FRAM�IG PLAh1NINGAPP4�OVAL��'� ��> � �.:�,_ �.�. , ��".�z�``b<. �- � ��x � , �5;� � � �+�� ,ROUGH�FIREl1PPROVAL� ��' „� _, '� �,< �i ,� �,�� A>, �,, ,�.. ��INAL�BUILDING � a� -. � � � "�' �` '�� 3� � � �-�� " F(NAt��FIRE DEPAHThAENT �. r��, � ��e ° � ` � � �� FINAL MECFIA(diCAL �' �° � � �� : �� .. � � �,�; � � � - ,.� �� ,` �,�' � � �FINALdPLANNiN�w�� '' '�� + �� . ,�. � �� f� �INAE.ELECT,RfCAL.,,�. ', "''�' �� '' . : �, � �.,x_ r � _ � _��, " FINAI PLUMBING ,� �� ° � � -` �'`'. ; �' � ��" � FINAL�ENGINEERINGl�PV1{�� `� . `� �� „��"��g .�,,. �� ,r � �'. 3T.C:of OCCUPANCY :_,��. `��3„�� '"� �� .r� ',X� �`� ALaCOMt�AUNITI!SERVICES��`� � �� _��° =FIN � �CERT�of OCCUPAFdCY��;��. � � �-,�,R �'�.;��K��,�' FINAL HEAL7H DEPI'� `" �� 3� � � ��°' �.�� - ; �,_ ' _ ; �FINAI.�iNDUSTRIALWQSTE� � " �� `�� `� �� `� �� -_�. �� - �'. d,��,� COMMENTS: