The URL can be used to link to this page

Home My WebLink AboutPR15-0259N CITY OVIDIAMOND BAR � � I DEPARTMENT OF COMMUNITY `& DEVELOPMENT SERVICES K 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION Z Z / 140 1-060; JOB SITE ADDRESS -'O ! APN LOT TRACT OWNER /�� %L �CZ• ADDRESS 22 V3 I Ill o '.d 3 o S CITY /2/Q- 541e —ZIP -71-76 TEL. APPLICANT JQi2SA&4& MZ TEL. 7-fZ 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 items) [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). (J 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 Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). L) 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 foJp sidence in which I must have resided for at least one year prior to completion of the improvements coverecannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its enticontractors. I understand that a copy ofthe applicable law, Section 7044 the Business and Professions Cupon request when this application is submitted or at the following W te: Jvinfo.ca.gov/cala DATE: l SIGN: LICENSED CO OR'S DECLARATION I hereby affirm under penalty of perjury that I am licy&Ted 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 Cade, 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 become subject to the Worker's Compensation Laws of California. And agree that if 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 ($700,000), 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. -P� rz'c fel i'li/ Z PERMITTEE NAME (PRINT) :!5 11 / l SIGNATURE OF PERMITTEV\L)VDATE PRESS FIRMLY APPLICATION DATE: Z P/C# 15- 0Z S'9 ISSUE DATE: d°. S PERMIT# PR1 S— OZS'j TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW REAR SIDE/SIDE STREET RW SIDE ❑ ❑ ❑ EL PROPOSED USE d 4 # DWEL. UNITS # STORIES -Z If BEDROOMS ( O t DESCRIPTION SQ. FT.FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport rn LU Patio/Deck LL Pool/Spa .. i Z Re -Roof Commercial Valuation: b �ZTAdj. Area: QUANTITY DESCRIPTION FEE a 2 CGG A -00/T! U ovr7 E5 Sal /?ems E'S. w z m J a U a x w t CONSTRUCTION: PLAN REVIEW: 7� 9 •� �. ELECTRIC: Ota 79 " PLUMBING: MECHANICAL: �r j INSPECTION FEE: ISSUANCE: �/ 1 I ! } r! SMTP: ENERGY P/C: 92 ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: L fi,fYiY BSAF: it I TOTAL FEES COMMENTS: I 1562ti l _ PAID BY: VALIDATION: psis'+ rr " 2-'452q i oe 6 CF WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy UG':"ELECTRICAL wp MAIN WATER LINE _ SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING I ,SHEAR WALLS EXTERIOR SHEARWALLSIN.T.ERIOR_� .,.. FRAMIN 'ROUGH MECHANICAL ,; 7 ROUGH ELECTRICAL"W(, C ( ) ROUGH PLUMBING I INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIORI IZ/Lr ' LATH INTERIOR _ GAS TEST ! SCRATCH COAT ELECTRIC METER RELEASE _GAS METER RELEASE _ SPECIAL INSPECTION FINAL BUILDING , FINAL MECHANICAL FINAL EI ECTFtICAC" — FINAL PLUMBING TC of OCCUPANCY ;CERT."of, OCCUPANCY COMMENTS: -- I-•• [FINAL POOL , WALLS:. WALL FOOTING/STEEL _ WALL STEEL 1sT( i 2NQ( )LIFT j WALL BOND BEAM I WALL DRAIN/ SEAL WALL FINAL i LRO.FRAMINGPLANNINGAPPROVAL a<v !:ROUGH FIRE APPROVAL e ' a,; !,FINAL FIRE DEPARTMENT;. FINAL PLANNING ^'� ` �` � FINAL ENGINEERING/ PW _ !FINAL COMMUNITY SERVICES, FINAL HEALTH DEPT. " FINALINDUSTRIAL",WASTE',.. $b�°� oNLyI .3 -fit• OG CITY OF I-jIAM.,0,ND- ,B'AR INSPECTION RECORD i' , :. TRACT AND LEDGER "GEAR ---- ---- — -" ---- —�! SWITCH . I COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL _ HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT a i;ROUGH'PLUMBING'' ROUGH ELECTRICAL jROUGH MECHANICAL _ IGAS TEST' !'PRE GUNITE 1" POOL PRE DECKB�ONOING "� F -TRAP ,� rr_ATC1 Al none [FINAL POOL , WALLS:. WALL FOOTING/STEEL _ WALL STEEL 1sT( i 2NQ( )LIFT j WALL BOND BEAM I WALL DRAIN/ SEAL WALL FINAL i LRO.FRAMINGPLANNINGAPPROVAL a<v !:ROUGH FIRE APPROVAL e ' a,; !,FINAL FIRE DEPARTMENT;. FINAL PLANNING ^'� ` �` � FINAL ENGINEERING/ PW _ !FINAL COMMUNITY SERVICES, FINAL HEALTH DEPT. " FINALINDUSTRIAL",WASTE',.. $b�°� oNLyI .3 -fit• OG U) a 'o 00 CC O 0 w z O a z cc O 0 w 0 Z w Cl- Cn ZD CJO Cn CC O M W U Z W O O Z UJ CC Lu cn Z w W uj W S F— Y CL l.L. Z O EL X W H U W Cn z� Q C W Q O J uj W Z C7 rn H O w J cccc W CL O Q (L W H lY W 2 - CD C7 Z m Q Cn H (2-4t-- CITY'OF DIANIOND B&A ;.,,• I'_= All DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES I 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOBSITE ADDRESS 7 1S J t✓y LOC(9 S APN _terL L,O�n TRACT OWNER ADDRESS CITY DZIA (/W- ZIP.. Cwt'— TFL. APPLICANT TEL. CONTRACTO ADDRESS CITY /1 ZIP TEL. ARCIHVENG DES GNER/� �/ �A1� � 11 ADDRESS CITY Z -A ZIP 9do2 EL. /2 7 OWNER -BUILDER DECLARATION 3Z 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESSAND PROFESSIONS CODE: ANY CRY OR COUNTY WHICH REOUIRES A PERMITTO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER 8 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVILPENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (5500).): ❑ L AS OWNER OF PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WALL 00 THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIDNS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OFA PROPERTY WHO QUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S)LI SED PURSUANT TO THE ODNTRAG TORS LICENSE LAW.). ❑IAM EXEMPT -DER ECS.}*AT B. P.C. FOR THIS REASON DATE S- (/ _ OWNER LICENSED CONTRARA I HEREBY AFFIRM UNDER PENALTY OF PERJURY TVISIONS OF CHAPTER Y (COMMENCING WITH SECTION 7000) OF DIVISIONESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LIC. NO. DATE CONTRACTOR WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PEFUURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT -TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 37000F THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMR.ETEDOFTHE PERMfT 5 FOR ONE HONORED DOLLARS (5100)OR LESS} 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I SHALL NOT EMPLOY ANY PERSON IN ANY MANN RrTOBECOMBJECT TO THE ONLAWSOf CALIFORI SHOULDBECOMj;ATIONN 3700 OF THE LA00R TDATE:WARNING: FAILURE TO SECURE WORKERS'CO ENSLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE D HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST O AS PROVIDED FOR IN SECTION 37080E THE LABOR CODE, INTEREST. AND ATTO CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3087, CIV. C.). LENDERS NAME LENDER'S ADDRESS 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTR c ON, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE AP --n --n FRTY FPR INSP ECTIQN PURP1VOn$r y 1 ` ", •�. PERM FN G I SIGr' TE PRESS FIRMLY APPLICATION PERMIT VNZ \all- P/C 'P"CL DATE S I NUMBER ISSUEI S TYPE OCC DATE CONST, GROUP ZONING SETBACKS FRONT RW C]— REAR REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ .� PROPOSED USEX G n! IF afcZ. off 41, .c3 2�/�J riAi[�_7e �Zcsisjav- NO. DWEL. NO. NO, �d �r UNITS STORIES BEDROOMS DESCRIPTION SQ. FT FACTOR PSF ADJ. AREAIVALUATION SF ADD EM U3arag arport2-7 W Patio/Deck LL- 0 Pool/Spa Z Re -Root Commercial y 1. Valuation e („ . S W4DJ.AREA QUANTITY DESCRIPTION FEE U w w 0 _ Z Awl u Fn usvvrwd __��pp�� " �- pews rp J d . w _ S U VNIllu%wowes Z Q ®•- W CONSTRUCTION PLAN REVIEW �P ELECTRIC S PLUMBING MECHANICAL -INSPECTION FEE , ISSUANCE SMIP Wise, ENERGY P/C q ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: � t�-�I- £��L.�� Lam/ ,��..,� • -� 3.1 a a � TOTAL FEES COMMENTS C—rr cc�ior� 10�g ► t'� • E� jek_ RECPT. NO. \rJ4 3 PAID BY VALIDATION WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD --File Copy, GREEN—Applicant's Copy v,J c rn,, 0 F D' I A Ul 0' D "p, A R, m.spr--'('.T5'0N RECORD ME -SET BACK - ZEN - F TG S/FO R fvl S/ISTE E L ELC TRIS GROUND GROUND PLUMBING SLAB GRADEFIREPLACE UNDER FLOOR CONDUIT FOUNDATION P POl FEMAER WATER SERVICE FIREPLACE BOND BEAM ROOF SHEATHING f 1411 [t,116 HT. BOND BEAM 8 FT. BOND BEAM FRAMING/VENTILATION ROOF COVER - -7= FINAL BOND BEAM PRE GRADING ROUGH HEATING ROUGH ELECTRIC ROUGH PLUMBINGFINISH SHOWER/'rUB TEST ----------------------------- BENCHING ROUGH GRADING I - GRADING ------- ------ POOL ELECTRIC . POOL FENCING POOL --INAL -XT. LATI SIDING 9--e-h WALL INSULATION �i CEILING INSULATION OFF SITE IMPS, DRYWALL NAILING SEWER DEDICATIONS ------------- SEPTIC TANK FINAL ENG. LANDSCAPEARRIG SEU PIT/L.L, ON SITE IMPS. GAS AIR TEST FINAL CONST. FINAL HEATING FINAL ZONING FIRE D PT�FINAL HEALTH DEPT. FINAL NAL FINAL ELECTRIC E TR DEV. FEES PAID UfvjB FINAL PLUMBING ENERGY FINAL PLANING FINAL ENGINEERING COMMENTS v --rig 4 3 _CO Lqm D 4 q SEPTIC TANK SIZE V SEEP PIT/U SIZE ?L I C�- ak I IR" CITY OF DIAMOND BAIL DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES ,Impprr) 1, 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 "�''vd"= BUILDING PERMIT APPLICATION ^ JOB SITE ADDRESS a a3 R �0 1_.nlpp 5 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 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 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 of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The `Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: httDAvww.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 farce and effect. LICENSE CLASS: LIC. NO.: DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION 1 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 Cade, 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 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (S100) 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 become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for in section 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. PERMFfTEE NAME (PRINT) SIGNATURE OF PERMITTEE DATE PRESS FIRMLY APPLICATION DATE: �� 3 P/C# ISSUE DATE: PERMIT# TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE 9cy :S�o+� -• �CdLucC. S\2� t # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFR C�tD EM a a �� G 4-14• Garage/Carport rn w Patio/Deck LL Pool/Spa Q) Z Re -Roof .. O _ Commercial mFg Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U K H W w co z M J d J Q U z ' a U w CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BSAF: TOTAL FEES (A_ •dt1� COMMENTS: RECEIPT # I�69 PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF DNAMlCA44D,BA-R INSPECTION RECORD T'[6:•I.. . SETbkkTLETTER," SODA'OR TRACTAND LEDGER FOOTINGS FARMS SWITCH GEAR SLAB COMMERCIAL HOOD .UG. PLUMBING -BAR T UG. ELECTRICAL INTERCEPTER 'LIFER l -GROUND ...' HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS POOL/SPA SHEAR WALLS INTERIOW6 ROUGH PLUMBING .FRAMINGNENTIING ROUGH. ELECTRICAL'�, 1� ROUGH'IVIECHANICAL. -ROUGH ELECTRIcAL-.`.W(-)--c GAS TEST ROUGH PLUMBING. -' ORE 60NITE INSULATION WALL POOL'PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE'/ GATE/ ALARM LATH (PRE) FINk'POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1-( ) 2ND( LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION Ra FRAMING PLANNING APPROVAL FINAL -BUILDING ROUGH FIREAPPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ OW 1C. of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY'_ FINAL HEALTH DEPT.. COMMENTS: [FINAL INDUSTRIAL WASTE . - PEOPLE V. ARACELI & GEORGE MARTINEZ (CASE NO. 2PK02799) (Page 1 of 2) Within the next thirty (30) calendar days: 1. Defendants are to submit a completed Development Review Application (for proposed construction/ building modifications) to the City's Planning Division'; or 2. Pull required building permits to restore the illegally altered garage to its original condition, complete required remedial work in connection therewith, schedule and pass a final City inspection (confirming completion of restoration in accordance with permit specifications and code requirements). Within seven (7) calendar days of any City requests for supplemental information and/or corrections or revisions to submitted plans: 3. Defendants are to re -submit plans with all indicated corrections and/or revisions, and/or submit all. requested supplemental information and/or documents to the City's Planning Division. 4. If Defendants fail to have their application deemed complete (pursuant to Government Code Section 65943) within thirty (30) calendar days of the above re -submittal deadline, Defendants shall demolish all unpermitted building alterations (with a demolition permit) and complete demolition (with a City inspection) within twenty-one (2 1) calendar days thereafter. Within seven (7) calendar days of City notification that their application - is deemed complete (but prior to final Planning Commission hearing and approval)2: 5. Defendants are to submit building plans (for proposed construction/ building modifications) to the City's Building 8v Safety Division for plan check. I There is no presumption/ assurance of Planning Commission approval. Defendants assume risk of Planning Commission denial in the event that they elect to pursue option no. 1. z Any Building &. Safety plan check or review fees that are incurred prior to the Planning Commission's final decision (on Defendants' Development Review Application) are not refundable. j PEOPLE V. ARACELI & GEORGE MARTINEZ (CASE NO. 2PK02799) (Page 2 of 2) Within seven (7) calendar days of any City requests for supplemental information and/or corrections or revisions to submitted building plans: 6. Defendants are to re -submit building plans with all indicated corrections or revisions, and/or any and all requested supplemental information or documents to the City's Building 8v Safety Division. Eleven (11) calendar days after receiving Planning Commission approval for proposed construction/building modifications; or within seven .(7) calendar days of receiving Building & Safety Division plan check approval for proposed construction/building modifications (whichever occurs last): 7. Defendants are to pull all required building permits. Within sixty (60) calendar days thereafter: 8. Defendants are to complete construction and finalize all permits in connection therewith (with all required City inspections). If Defendants' Development Review Application (for proposed construction and/or building modifications to legalize the office/den within the garage) is denied, Defendants must: (i) obtain permits to restore the illegally altered garage to its original condition; (ii) complete required remedial work; and (iii) finalize permits in connection therewith, within, twenty-one (21) calendar days of City notification of denial (reaardless of .whether theu intend to or have commenced administrative proceedings to appeal denial of their application). URBAN INSPECTION 1 Urban Inspection Special Inspection Report Project Name: Martinez Residence New Addition 2nd floor Date: December 5, 2015 Project Address: 22831 Rio Lobos Rd. Diamond Bar, Ca Permit No.: PR 12-1782 Architect of Record: Molinar Design & Dra fting Contractor: Owner Builder Engineer of Record: Kalif Design Associates Type of Inspection: Holdown ATR - Epoxy Description of Work A total of six (6) holes were drilled and cleaned in preparation for the epoxy of 7/8" and 1" all -thread rods (ATR) as indicated per detail 2/S3. The ATR's were installed for HDUB, HDU11 and HDU14 respectively. After the holes were drilled, per the appropriate embedment depth and confirmed clean, Simpson Set XP epoxy was used at each hole location and the appropriate ATR was installed. See the Foundation sheet for exact locations. The photos below are a representation of the work performed and described in this report: To the best of my knowledge, the work performed and described above is in conformance with the approved project documents and specifications and the provisions of the building code requirements which govern this work. (:3 --c--> 3 - Inspector Signature Joshua Esquer 5218688 Print Name Certification No. December 5, 2015 Date County of Los Angeles DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications, at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County Building Code. (Sections 106.4.5, 1709) Report No. This report includes all construction work through �c� '! �' day of g g j 201�Page No. �_of I Projecl Address: AA yy .l l 7i � i o b�1 IZP, y�i AW uNfo Structural Ob erver of ecord (SOR): SCAR f'hon /� lj�a (/`l� y' `.0 Building Permit No.: Structural Observation by: Observr Professional Lic./Reg. No.: 0 segue hon �- performed OBSERVATION LOCATION ?? ii 5W OBSERVED STRUCTURAL ELEMENTS AND T EIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION ❑ Footing, Stem Walls ❑ Concrete ❑ Steel Moment Frame ❑ Concrete 'i�`�4�s ❑ Mat Foundation ❑ Masonry ❑ Steel Braced Frame ❑ Steel Deck ❑ Caisson, Piles, ❑ Wood ❑ Concrete Moment ❑ Wood Grade Beams Frame 6�� t� l E3 Retaining Retaining Foundation ❑ Others: Masonry Wall ❑ Others: Hillside Special Anchors Frame ❑ Others: Vothers: NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance with the approved plans or in the load path: (A final report by the structural observer which states that all observed deficiencies have been resolved is required before acceptance of the work by the building officials.) I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. 1 AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE; 4. 1 RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY OF LANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE COR E TE SIGNATURE OF STRUCTVAAL OBSERVER DATE NO. 1'°;► 2.4.8 , .l i f CAO (STAMP OF STRUCTURAL OBSERVER) Version 1.0 (2008 LACBC) Jan. 10 2008