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Home My WebLink AboutRALT-19-0486 City of Arcadia, CA Permit NO.RALT-19-0486 ♦ Development Services Department Permit Type:Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Res-Addition/Alteration (626)574-5416 Permit Status:Issued ARCADIA Issue Date:05/11/2020 I Expiration: 09/09/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 147 9 Sharon RD Arcadia,CA 5785008003 1ommmomft Contacts ALAN DUAN Owner OLIVIA WANG Applicant 479 SHARON RD 999 E VALLEY BLVD 121,ALHAMBRA,CA 91801 (62.6)731-3313 (626)554-0084 YAN4KING.FLY@GMAIL.COM DELUX DESIGN&CONSTRUCTION INC* Contractor 20803 VALLEY BLVD 205,WALNUT,CA 91789 (626)827-8688 1005579 Description: NEW BED/BATH,FAMILY ROOM,LAUNDRY ROOM, Valuation: $ 290,488.62 Tenant NEW COVERED PORCH. REMODEL EXISTING HOUSE. WITH EMP.200 AMP SERVICE 1 SUB PANEL.HVAC SYSTEM PER Total Sq Feet: 1.350.00 Plan Check ff 19-486 Plan b 257 APPROVED PLANS.HERS REQUIRED FOR FINAL. TOTAL 4 BED&4.5 BATH •sw Fees Amount Payments Amount Paid Bar Sink $13.21 Total Fees $10,025.29 Bathtubs/or Combo $52.84 Cash/Receipt q REC-00646-19 $2,605.85 Building Issuing Fee $47.01 Cash/Receipt K REC-04432-20 $7,419.44 Building Permit Fees $2,541.90 Building Plan Review Fee $1,652.24 Amount Due: $0.00 Cal Green Plan Check $165.23 Clothes Washer $13.21 Compressor 3-5 Ton(3 to 15 hp) $72.70 Dishwasher $13.21 Distribution Panel $16.48 Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Energy Plan Review Fee $508.38 Request for inspection by telephone at 626-574-5450. Leave a message Furnace or Burner<=100,000 BTU $39.72 requesting the address,timeframe and what inspection item is needed. Garbage Disposal Fee $13.21 Gas System(Outlets) $77.75 Green Building Standard $12.00 This permit/plan review expires by time limitation and becomes null and Install,Relocate Appliance Vent/Hood $9.94 void if the work authorized by the permit is not commenced within 180 days Kitchen Sink $13.21 from the date of issuance or if the permit is not obtained within 180 days Lavatories $66.05 from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 Mechanical Permit Issuance Fee $47.01 consecutive days or if no progressive work has been verified by a City of New Residential Elect.(sq ft area) $246.88 Arcadia building inspector for a period of 180 consecutive days. Total: $10,025.29 COMPLETE ,„ - May 11, 2020 Issued By: Date May 11,2020 Page 1 of 1 ._ 4 .. •: PERMIT/PLAN REVIEW APPLICATION ; Development Services Department,240 West Huntington Drive,Post Office Box 60021 0 �� Arcadia, CA 91066-6021,(626) 574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractors)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name Title PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date NOTES • .i . .• i., 0. • i [ Plu [bin Ins e tions Date Insp. 47 ! st- t4 ' coh, 100. Setbacks 210. Under flr./bldg.drain 5 Z , -7--`9/ r Ii� 101. Rough grade �211. Copper underslab l% - R 102. Figs.&forms jr:-/-420` 12. Rough plumbing `S-.� 7'u-Z•0 vND-Rre-od0- pie ia,.is Fo 2 103. Pre-slab c Z'C-1 213. Rough gas (!�� /•1��.t��,� 104. Floor joists 214. Shower pan 123_20- ,, , . -iST-,i/G PAAr Ur //au-sz 105. Steel 215. Water heater 106. Grout lift 16. Roof drains ' 07. Shear nailing I(-l�j-Zo 217. Building sewer 108. Diaph nailing 18. Water service (D-/S-2014 17 109. Roof nailing /a-1 --2-o 19. Final gas 110. Framing ((-5j-2( 220. Fixtures 111. OcclArea Sept.Wall 221. Final plumbing 7-0Z-2-( 6 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall ?� - D- 40. Excavation/steel 116. Insulation-Cell. --- . 41. Rou.h.lumbin. ' 117. Drywall nailing (a-/6-20 " 42. Light shell/bonding 118. Interior lath 'Z-10-7-4) .11 )43. Underground conduit 119. Exterior lath I(-is?.d,, 244. P-trap 120. Finish grade //�� 45. Gas line&test 121. Final building 141-3-2/ /1s') 246. Fence,gates&signs 122. Final demalot clear `!!!! 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground /�'Vi' • ' 270. Pre-reroof insp. 155. Water ground �!> 271. Roof framing 156. Rough electrical �' 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E.et.bondin. Sign Inspections I Date I Insp. 160. Service panel 80. Setback/overhang - 161. Final electric 1-3-2( 281. Footing 282. ConduiVwirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 11-/0-2.0 Cyd, . Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical 7-1z--2-i, i 300. Lateral(main to P/L) 301. Saddlery Block Wall Inspections Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin City of Arcadia, CA Permit NO. ROOF-20-1846 Development Services Department Permit Type:Roof 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Reroof-Residential (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 11/05/2020 f Expiration: 11/05/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 479 SHARON RD Arcadia,CA 91007-7951 5785008003 Contacts DUAN,ALAN T Owner DELUX DESIGN&CONSTRUCTION INC* Contractor 479 SHARON RD 20803 VALLEY BLVD 205,WALNUT,CA 91789 (626)827-8688 1005579 Description:T/0 AND REROOF GARAGE NOT COVERED UNDER Valuation: $ 3,000.00 Tenant ADD/ALT PERMIT WITH ROOFING TO MATCH ADDITION, STRUCTURAL CALCS ON PLANS Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $173.61 Building Permit Fees $120.35 Cash/Receipt#REC-05989-20 $173.61 Solid Waste Management Fee 56.25 Amount Due: $0.00 Total: $173.61 - (O—IS-2-0 csQ.= S./IEJ`Ts/F54' i(----- _ �G 1.111 CALLS FOR INSPECTIONS .:.:„..:;; ... ...a 16 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. .....7.. 4-3—u This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. November 05, 2020 Issued By: Date November 05,2020 Page 1 of 1 q`�Fvo Ria 4 r9001,1 PERMIT/PLAN REVIEW APPLICATION ell j�, Development Services Department, 240 West Huntington Drive, Post Office Box 60021 mti4�, ot„ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. D I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall 0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos urvey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. Name DA) Title PRINT ME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date City of Arcadia, CA Permit NO. FIRE-20-1244 Development Services Department Permit Type:Fire 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler (626)574-5416 Permit Stotus:Issued ARCADIA Issue Date:08/25/2020 Expiration: 08/25/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number [479 SHARON RD Arcadia,CA 91007-7951 5785008003 Contacts DUAN,ALAN T Owner F&H Fire Protection' Contractor 479 SHARON RD 1119 Westminster AVE,Alhambra,CA 91803 (626)262-3876 584319 L Description:FIRE SPRINKS FOR SF NEW 32 HEADS Valuation: $4,500.00 Tenant Total Sq Feet: 0.00 Plan Check H20-1244 Plan q Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees - $948.77 Fire Issuance $47.01 Cash/Receipt N REC-05309-20 $948.77 Fire Permit Fees $153.75 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Sprinkler Heads $700.00 Total: $948.77 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CUIPLE13 August 25, 2020 Issued By: Date August 26,2020 Page 1 of 1 s F AR 4 mom I. PERMIT/PLAN REVIEW APPLICATION e® Development Services Department,240 West Huntington Drive,Post Office Box 60021 °0A°e„ya'4" Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall 0 I, as owner of the property, forthwith comply with those provisions. or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. Name Title PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date t : a , . , ..,..._''' , . , City of At-- ' --D '''' .,, Los Angeles Uniform Code Program Uniform Procedure I-7: Special Inspections Special Inspection Report - DISCREPANCY • CONFORMANCE Ar.discrepancies shall be brought to the Immediate attention of If watt conforms lo approved design and code rQcA irements,submit the Contractor for correct. If corrections an not mad,in a this report to Bulldtrg Department and copies to Contractor,Engineer/ timely rranner,this reportshall be used as a cfsaeparcy no A ChltectofrecCrd and Owner no later Ulan the business day iCtlirg Submit the original to ei,iltng Department and copes to the condulion of the special impaction, For inspections greater than 5 Contractor,Engineer/Architect of record and Owner. days dustiest,submit a conformance report at'east once every week 4' This is a: • • Progress Report . Final Report Report No. I •�r�oject Adams: Page No. _1_of_i— L�ofptlorr of-project: 1 �7� /z�.0 /',i% ./ - - /A /«-> . Fermz N Der: Owner l ArthitacyEn rtatr Contractor: � W _ af-Reoord: / �f � 2 iSr / c Full Named Spacial Inspectkm: City Registration Number: Company: Phone Irarotlbr Huan Van But P013049 Vanl3ul InspectionI714345-8266 Type of Inspection: — - a Retnforred Concrete o Structural Masonry a Piling, Piers&Calsscr:s a Smoke Control a PrestresseQ/Past-tens{oned o Bolts In Concrete/Masonry a Excavation and Pills 3 Energy Compliance a 5l otcrete/Gunite o Structural Welding o Spray-Appiled Fire Proofing o Testing Reports a Insulating Conuate/Gyperete a High Strength Bolting of Other V ( -t-4-..; Time Time Date Arrived Departed Description and Location of Work Inspected r-sb.: ,N°r—' ') -7/2. -/7r, g , tit : '� C/g' AIt h1-)P 2i) ��s, i,� ,�ffej/.4-1 l n r• .4S. /l-L�,< <S iA--z ' Z7-11-/" .r';ic7& ,-....V7?---;4 // 5-e, (5 7) AV V 1e7l._.tc- A. re,..i / .' c ' , '- rte• (4) tf'— - A..5 vc.,'l r— ' ,_--r,..,,,••y • Remarks: 1 L.z� J. z, / / molt 'iP Z-ccc. 72' �a� - I: 2 .Ser-r, y r 1 16:- c- " 2 G , eLer 7/'f!?�'z 2 'j I HEREBY DECLARE THAT THE FOLLOWING iS TRUE TO THE BEST OF MY KNOWLEDGE: 'AM,DR MY COMPANY IS,RETAINED BY THE OWH!R OR THE ARCHrTECT!EYOINEER OF RECORD To PROM DE SPECIAL ltISPECtON FOR THE WORK COVERED IN Tho'REPORT, Z. 1 HAVE PERFORMED THE REQUIRED INSPECTION DURING THE TIME PERIOD AS STATED ABOVE. 3. THE WORN(COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROiSO PLANS,SP.CIF(CATIONsAND AP?.:CAT-CS • WORKMANSHIP PROVISIONS op THE COOS,EXCEPT AS INDICATED 0TNERWSE. ' '�.�/�< 5:r)natt,rC �� , --=•p•* G +,��—, Cate i Huan Van Bul, Deputy rnsixCtor ,, 9. "`"' ` County of Los Angeles ��'�� -Niel DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION PUBLIC WORKS \`.. ' 7: 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 14. day of OCT. .20 2G Page No l of t_ _ Project Address: Structural Observer of Record (SOR): SOR Phone No.. 4-71 SNAR*J FSP /-- Z/ 7SrAk r 62,6-.6z7-13613.0 Building Permit No.: Structural Observati n Observr Professional Lic./Reg. No.: Observer Rhone No : /?—e'�1_ performed by:MA(r5E� G .3 E 3 , / T`�2�'/ OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION AFooting, Stem Walls ❑ Concrete ❑ Steel Moment Frame 0 ConcreteT,u/rn47/O// Aildiy< ❑ Mat Foundation 0 Masonry ❑ Steel Braced Frame ❑ Steel Deck BaLT fkil7dk/A/ANCHO,CA9[yl ❑ Caisson, Piles, Ja,Wood ❑ Concrete Moment J�Wood SHr RR iv/444., geof X �' Grade Beams Frame ��2 S��YH�NI-/ ❑Retaining Foundation 0 Others: ❑ Masonry Wall El Others Hillside Special Anchors Frame 57-2/ien0eAZ DETAAiLS ❑Others: Ig,Others: k/casp 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 officals.; I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: Q I 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. ss1oJ Q1 llo.t°- 19#‘ 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS ATc,., . EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN s� .4 GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; S yan- 1T``C g 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED NQ'( 3651 ABOVE; V" '`7 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY 4�o fC O OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE V CORRECTED. I C l AIM— ( o— (4- -1...C4 STAMP OF STRJCTuRAL .:5SiLK.L:• SIGNA = STRUCT ', •: -►-- DATE Version 1.0(2008 LACBC) Jar •C 2008 `' Countyof Los Angeles PUBLIC WORKS) 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 7..684 day of Ivo1 .202v Page No. i of Project Address: Structural Observer of Record (SOR): SOR Phone No.. 4 7 7 -CM/CFA) ,ems F,Ait/-�tf 7it/q Building Permit No Structural Observation Observr Professional Lic/Reg No. Observer Phone No / AZpfy_D performed by pj7 14 C6 3fl 62Z—B27-154‘45.6 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS • FOUNDATION I WALL FRAMES FLOOR ELEMENTS/CONNECTION OBSERVATION LOCATION •Footing, Stem Walls 0 Concrete 0 Steel Moment Frame ❑ Concrete el-A/4,-5441e5, ❑ Mat Foundation 0 Masonry 0 Steel Braced Frame 0 Steel Deck j yo.1j4/.5 J Icf4tD/15.oLj ❑ Caisson, Piles. 0 Wood 0 Concrete Moment 0 Wood 1AsT/4 9 8uttr Grade Beams Frame credZ Ba/w//4/4 / 0 4 ❑Retaining Foundation 0 Others: 0 Masonry Wall ❑ Others 4/ Hillside Special Anchors Frame ilsOthers:N°�VA)'v hveikve Amp 0 Others 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: X[ 1. I 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. �4tDr�eSS10II1j C/ 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS ��0ill UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT w EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY IF THE STRUCTURE IS IN o GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS: a Fan..TUTseng 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED No.C33651 ABOVE: Exp:6/30x/747 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY are OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE ��"C( SN" 'a CORRECTED. - ` "'--- z6" (STAMP OF STRUCTURAL OBSERVER SIGNATUKL-e TRUCTURAL OBS v DATE Version 1.0(2008 LACBC) jar 10 2008