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HomeMy WebLinkAboutPR17-11255fes' CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVEL ;PMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS sW �gIX (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERIMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS C 0'C4.. � 6 --V Z Ill APN LOT TRACT OWNER /_'_i"` ADDRESS _] CITY ZIP, TEL. APPLICANT TEL CONTRACTOR,55"T -'�' ADDRESiW; 1 y CITY ZIP - l TEL.6,5 4 ARC DESIGGNERNER S 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 reasons) indicated below by the checkmark(sJ, I have placed next to the applicable item(sj [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to canstmcl, alter, improve, demolish, or repair, any structure, priorto 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 exr mpifrom licensure and the basis for t%, 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). O I, as owner of the property, or my employees with wages as their sole compensation, will de (T ail of or O 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 properly 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-Bullder w11i 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 Processions 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 pursuantto the Contractors' State License Law.). U I am exempt from licensure under the Contractor's State License law for the following reason(s): Date; Sign; 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 permlt,l cannot legally sell a structure that I have built as an owner -builder If It has not teen 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 avallable upon request when this application is submitted or at the following Web site: htpAvww,loginfo.ca.gov/calaw,Mtrnl. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury chat I am licensed under provisions of Chapler 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.: - EXP, DATE: �`_.l CONTRACTOR;�r°' WORKER'S COMPERSPOEC I I HEREBY AFFIRM UNDER PENALTY DP PERJURY OKE 0 FIFO LA.RATION& I have and will maintain a Certificate ofon -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, forthe 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 theperformancsoflheworkforwhichthispermitisissued.MyWorker'sCarl !on Insurance Carrier and Policy Numb ��yy CARRIER a ® w+ --d+ I C POLICY NUMBER -? (TRIS SECTION NEED NOT BE COMPLETED IF THE 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 e��ploy any person in any. i. anner so as to become subject to the Worker's Compensation Laws IICpp' And agree t t fTshould bb G 25tlG `eci to the Worker's Compensation provisions of Section 3700,a the 6r", 5 all fo h ' tWtrE se provisions. DATE: 4' APPLICAN, , WARNING; Failure to secure Worker's Compensation c r Is un1 I, and shat ubJec an employer to criminal penalties and civil fines up to one hundred thousa lars OOOJ, In a I' r to the cost of the compensation, damages as provided for in sectloa 3708 of the Is c crest, a ey's fees. CONSTRU DING 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 €s 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 i. rr inspection purposes. APA-mf+i / a PERM17 NAM T) '7 ICNAMT U E OF PE BE GATE APPLICATION DATE; 4+ a _ $ / ISSUE DATE: $f3/! PERMIT# : TYPE CONST. �jP/C# +_ IPR 13 - P 2-s5 OCC GROUP: f Scope of Work # DWEL. UNITS # STORIES aA.) e i Pd l axe -i -i # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSE ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport LOU Patio/Deck Lu LL Pool/Spa ZRe -Roof j Commercial 5 valuation: i Adj, Area: QUANTITY DESCRIPTION FEE a v H U W w ca z m s J a. J v z x CONSTRUCTION: PLAN REVIEW: 1.8 �g. $� ELECTRIC: TY. &O PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: :72t.214 SMIP: 2.-4,3 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRL -ALT FEE: 34• e)® BASF: 1.00 PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: 573,5.32- 35.32COMMENTS: P/C: PAID BY: ® VALIDATION: RECEIPT #,3 5 9 7 2. PAID RY: V (0 6 VALIDATION: LC WHITE — Department Copy, YELLOW — Finance Copy, PINK—Assessor Copy CITY OF DIAMOND BAR D SETBACK/LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING T -BAR INTERCEPTER HOT MOP/SHOWFRllAN SEPTIC/(C55P0OI., HERS REPORT RF.(;FIV€`D DFMOI ITION ROOF DRAINS noUFali CONUl.1fF POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL .._.... .. MECHANICAL GAH FEST" PRf GUNITE PRE DECK BONDING - — P I RAP UG, ELECTRICAL UFER GROUND SEWER IAiFRAL MAIN WATER LINE SEWFH CLEANOUT ROOF SHEATHING FI 00R SHEATHING SHEAR WALLS EXTERIOR SHEAF/ WALLS INTERIOR FRAMINGNENTING m.._... _.._...__._..__..___....... _ .. ROUGH MECHANICALROUGH HOUGH ELECTRICAL W( } C ( ROUGH PLUMBING INSULATION WALLPOOL _ . _... ......... INSULATION CEILING -- DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST - -- — ......,., FFNCF/GATF/ALARM FINAL POOL WALLS: WAIL FOOTING/STEEL WAI L STEEL 1sT( ) 2"( ) LIFT SCRATCH COAT WALL BOND BEAM ELE.CiFiIC METER RELEASE GAS ME FEfi RELEASE SPLCIAI, INSPECTION WALL DRAIN/ SEAL WALL FINAL R0. FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW 1C. of OCCUPANCY FINAL COMMUNITY SERVICES FINAL. HEALTH DEPT. CE Ta at OCCUPANCY FINIAL INDUSTRIAL WASTE The alarms are required to be installed in the following locations: •S Smoke alarms in all sleeping rooms. ❖ CO alarms in all sleeping rooms where fuel burning appliances are installed. Smoke alarm and CO alarm in hallways preceding sleeping rooms. s Smoke alarm and CO alarms on each dwelling level including basements and habitable attic rooms. The smoke and CO alarms are required to comply with the above when requesting a final inspection. Please make sure an adult is present to allow the Inspector access to the home to verify compliance with the above requirements. If no one will be available, you may opt to complete the Installation Certification below and leave it with the job card. (Please fill out and tear off this portion to leave with the job card if no one will be available to allow the inspector inside the house.) INSTALLATION CERTIFICATION For thep roperty located at r" �'<.'��`"� r 1✓a``�yx� 13f=1 oke alarms and cafbon monoxide alarms have been installed as listed above. r Signature Print Name psi C;�r'?� ,V, hereby certify that the required r_,.- Date Relationship to project (please check one): ❑ Owner © Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor If "Licensed Contractor" or "Agent for Licensed Contractor" is checked, please complete the following: Contractor Contractor's State License Number Assembly Bill 2188 applies only to residential rooftop solar energy systems T ` that are no larger than 10 kilowatts or 30 kilowatts thermal. This form conforms to Assembly 61112988. �i Residential Photovoltaic Power Systems Permit Issuance Checklist Please complete the following information to submit for Building & Safety plan check. g. € APPLICANT com fete the Address: o Vie/ APN: Lot Size: S F Average Slope: Zone: aha Technology: (check one): Building Integrated Roof -Mounted Panel Ground -Mounted Panel System size and power: Number of panels: 21 Total square feet: 1' — sq.ft.� kW (if electric) Are the property lines correctly dimensioned on the plans? (circle one)a es No If Ground -Mounted: Max. height of system, (Le, distance from top of pane o natural or finished grade): r, If Roof -Mounted: Max. height above roof, (max.distance from top of roof to top of panel): If framing is over eight inches (8") off roof or ground, is it screened 'rcle one) Yes No /A Are the panels proposed on a permitted structure? (circle one) i es No NIA Panel directional orientation, (check one): West Southwest So _. - utheast Bast System visibility from nearby public streets, parks, or trails, (circle o*: Not Visible, w, Medium, High If "no" to any of the above, see the Planning Division. COUNTER PLANNER completes the remaining form. 1. Zoning ❑Yes ❑No a. Does the proposed project meet the setback requirements (or is it an allowed encroachment)? Front setback ft. interior setbacks ft. ❑NIA Dyes ❑No b. If ground -mounted: Does the project comply with setbacks and lot coverage requirements? ❑Yes ❑No C. Are the panels proposed on a permitted structure? ❑Yes ONO d. Are the property lines correctly dimensioned on the plans? 2. Design Dyes ❑No a. is there an open/pending project for the property? []Yes ❑No b. Will the system be obscured from public view, i.e. as viewed from a public street, sidewalk, park, beach or trail, is it completely hidden by a parapet, located behind a residence, down a private driveway not visible off site, etc.? Consider all potential public views of the site, especially on hillside properties. If "yes", then skip to item No.b below. If "no", continue to item 3. 3. Is the proposed project affiliated with a historic resource (Check historic resource list)? Dyes ❑No Page 1 of 3 4. Is the proposed project on a site which includes a potentially sensitive visual resource, such as: ❑Yes ❑No a. Hillside property (regardless of slope)? 5. Is the proposed project located in a restricted use area? ❑Yes ❑No 6. The plans cannot be approved over the counter and must be routed to staff for further review. if there are Zoning concerns ("no" to question No. 1), indicate those in the zoning activity. ❑Yes ❑No 7. Applicant proceeds to Building & Safety Counter to continue the review (add approval notes in Zoning Clearance file, stamp and initial three (3) sets of B&S plans) ❑Yes ❑No Building and Safety requirements. Applicant shall complete the remaining form. (Please check the correct answer for each question) 1. Applicant submitted (3) sets of plans minimum 11"x17", attach all manufacturer's specification sheets, W'esari lon instructions, and listings. []No 2. 1 ¢ exposed conduits painted to match the roof is noted on the plans. 'es ❑No 3. In submittal, provided electrical single -line diagram clearly identifying all devices installed in the PV system and n Iating total kW rating of system. s ❑No 4. Applicant acknowledges correct circuit sizing and current calculations based off 2016 California electrical Code Article 690.8 on plans from California state licensed electrical engineer or a California licensed contractor FC ification C-46 or C-10. s ❑No 5. Applicant acknowledges photovoltaic source and output circuits have a maximum photovoltaic of up to 600 volts based off 2016 California electrical Code Article 690.7 on pians from California state licensed electrical engineer )V California licensed contractor classification C-46 or C-10. es ❑No 6. Applicant acknowledges wet -stamped and signed submittal of structural calculations for wind uplift based of ASCE 7-10 from State license civil or structural engineer. All Structural Elements shall be identified on existing W framing members on plans. es ❑No 7. Applicant acknowledges rooftop mounted photovoltaic systems shall be tested, listed and identified with a fire classification in accordance with UL 1703. The fire classification shall comply with Table 1505.1 of the 9Ca ' ornia Building Code based on the type of construction of the building Effective January 1, 2015. ees ❑No Page 2 of 3 8. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California 1 trical Code Article 690. es ❑No 9. Applicant acknowledges installation of the interconnected electric power production source shall be in ,co pliance based off 2016 California electrical Code Article 705. es ❑No 10. Applicant plans are to be signed by a California licensed contractor classification C46 or C-10. Provide signature and license number on each sheets. Contractor who signs the document must be the one doing the work, Business Vy Professions Code Section 7031.5. es ❑No 11.�A�plicant acknowledges that the photovoltaic system may only be installed on a permitted structure. es ❑No 12. Applicant acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook": hM2://opr.ca.gov/docs/CaJifornia Solar Permitting Guidebook. df 13. R,■ I Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code se on R908 CRC 2016. se ❑No Signature of Print Name: Date: 9 _ 3 r Page 3 of 3