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HomeMy WebLinkAboutPR17-9110CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax- (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com, building(a,-Wiamundbarea.gov JOB SITE ADDRESS APIN g LOT TRACT OWNER ADDRESS,: 7�&­s'/,6 A 1"41 CITY ZIP TEL APPLICANT TE CONTRACTOR S ADDRESS-'fff — k&f ZaL `-7,fZ1_T —V ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION hereby affirm order 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 pormitta file a signed statementilhat 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 all the Business and Professions Code] or that he or she is exempt from 11censure and the basis for the alleged exemption. Any violator of 7031.5 by any applicant for a permit subjects the applicaritto a civil penalty of not more than five hundred dollars ($l U 1, as owner afthe property, or my employees with wages as their sale compensation, will do W all of or U portions at the work, and the structure is not intended or offered for sale (Section 7044. Business and Professions Code: The Contractors' State License Law does rat apply to an owner of property who, through emi personal effort, builds or Improves the property, provided thatthe improvements are not intended or offered for sale. If however, the building or improvement is said 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 1, as owner of the property, am exclusively contracting with 11cersed Contractors to construct the project (Scotian 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.): I I am exemptfrom licensors under the Contractors State License law forthe folicwhig reasorl Date: Sign. By my signature below I acknowledge that, exceptfor my p6mrm; residence In which I must have resided for at least one year prior to completion of the Improvements covered by this pnrmft,l cannot legally sell a structure that I have built as ap owner -builder If It has not been constructed In Its entirety by licensed contracilms, I understand that a copy of the applicable law, Sector 7044 of the Business and Professions Carlo is available upon request when this application is submitted or atthe following WO site: hdplwww,lDginfo,ca,gDvlcalaw,htmi, LICENSED CONTRAGTORIS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions Of Chapter 9 (commending with Section 7000) of Divislofi 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS - LIC NO,: EXP. DATE:.'CONTRACTOR: WORKER'S COMPENSATION PEL4iMIRON I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWIN3 OVOLARATIONS: I have and will maintain a Certificate of Consent tc Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, 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 efthe Labor Code, for the performance of the workiorwIblch this permit Is issued My Worker's Compensation insurance Carrier and Policy Number CARRIER POLICY NUMBER (THISSFUION NEED NOT 3FCOMPLFTFD IFTHE PERMIT IS FOR CNFH[)NDRFD DOLLARS $100 OR LESS), I codify that Inthe performance of the work for which this permit Is Issued, I shall draft employ any person In any manner soasta become subject to the Worker's Compensation Laws Of Call And agree that If I should become subject to the Workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those brovislons DATE— APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tries up to one hundred thousand dollars (3100,0010), in addition to the not of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's ises. 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, GIv. 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 cry and CDLrtY ordinances andstatelaws relating to building construction, and hereby ami representatives of this county to enter upon the above-ifierfloneid prcI for inspection p0poses , .'," 4 PERMr7EF NAME (PRINT) 2 SIGNATURE OF PFRM17EE DATE APPLICATION DATE: P/09 ISSUE DATE:. Q? 3pERMIT# it 6 TYPE CONST. OCC GROUP: Scope of Work 1A, zr, i7: # DWEL. UNITS "# STORIES # BEDROOMS DESCRIPTION SQ. FT, FACTOR PSIF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport Patio/Deck LL Pool/Spa Fe -Root Commercial valuafil Adj. Area: QUANTITY DESCRIPTION FEE U cb CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: RECEIPT PAID BY: VALIDATION: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF DIAMOND BAR INSPECTION EO;r'D SETBACK/ LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG, PLUMBING T -BAR UG. ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHINGIF ROUGH CONDUIT SHEAR WALLS EXTEBI0R POWSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( j C ( GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE / GATE/ ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STFFL 1a'( ) 2N°( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0, FRAMING PLANNING APPRCVAL F114AL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEEMNG/ PW T.G. of OCCUPANCY FINAL COMMUNITY SERVICES CERT. ®f OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: ..i_..,.._._ Assembly Bill 2188 applies only to residential rooftop solar energy systems I that are no larger than 10 kilowatts or 30 kilowatts thermal. This form conforms to Assembly Bill 2488. Residential Photovoltaic Power Systems Permit Issuance Checklist Please complete the following information to submit for Building & Safety plan check. APPLICANT completes this box. Address: 9r APN: Zone: Lot Size: S.F. Average Slope: % Technology: (check one): Building Integrated Roof -Mounted Panel Ground-Munted Panel System size and ower: Number of panels Totals square feet: s ft �` y�" kW of electric Y p p q q• a� C ) Are the property lines correctly dimensioned on the plans? (circle one) No If Ground -Mounted: Max. height of system, (i.e. distance from top of panel to natural or finished grade): If Roof -Mounted: Max, height above roof, (max.distance from top of roof to top of panel): , ' C If framing is over eight inches (8") off roof or ground, is it screened? ircle one) Yes No Are the panels proposed on a permitted structure? (circle one e No NIA Panel directional orientation, (check one): West Southwest,: South Sout ast East �_ _�- System visibility from nearby public streets, parks, or trails, (circle one): Not Visibl L o : %'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 ❑Yes ❑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 ❑No d. Are the property lines correctly dimensioned on the plans? 2. Design ❑Yes ❑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)? ❑Yes ❑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. Appli t submitted (3) sets of plans minimum 11"x17", attach all manufacturer's specification sheets, i lation instructions, and listings. Yes ❑No 11 2. A exposed conduits painted to match the roof is noted on the plans. Yes ❑No 3. In sub ittal, provided electrical single -line diagram clearly identifying all devices installed in the PV system and in ' ating total M rating of system. Yes ❑No 4. Applicant acknowledges correct circuit sizing and current calculations based off 2016 California electrical Code Antic 690.8 on plans from California state licensed electrical engineer or a California licensed contractor rsification C-46 or C-10. es ❑No 5. Applicant acknowledges photovoltaic source and output circuits have a maximum photovoltaic of up to 600 volts based,.based,pff 2016 California electrical Code Article 690.7 on plans from California state licensed electrical engineer or aXalifornia 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 ro framing members on plans. Yes []No 7. Appli t acknowledges rooftop mounted photovoltaic systems shall be tested, listed and identified with a fire clas 'fication in accordance with UL 1703. The fire classification shall comply with Table 1505.1 of the C fornia Building Code based on the type of construction of the building Effective January 1, 2015. Yes ❑No Page 2 of 3 8. Applic ht acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California ele ical Code Article 690. es ❑No 9.Appl' ' t acknowledges installation of the interconnected electric power production source shall be in co liance based off 2016 California electrical Code Article 705. Yes ❑No 10. Applicant plans are to be signed by a California licensed contractor classification C-46 or C-10. Provide signature and " ii se number on each sheets. Contractor who signs the document must be the one doing the work, Business an rofessions Code Section 7031.5. Yes []No 11.icant acknowledges that the photovoltaic system may only be installed on a permitted structure. Yes ❑No 12. Applic rat acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook": htt • o r.ca. ov/docs/California Solar Permitting Guidebook. df KYes ❑No 13. Prop'99ed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code se on R908 CRC 2016. Yes ❑No Signature of Applicant: !" J - bate: Print Name:. / r22� a Page 3 of 3