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HomeMy WebLinkAboutPR17-136680120101ID BAP 1 3 CITY 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) 839-7027FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamQtnd�iarca.gov JOB SITE ADDRESS ��" C��f�O '44 6 APN LOT TRACT OWNER a ADDRESS j - T; CITY PIN f � ;bP4_ZIP9M6TEL. 44 APPLICANA, CONTRACTO RUR,P,.AA rf�t 1 G L t ADDRESS 9 pg ,ti F`it•® C T CITYA 4 g -IP TEL. �6�.- ARC H/ENG/ DESIGNER ADDRESS CITY 71P TEL. GWNER-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(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, after, improve, demolish, or repair,any structure, prior to Its Issuance, also requires the applicant for the permit In 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 allegedexamptlon Any violation of Section 7031.5 by any applicantforapermit subjectsthe applicant toacivil penalty of flat more than five hundred dollars ($500}, U I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of the work, and the structure is not intended or offered ter sale (Sectlen 7044, Business and Professions Code: The Contractors' State LICenSe Law does not apply to an owner of property who, through employces' cr 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 comp€alien, the Owner -Builder wlll 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 properly who builds or improves thereon, and who contracts forthe 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: Sig c By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prinrtn completion of the improvements covered by this permltJ cannot legally sell a structure that I have bunt as an owner -builder if it has not been constructed in its entirety by licensed contfactors, I understand that a copy of the applicable law, Section 7044 of the Business and Professlans Code Is available upon request when this application is submitted or at the following Web site: httplwww.leginfoca,gov/oalaw.htmr 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 force and effect. LICENSE CLASS: LIC, 11.: 't7� EXP. DATE: CONTRACTOR -PAC, ,'I 4i WORKER'S COMPENSATION DECLARATION I t�ERTBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will malntain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Sectlon 3700 ofthe Labor Code, for the performance of the workfor which this permit is Issued. My Worker's Compensation insurance Carrier and Policy Number are: �A g�� p� AP CARRIER �'""� 16 "®�Y d P^i > POLICY NUMBER t'C (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). I certfythat In the performance of the workfor 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 Callfemla. And agree that If I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, DATE, APPLICANT: WARNING: FailLre to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred lhausand dollars (5100,000), In addition to the cost of the compensation, damages as provided for In section 3708 of the labor code, Interest, and attomey'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, Clv, 0.) LENDER'S NAME: ENDETS ADDRESS: certlfy that I have read this application and state that the above Information is correct I agree to comply with all city and c my ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter�u en the above-mentioned property for Inspection purposes. Lep e, PERMPRI - , SIGNATURE OF PERM! DATE APPLICATION DATE: I \-1 P/C# VI - %jil ISSUE DATE: PERMIT# : w 4 (OF TYPE CONST.OCC GROUP: Scope of Work NCI~ 1--VZ,X'7 # DWEL. UNITS # STORIES WVI E WJ # BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/Abp/REM Garage/Carport w Patio/Deck Liu LL Pool/Spa zRe -Roof Commercial m Valuation I ;-1 Adj. Area: QUANTITY DESCRIPTION FEE U iE V u.! uJi m z m d U Z 4 U CONSTRUCTION: PLAN REVIEW: ELECTRIC: 3 d (® PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE:.�a 'lZ ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: da PLOT PIAN: 70NING CLEARANCE: TOTAL FEES —1 S ^ COMMENTS: 0 a® PIC: S{ PAID 13Y: (0-,1 ' VALIDATION: RECEIPT# PAIDBY'. VALIDATION: WHITE — Department Copy, YELLOW Finance Copy, PINK Assessor Copy CITY OF DIAMOND R INSPECTION RECORD SETBACK/ LETTER 1IIAC:I ANO LEDGER SWIFCII GLAR COMMERCIAL HOOD I HAk INILRGLPTER HOf MOPISHOWERPAN SFf'71CICESSPOOL FOOTINGS FORMS _ SLAB 11G. PLUMBING UG. ELECTRICAL UFFR GROUND SEWER LATERAL MAIN WATER LINE , / � � HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING%�' ROCF DRAINS FLOOR SHEATHING HOUGH CONDUIT SHEAR WALLS EXrERIOH POGL/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ��;/ � !�f�n .. .. ....... . - - ........ x ;%.. ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) G { ROUGH PLUMBING _ - GAS TEST. _... __. -- PRE GUNITE INSULATION WAI I POOL PRE DECK BONDING INSULATION CFI/ ING P -TRAP DRYWALLFENCE/GATE/ALARM LATH (PIIF) LATH FXTFRIOR I ATH INTERIORWALL GAh 1 hS i SCRATCH COAT ELECITiIG METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL POOL WALLS: FOOTING/STEEL _ _._....... _.. WALL STEEL 1 s-( )2ND( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL _.._--_ / i." FINAL BUiLOING FINAL MECHANICAL FINAL FIDE DEPARTMENT FINAL PLANNING FINAL ELECTRICAL FINAL PLUMBING FINAL ENGINEERING/ PIN FINAL COMMUNITY SERVICES T.C. of OCCUPANCY CET. of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: CITY OF DIAMOND BAR I I i DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar; CA 91765 PRESS (909) $39-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS 3 Q \ APN LOT TRACT OWNER ADDRESS CITY VF_ft"©A;P fiAf_ZIP'1LT6 TEL. APPLICAN LS, t fC( Lp ` TEL. C3 T CONTR4CTO�#RiWOC S / ( A 9 ADDRESS 9:72T C r CITYF&0I .[ 1P IWO TEL. 6 G.3 1r 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 roasor l indicated bellow by the clteckmark(s), € have placed next to the appllcable Item(s) [Section 7031.5, Business and Professions Cocic 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 at 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 examptlon, Any vlolatlon of Section 7931.5 by any appllcard fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500), (_) I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cada: The Contractors'State License Law does not apply to an owner of property who, through employees' or personal effort, bulks or improves the property, provided that the Improvements are not intended or offered for sale, If however, the bullding or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improve>i.for the purpose of sale ), (-) I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Prafesslons Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law.). 0I am exempt from licensure under the Contractor's State License law forthe following reason(a): 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 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. l understand that a copy of the applicable law, Section 7044 of the Business and Prafesslons Code Is available upon request when this appiicatlon Is submitted dat the following Web site: http/www,logiTifo.ca.gov/calaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pmvlslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and any license Is in full force and effect LICENSE C�55: EXP DATE: CONTRACTOR. WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: R 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 tire performance of the work for which this parmlt is issued. 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Lalicr code, for the performance of the work for which this permit Is Issued. My Worker's Compensation Insurance Canter and Policy Number are, y�/ 1 �,g� �r �p p Y /+�� p� CARRIER T&U�-F t6 �0L �1NY U AFtlVC W11l. FPUCYNUMBER J Pla 7k;, (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS 5100 OR LESS), I certify that In the performance of the work forwhlch tills permit is issued, I shall not employ any person In any manner so alto become subject to the Worker's Compensation Laws of California. And agree that If I should become sudjaci to the Worker's Compensatlan provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE:_ APPLICANT: WARNING: Failure 10 secure Worker's Compensation coverage is unlawful, and shall subject an employer to crlminal penaltles and civil fines up to one hundred tdousi nd 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 thatl 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 relafing to building construction, and hereby authorhe representatives oflhis county to enter upon the above-mentioned propertyfor inspection purposes. PERMITTEE ,NAME (PRINT] SIGNATURE OF PERMITTEE DATE APPLICATION DATE: �.- a \ 1 �, P/C# FIR _1'1 ^ �3iela ISSUE DATE: PERMIT# : TYPE CONS1`:: - OCC GROUP: Scope of Work ar�'�°� # DWEL UNITS # STORIES &Xllqjcr' #413EDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADL)/REM Garage/Carport '2 Patio/Deck LL Pool/Spa Z fie -Roof 0 Commercial 5 m valuationv III Adj, Area: QUANTITY DESCRIPTION FEE C43 U J W Co z w ii a Ca z x CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: ' INSPECTION FEE: a ISSUANCE: SMIP: g ENERGY P/C:- ENERGY PERMIT: RETENTION FEE: A PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID 8Y: _J tai ] HECEIPT # PAID BY: - VALIDATION: 6N,_ VALIDATION: WHITE— Department Copy, YELLOW — Finance Copy, PINK -- Assessor Copy ? Assembly Bill 2188 applies only to residential rooftop solar energy systems that are no larger than 10 kilowatts or 30 kilowatts thermal. This form conforms to Assembly Bill 2188. Residential Photovoltaic Power Systems Permit Issuance Checklist Please complete the following information to submit for Building & Safety plan check. APPLICANT completes this box. Address: Zr � �C� U:"1 LCEY Pe. APN: Zone: Lot Size:_ S.F. Average Slope: % Technology: (check one): Building Integrated Roof -Mounted Panel Ground -Mounted Panel System size and power: Number of panels: i 9 Total square feet: ? 16 sq.ft. kW (if electric) Are the property lines correctly dimensioned on the plans? (circle one)11 es ' No If Ground -Mounted: Max, height of system, (i.e. distance from top of panel to natural or fmished grade): If Roof -Mounted: Max. height above roof, (nax.distance from top of roof to top of panel): q IA-) If framing is over eight inches (8") off roof or. ground, is it screened? (circle one) Yes Nd IA Are the panels proposed on a permitted structure? (circle one) es, NP NIA Panel directional orientation, (check one): West Southwest out Southeast East System visibility from nearby public streets, parks, or trails, (circle one): 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 13�I0 a. Does the proposed project meet the setback requirements (or is it at allowed encroachment)? Front setback ft. interior setbacks ft. ❑NIA ❑Yes DNo b. If ound-mounted: Does the project comply with setbacks and lot coverage requirements? Dyes ❑No c. Are the panels proposed on a permitted structure? ❑Yes ❑No d. Are the property lines correctly dimensioned on the plans? 2. Design Dyes 20�0 a. Is there an open/peading project for the property? Dyes ❑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.6 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 lNo a. Hillside property (regardless of slope)? 5. Is the proposed project located in a restricted use area? [Dyes 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. [fes ❑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) f irYes ❑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, installation instructions, and listings. [Yes []No 2. All exposed conduits painted to match the roof is noted on the plans. l�'es []No 3. In submittal, provided electrical single -line diagram clearly identifying all devices installed in the PV system and indicating total kW rating of system. ffYes []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 classification C-46 or C-10. ErYes ONO 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 orja Califoznia licensed contractor classification C-46 or C-10. EfYes ❑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 Ff 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 C forma Building Code based on the type of construction of the building Effective January 1, 2015. Yes ONO Page 2 of 3 S. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California electrical Code Article 690. 121'es ONo 9. Applicant acknowledges installation of the interconnected electric power production source shall be in compliance based off 2016 California electrical Code Article 705. []'Y'es ❑No 10. Applicant plans are to be signed by a California licensed contractor classification C-46 or C-10. Provide signature and license number on each sheets. Contractor who signs the document must be the one doing the work, Business and Professions Code Section 7031.5. EdYes ❑No 11. Applicant acknowledges that the photovoltaic system may only be installed on a permitted structure. Yes ❑No 12. Applicant acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook": http:/lopr.ca.gov/docs/California Solar Permitting Guidebook pdf eyes EINo 13. Proposed project ttzeets state fire marshal set -backs for roof mounted photovoltaic system requirements and code se on R908 CRC 2016. Eyes ❑No Signature of Applicant: Date: 9-2149 Print Name: E obna re Page 3 of 3