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Home My WebLink AboutPR17-13842Q } CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS Al LOT TRACT OWNER ADDRESS I®, CITY V � . ZIP 9f_46,5 TELL?G - G 17 C APPLICANTTEL,L$'ar. C,7_ CONTRACTOR ADORES U CITY ZIP 6L- TEL. ARCH/ENG! DESIGNER �Ifr ADDRESS CITY ZIP TEL. DWNER-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 4 the ohoekmark(s), I have placed next to the applicable farri [Section 7031,5, Business and Professions Codi 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 penally of not more than five hundred dollars ($500}, 11. as owner of the property, or my employees with wages as their sole compensation, will de U all of or C1 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, bupds or improves the property, provided that the Improvements are net Intended or offered for sale, if however, the building or Improvement is sold within one year of completion, the Owner-Bullder will have the burden of proving that it was not Will or Impraued for the purpose of sale.). Q €, 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 bull or improves thereon, and who contracts forthe projects with a licensed Contractor pursuanttothe Contractors' State License Law.). O I am exempt from Icensure under the Contractor's State License law for the following reason(s): Date: 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 permli,l cannot legally sell a stfucturc that I have built as an owner -builder it 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 foilowing Web site, httplwww.leglnfo.ca.gcvlcalawhtml. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally 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. -y LICENSE CLASS LIC. NO.: EXP. DATE: V CONTRACTOR:=r�cf'' WORKER'S COMPENSATION DECLARATION I HERLBY AFFIRM.UNDER PENALTY OF PERJURY ONE OF THE FOLLOWINS DFCLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensatlon, 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 of the Labor Code, for the performance ofthe work for which this permit Is issued My Worker's Compensatlon Insurance Carrier and Policy Numbe, a c CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS), I cerl€fy that In the performance of the work for which this permit Is Issued, I shall net 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 become subject to the Worker's Compensatlon provisions of Section 3700 of the Labor Cade, I shah forthwith comply, with those provis€ans. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars ($100,COC), in addition to the cost of the compensation, damages as provided for In section 3708 of the labor code, Interest, and attorney's ices, 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 chat 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 tho above-mentioned Rropertyfor Inspection purp 4� -, - a� ', PE MiT-i NAME (PRINT] SIGNATUREOFP DATE PRESS FIRMLY APPLICATION DATE: , ISSUE DATE: PERMIT# : TYPE CONST. P/O# ,T`0 OCC GROUP: Scope of Work LL/,1� lftr=k # DWEL. UNITS !� # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF Al AREANALUATION SFR/ADD/REM Garage/Carport ae Patio/Deck w u- Poo!/Spa Re -Roof Commercial 03 o] Valuation: Adj. Area: QUANTITY DESCRIPTION FEE Q U 2 r - U w w m a m rz 4 U Z U CONSTRUCTION: PLAN REVIEW: 7, TTF 50,00 ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 4324 (3C 7\ SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: 10 BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: PAID 8Y: VALIDATION: RECEIPT # PAID BY: y®O(VALIDATION: WHITE— Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG, ELECTRICAL --- _....... UFFR GROUND SFWF-R LATERAL MAIN WATER LINE SI-WER CLEANOUT ROOF SHEATHING I [..00R SHEATHIN(i SHEAR WALLS EXTEWOR SHEAR WALLS INTERIOR FRAMINGA/ENTING ROUGH MECHANICAL _..._..__._........- ROUGH ELECTRICAL W( ) C ( ) ROUGH PLUMBING INSULATION WALK ._ INSULATION GFIHNG DRYWALL LATH (PRE) LATH EX:I,FRIOR LATH INTFRIOR GAS TEST SCRAI-CH COAT ELF:CI RIC METER RELEASE GAS METER RELEASE SPLCIAL INSPECTION FINAL BUILDING — FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS: NTS: CITY OF DIAMOND BAR INSPECTION 1 RAC I AND LEDGER SWIICII GEAR COMMERCIAL HOOD r -HAR INTERCEPTER HOT MOPISHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT PDOLISPA ROUGH PLUMBING --------- --- - — ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FFNCF 1 GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1"( )2'D( ) t IFT WALL. BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO, FRAMING PLANNING APPROVAL -- .... _.......... -- ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ Pled FINAL COMMUNITY SERVICES FINAL HEALTH' DEPT. FINALINOUSTAIAL WASTE Assembly Bill 2188 applies only to residential rooftop solar energy systems I that are no largerthan 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 bog. Address:y� 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: Total square feet: q sq.ft. 7.4 kW (if electric) 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): ff 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? (circle one) Yes No / Are the panels proposed on a permitted structure? (circle one) No NIA Panel directional orientation, (check one): West Southwest -"' South Southeast East System visibility from nearby public streets, parks, or trails, (circle one): of Vis' e, Low, Medium, High If "no" to any of the above, see the Planning Division. COUNTER PLANNER completes the remaining form. 1. Zoning KYes ❑No a. Does the proposed project meet the setback requirements (or is it an allowed encroachment)? Front setback 3 ft. interior setbacks 3 ft. —23K/A ❑Yes ❑No b., If ground -mounted: Does the project comply with setbacks and Iot 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 Oyes ,(lo a. Is there an open/pending project for the property? es ❑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 proposedpro'ect affiliated with a historic resource (Check historic resource list)? Flyes �No Page 1 of 3 4. Is the proposed p�robe t on a site which includes a potentially sensitive visual resource, such as: ❑Yes a. Hillside property (regardless of slope)? 5. Is the proposed pro' ct located in a restricted use area? ❑Yes Vo 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, installation instructions, and listings. Wes ❑No 2. All exposed conduits painted to match the roof is noted on the plans. 01yes ❑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. ,ZYYes ❑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 cla s' cation C-46 or C-10. Yes ❑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 plans from California state licensed electrical engineer or a California licensed contractor classification C-46 or C-10. Jfes ❑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 framing members on plans. Wes ❑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 California Building Code based on the type of construction of the building Effective January 1, 2015. aYes ❑No Page 2 of 3 8. 9. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California elec ical Code Article 690. Wes ❑No Applicant acknowledges installation of the interconnected electric power production source shall be in co pliance based off 2016 California electrical Code Article 705. & J`Yes ❑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 rofessions Code Section 7031.5. 'es ❑No 11. AP licant acknowledges that the photovoltaic system may only be installed on a permitted structure. Oes ❑No 12. Applicant acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook": http://opr.ca.gov/docs/California Solar Permitting�Guidebook.pdf ®Yes ❑No 13. Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code section R908 CRC 2016. tsryes ❑Na Signature of Applicant: Print Name: Date: Page 3 of 3