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HomeMy WebLinkAboutPR17-049I 0 CITY OF DIAMOND BAR I i 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@diamondbarca.gov 4It 6C 4 � JOB SITE ADDRFSS &� APN OT TRACT OWNER x Rf,` ADDIASS CITY I,-,, APPLICANT '0l �.'' � %k 'i i>Z CONTRACTOR, ADDRESS Girl 4yl k,k— ZIP $ �°� STEL 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 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, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to fife 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] orthat 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 penalty of not more than five hundred dollars ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or(-) 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 property who, through employees' er 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 -Builder will have the burden of proving that ill not built or improved forthe purpose of sale.). 11, 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 builds cr improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law.). U I am exempt from licensure underthe Contractor's State License lawforthe following reason(s): Date: Sign: By my signature below I acknowledge that, exception my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered by this permit,) cannot legally sell a structure that I have bulli as an owner -builder if 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 appfica0on Is submitted or at the following Web slte: http/www.loginfo.ua.gov/calaw,Ii 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 t LICENSECil'' LfC.NO... - 3 IDATE: 'P ,'s'i CONTRACTOR + �� :�. r .�'-,`'^✓ `••''f"h `,�' WORKER'S COMPfNIATIO6 DECLAMATION r" I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensatlon, as provided by Section 37CO of the Labor Cade, for the performance of the workfor which this perm Is Issued. I have and will maintain Worker's Compensation Insurance, as required by Section 5700 of the Labor Code, for the performance ot the work for which t1ris permit is Issued. My Worker's Compensation Insurance CarrieT and Policy Number are j 4 CARRIER POLICY NUMBER eyr. "�-'� [ITIS SECTION NEED NOT BL COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). I cerifythat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so roto become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's i Coal tion p 'sions of Section 3700 of the Labor Code I shgll forthwith wrnply.witiithose epro_ visyns. DATE: APPL CANT:;= i WARNING: Failure to secure Workers Compensation coverage is unlawful, and shall subject an employer to criminal i penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for in section 3700 of the labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there Is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: i I certify that i have read this appEication and state that the above information Is correct. I agree to comply with all city and county ordinances and state Jaws relating to building construction, and hereby authorize representatives of this county to egerupon the above mentioned property fr�rinspection purposes. Y % o PERMIITTEL NAME (PHINT) + IGNATURE OF PERMITTEE DATE APPLICATION DATE: I P/C# ` ►' } ISSUE DATE: , �T_PERMIT# TYPE CONST. OCC GROUP: Scope of Work. # DWEL. UNITS # STORIES # BEDROOMS 1 f "A t'r$ f6.''t s f r is DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATjON SFR/ADD/REM Garage/Carport Lu Patio/Deck W LL Pool Spa ZRe -Roof Commercial m Valuation: i ' - ' `" Adj. Area: QUANTITY DESCRIPTION FEE a U rr U J w t7 s m J d �d Y U CONSTRUCTION: PLAN REVIEW: ��•DQ ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: r= SMIP: ENERGY P/C: ENERGY PERMIT: RETIwNTION FEF: _. PRE -ALT FEE: BASF: n PLOT PLAN: ZONING CLEARANCE: TOTAL FEESR� COMMENTS: P/C: aal q'(o PAID BY: V 0 57 __ ___ VALIDATION: 'AV RECEIPTS S � 41 PAID BY: r VALIDATION: WHITE — Department Copy, YELLOW Finance Copy, PINK —Assessor Copy RIC twn 2402 1 Lai IM -1193 COMMENTS- I`+s Assembly Bill 2188 applies only to residential rooftop solar energy systems y that are no larger than 10 kilowatts or 30 kilowatts thermal. r This form conforms to Assembly W112185. ., Residential Photovoltaic Power Svsterns Permit Issuance Checklist Please complete the following information to submit for Building & Safety plan check. APPLICANT completes this box. Address: 1056 OVERLOOK RIDGE RD Lot Size: 9528 S.P. APN: Average Slope: Zone: Technology: (check one): Building Integrated Roof -Mounted Panel Ground -Mounted Panel System size and power: Number of panels: 27 Total square feet: 476.53 sq.ft. 7.560 kW (if electric) Are the property Iines correctly dimensioned on the plans? (circle one) Yes 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): 6" If framing is over eight inches (8") off roof or ground; is it screened? (circle one) Yes No NIA Are the panels proposed on a permitted structure? (circle one) (Yes No NIA Panel directional orientation, (check one): West Southwest South X Southeast East System visibility from nearby public streets, parks, or trails, (circle one): Not Visible oWS' Medium, High. 1f "no" to any of the above, see the Planning Division. COUNTER PLANNER completes the remaining forms. 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 ONO 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 puhlic 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)? ❑Yes ONO t Page 1 of 3 4. Is the proposed p'ject on a site which includes a potentially sensitive visual resource, such as: ❑Yes o a. Hillside property (regardless of slope)? 5. Is the proposed pro'ect located in a restricted use area? ❑Yes To 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, 0Yes ❑No 7. Applicant proceeds to Building & Safety Counter to continue the review (add approval notes in Zoning Clearance f 1'e, stamp and initial three (3) sets of B&Splans and add a review fee.) ❑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 I1"x17", attach all manufacturer's specification sheets, I n llation instructions, and listings. PV es ❑No 2. Al o,ogosed 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 indicating total kW rating of system. ?-IYI s ONO 4. Applicant acknowledges correct circuit sizing and current calculations based off 2013 California electrical Code Article 690.8 on plans from California state licensed electrical engineer or a California licensed contractor c ams diication C-46 or C-10. es ONO 5. Applicant acknowledges photovoltaic source and output circuits have a maximum photovoltaic of up to 600 volts based off 2013 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. XPII-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 roof framing members on plans. "s LINO 7. �pplicant 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. ❑No Page 2 of 3 S. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2013 California etectr�,,t'cal Code Article 690. (l�y� ❑No 9. " Applicant acknowledges installation of the interconnected electric power production source shall be in epaVIiance based off 2013 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 and Professions Code Section 7031.5. s ONO It. Applicant acknowledges that the photovoltaic system may only be installed on a permitted structure. es [INC) 12. Applicant acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook": http:/Iopr.ca.g©v/docs/California Solar Permitting Guidebook..pdf /UliQ ❑No 13. Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code sm R908 CRC 2013. ❑No gyp} Signature of Ap�licanl1�''1�i =>�' '' Date: Print Name: Page 3 of 3