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Home My WebLink AboutPR17-11913 (8)'T 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 wR,v.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS t i�l C."r6t LOT TRACT OWNER V ADDRESS`3�t CITY "C'B6'r ZIP C1 1-16T TEL. - 't 14: 2 APPLICANT c a€" 'e" � Q;- � �a TEL- , F .7C. ' �✓ dr fl CONTRACTOR ADDRESS a i t��E'r z d as,E CITY e , vP t n ZIP ':7N ZC,- TEL J'' y ARCH/ENG/ DESIGNER ADDRESS CITY 71P TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reasan(s) Indicated below by the checkmark(s), I have placed next to the applicable item(E) [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 file a signed statement that he or she is licensed pursuant the provisions of 1he 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€censure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appllcant to a civil penalty of not more than five hundred dollars (5500). U I, as owner of the property, or my employees with wages as their sole compensation, will do O all of or (-) portions of the work, and the structure is not intended ar 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' 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 -Builder will have the burden of proving that it was not bullt or improved 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 Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contractsforthe projects with a licensed Contractor pursuantte tits Contractors' State License Law,). V I am exempt from licensure under the Contractor's State License taw for the following reasorft Date,_ Sign: By my signature below I acknowledge that, except for my personal residence ih 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 a Its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code Is availab€e upon request when chis application Is submitted or at the following Web site http/www.feglrfo.oa.gov/calaw.htmi. 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 crass: C uc Na : i EXP, DATE, 4 CONTRACTOR: i I C »•r �_''-, t WORKER'S COMPENSATION DECLARATION 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 Compensation, as provided by Section 3700 of the Labor Code, for fire performance of the work for which this permit Is Issued I have and will maintain Worker's Compensation €nsurance, as required by Section 3700 of the Labor Code, iof the performance of the work fcr which this permit is Issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER.§;'.. i..�. Cml, POLICY NUMBER±.",'�. (THIS 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 forwhlch this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of Californias And agree that If I should become subject to the Worker's Compensation provisions of Bectlon 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil 'Ines up to one hundred thousand 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 Agancy for the performance of the work for which this permit is 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 constructlon, and hereby authorize representatives of this county to ember upon the above-mentioned property for Inspectlon purposes PERMITTEE N E (PRINT] SI�NA1`O'DF PERMITTEE _ DATE APPLICATION DATE: t ISSUE DATE: � % a �9 PERMIT#: TYPE CONST. PIC# CD'i1= — \—I— 1\,.� t OCC GROUP: Scope of Work 41 # DWEL. UNITS # STORIES2— BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport co Patio/Deck - LU LL Pool ZRe -Roof Commercial ta7 Valuall oo%' Adj. Area: QUANTITY DESCRIPTION FEE 4 - AJi.. 1,�,, a. v r - U W w co z m J a J 4 U Z U CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: c'za, BASF: - PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: si . P/C: PAID BY: VALIDATION: RECEIPT Q PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK —Assessor Copy CITY F DIAMOND INSPECTION SETBACK/ LETTER FOOTINGS FORMS SLAB TRACT AND LEDGER SWITCH GEAR COMMERCIAL I lOOU T -BAR INTERCEPTER HOT MOP/SHOWFRPAN SEPTIC/Cl SSPOOt ITERS REPORT RECEIVED DI MOI (TION ROOF DRAINS UG, PLUMBING UG ELECTRICAL LIFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING BOUGH CONDUIT SHEAR MALLS EXTERIORPOOL/SPA ......... . ROUGH PLUMBING __.... - SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH ELECTRICAL .: ROUGH MECHANICAL ��— ........ — _._ .._ - ROUGH MECHANICAL ROUGH ELECTRICAL W( } C () ROUGH PLUMBINGIRE GAS TEST (;UNITE INSULATION WAI I ........ .._ POOL PRE DECK BONDING INSULATION CHI ING P TRAP DRYWALL FENCE / GATE/ ALARM: LATH (PRE) LATH FXTFRIOFi LATH INTrRIOR - FINAL POOL WALLS: WALL FOCTING/STEEL GAS TEST WALL STEEL 1"( ) 2N°( ) LIFT SCRATCH COAT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING API ROVAL FIRE APPROVAL ---- FINAL FIRE DEPARTMENT _ . _.... FINAL PLANNING FINAL ENGINEERING/ PIN LLLCTRIC METER RELEASE' GAS METER RELEASE SPECIAL INSPECTION Viiops. FINAL BUILDINGROUGH FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY FINAL COMMUNITY SERVICES CERTw of OCCUPANCY FINAL HEALTH DEPT, FINAL INDUSTRIAL WASTE COMMENTS: Permit Issuance Checklist Please complete the following information to submit for Building & Safety plan check. APPLICANT completes this box. Address: `-1 q (L P_ tN Q f � APN: Zone: Lot Size: _-7� S.F. Average Slope: % Technology: (check one) : Building Integrated Roof -Mounted Panel Ground -Mounted Panel System size and power: Number of panels: 3b Total square feet: sq. ft. ct kW (if electric) Are the property lines correctly dimensioned on the plans? (circle one) Pe s,) No If Ground -Mounted: Max. height of system, (i.e. distance from top of pane to natural or finished grade): If Roof -Mounted: Max. height above roof, (max.distance from top of roof to top of panel): 6 , n If framing is over eight inches (S") off roof or ground, is it screened? (circle one) Yes No NIA Are the panels proposed on a permitted structure? (circle one) 'eV No NIA Panel directional orientation, (check one): West Southwest Sou�Southeast V East System visibility from nearby public streets, parks, or trails, (circle If "no" to any of the above, see the Planning Division. � Low, Medium, High 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 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 iten•, No.6 below. If "nil', 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. Applicant submitted (3) sets of plans minimum 11"x17", attach all manufacturer's specification sheets, installation instructions, and listings. hyes ❑No 2. All exposed conduits painted to match the roof is noted on the plans. ]Yes ❑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. 'MYes ❑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. MYes ❑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. Yes ❑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. 'Dyes ❑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. Fes ❑No Page 2 of 3 S. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California electrical Code Article 690. 'Yes ❑No 9. Applicant acknowledges installation of the interconnected electric power production source shall be in compliance based off 2016 California electrical Code Article 705. ]Yes ❑No 10. Applicant plans are to be signed by a California Iicensed 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. Yes ❑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": httpa/opr.ca.gov/docs/California Solar Permitting Guidebook. Yes ❑No 13. Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code section R908 CRC 2016. Yes ❑No Signature of Applicant: Date: Print Name:` Page 3 of 3