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Home My WebLink AboutPR17-11753 (10)CITY OF DIAMOND BAR I B i j DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES -' 21510 Copley Drive; D'amond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 561-3117 Building Inspection Hotline (909) 839-7027111, FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com Duitdingdiauxiabarca.gov w z 0 0 W ri cc 0 on 0 0 m C. C. W a z Cl 0 z a Lum¢ x O 0 LJ LJ on 01 Cn L1C 0 z LU r U Y x 0 W 0 z 0 z c� uc cc cc 6 V, v: 2 H JOB SITE ADDHESS "� 6 C ' S® APN LOT TRACT OWNER `jA641i S Q 4// ADDRESS i'a14SL, zw el Ld L'P CITY ZIP TEL. APPLICANTOIjiAv.tJ. CONTRACTORS ADDRESS CITY ZIP TEL. 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(sl, I have placed next to the applicable hems) [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 far 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 appilmot to a civil penalty of not more than five hundred dollars ($500). I,asownerofthe property, ormyemployees with wages astheir sale compensation, will d all ofor(Jportions e work, and the structure Is not Intended or offered for sale (Section 7044, Business a Professions Code The Contractors' State Llcerse Law does not apply to an owner Df property who, through employees' or personal effort, bunds 1�1"'asi proves the property, provided that the improvements are not Intended or offered for sale If however, the building or vement is sold within one year Df completion, the Owner-Bullder will have the burden of proving that It was not hulls proved for the purpose of sale) owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section ru A, Business and Professions Cade: The Contractors' State License Law does net apply to an owner of property who builds or improves thereon, and who contracts forte projects with licensed Contractor pursuant to theConlractors'State License Law.). (_} I am exempt Beni lidensu a urjd the Contractor's State L ee 4v for the following reason(s): Date: Y'�: }[ �# a sign, !!" By my signature below I acknowledge that, except for my p nal dd ence In which I must have resided for at least ane year prior to completion of the Improvements covered by this p ie�n t,l cannot legally sell a structure that I have built as an ownDr-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 application Is submitted or at the following Web site: http/vmw,loginfo.ca.gDv/Waw,htrnl. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty Df perjury that I am licensed under provisions of Chapter 9 {commencing wRh Section 7000) of Dlvislon 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: LIG. I'll EXP. DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Cortlflcate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Cade, 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 ofthe Labor Code, for the performance Df the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are, CARRIER 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 for which this permit is issued, I shall not 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 became subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. DATE: APPLICANT. WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (5100,000), In addition to the oust of the compensation, damages as provided for in section 3706 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 that I have read this application and state that the above information is correct, I agree to comply with aN city and county ordinances and state laws relating to building construction, and hereby aulhorize representatives of this county to enter upon the above -men red properly for inspection purposes. rn PERMITTEE NAMt it -1- - SIGNATUREOF'PERMIi y )1 GATE APPLICATION DATE:'' 77� ISSUE DATE: Pi: [ 1 T TYPE CONSTA' vGJil OCC GROUP: Scope of Work 7 OqO lfbe ,c1~ ?— ii # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. ARLANALUATION SFR/ADD/REM Garage/Carport Lo Patio/Deck W u.. Pool/Spa ZRe -Roof J Commercial D cc Vahration: Adj. Area: QUANTITY DESCRIPTION FEE U E U W m a U CONSTRUCTION: q -Z PLAN REVIEW: ELECTRIC:_ j.�f (� PLUMBING: MECHANICAL: INSPECTION FEE: fSSUANCE: _ Z SMTP: 2-6-9 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: 2 7 PRE -ALT FEE: BASF:'�g PLOT PLAN: ZONING CLEARANCE: TOTAL FEES3-8 COMMENTS: P/C: PAID BY: VALIDATION: RECEIPT # PAID BY: 2_T VALIDATION: WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy CITY DIAMOND INSPECTION RECORD SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL. _.. .... I BALI AND LEDGER ;WIIC tI GEAR GOMNIL11 IAL II001) I HAH IN I1AGLI°I FR SHQWF1PANHOTMOP/ _ 51111C/C1:SS11001 HEFTS REPORT RFC;FIVFD DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL LIFER GROUND SEWER LALFHAI_ MAIN WAfTR LINE SEWL II CI FANOUT ROOF- HFATHING FLOOR SI If ATHING SHEAR WALLS EXTERIOR _ - SHEAR WALLS INTERIOR FHAMING/VENTING ROt1GH MECHANICAL f1011GH ELECTRICAL W( ) C ( ) ROUGH MECHANICAL. GAS TEST ROUGH PLUMBING PRE GUNITE INSIJLATION WALL 6 INSULATION CEILING DRYWALL _ LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT POOL PRE DECK BONDING P -TRAP FENCE 1 GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1'T( ) 2"D( )LIFT WALL. POND BEAM ELECTRIC MEIEll RELEASE GAS METL.Ii RELEASE WALL DRAIN/ SEAL WALL FINAL SPECIAL INSPECTION FINAL BUILDING -- FINAL MECHANICAL 77 710 FINAL ELECTRICAL FINAL PLUMBING _.. ........ — I . _ ... -._ . RO. FIWING PLANNING APPROVAL ROUGH FIRE APPROVAL .... —.. -- FINAL FIRE DEPARTMENT --- —.-- FINAL PLANNING FINAL ENGINEERIN GI PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT FINAL. INDUSTRIAL WAST T.C. of OCCUPANCY .. ..._.-. `� of OCCUPANCY CER_ COMMENTS: �_. 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 BILI 2188. Residential .Photovoltaic Power Systems Permit Issuance Checklist Please complete the following information to submit for Building & Safety plan check. APPLICANT completes this box. i t"(� r• k °t> ; A'� 4- Address: S Z` {ZC� �'-� 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: sgft kW (if electric) Are the property lines correctly dimensioned on the plans? (circle one)Yds No If Ground -Mounted: Max. height of system, (i.e. distance I;to:m 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): � l 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) Yes No NIA Panel directional orientation, (check one): West , outhwe South Southeast East System visibility from nearby public streets, parks, or trai , circle one) : Not Visible, LowiCMedi , 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 it. interior setbacks ft. ❑NIA ❑Yes ONO b.fgrround-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.6 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 proposedproject on a site which includes a potentially sensitive visual resource, such as: ❑Yes ❑No a. Hillside property (regardless of slope)? 5. Is the proposed; prosect located in a restricted use area? ❑Yes ❑No 6. The plans cannot be approved over the counter and must be routed to staff for firther review. if there are Zoning concerns ("no" to question No. 1), indicate those in the zoning activity. ❑Yes ❑No i 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&Splans and add a review fee.) ❑Yes ONO Building and Safety requirements. Applicant shall complete the remaining form. (Please check the correct answer for each question) L Applicant submitted (3) sets of plans minimum 11"x17", attach all manufacturer's specification sheets, allation instructions, and listings. Oes ONo 2. Al 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 mating total kW rating of system. Yes ❑No 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 cl ification C-46 or C-10. [9Yes ❑No 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 WCalifornia 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 roof framing members on plans. Oyes ❑No 7. Applicant acknowledges rooftop mounted photovoltaic systems shall be tested, listed and identified with afire classification in accordance with UL 1703. The fire classification shall comply with 'fable 1505.1 of the Ca i ornia Building Code based on the type of construction of the building Effective January 1, 2015. es []NO Page 2 of 3 S. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2013 California electrical Code Article 590. Yes ❑No 9. Applicant acknowledges installation of the interconnected electric power production source shall be in compliance based off 2013 California electrical Code Article 705. EJYes ❑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. Effes ONO 11. , Applicant acknowledges that the photovoltaic system may only be installed on a permitted structure. es ❑No 12. Applicant acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook": h ://o r.ca. ov/docs/California Solar Pgnnitti:nZ Guidebook. df 13. Elves ❑No Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code on 8908 CRC 2013. Wes ❑No Signature of Print Name: Date: „ Page 3 of 3 I ole 51 ` ! ■ f tN,URi�Si= •tp•9 r�g9 Building & Safety Division 21810 Copley Drive Diamond Bar, California 91765 (909) 839-7020 Fax (909) 861-3117 C Job Address:_ C -C�,..� �.. ... Dear Property Owner: An application for a building permit has been submitted in your name stating yourself as the builder of the property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City of County. They are also required by law to put their license number on all permits for which they apply. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers compensation insurance. For more specific information about your obligations under the federal law, contact the Internal Review Service (and if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State law, contact the Department of Benefit -Payments and the Division of Industrial Accidents. If the structure is intended for sale, the property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and materials personally. Building permits are not required to be signed by the property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors State License Board at 9821 Business Park Drive, Sacramento, CA 95827, www.csib.ca.gov or at (800) 321-CSLB (2752). Please complete and return the enclosed "Owner -Builder' verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 1 `■ P f I NCO]iPt)R.4"�9 r,,9g9 Building & Safety Division 21825 Copley Drive Diamond Bar, California 91765 (909) 839-7020 Fax (909) 861-3117 Attention Property Owner: An "Owner -Builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received by us. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. 1 (have/have not) �1 signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City 4. Phone Contractors License No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Owner Date NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in yo r name listing yourself as the builder of the property improvements specified ate (..0NVr",X..4-u"iD= 6kk " We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGEMENT AND VERIFICATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are responsible for V��2_ nstruction and are not hiring a licensed Contractor to assume this responsibility. 1 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. \�_E4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the t tal value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." 1 also understand my failure to abide by these laws may subject me to serious financial risk. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. NJ 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. \L/-9, I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. r10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that he party legally and financially responsible for proposed construction activity at the following address: 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form, Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of Property Owner:` " Date: