HomeMy WebLinkAboutPR17-11749CITY OF DIAMOND BAR
DEPARTMENT OF COIVLMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
T.(909) 839-7020 Fag: (909) 861-3117 Building Inspection Hotline (909) 839 7027~ FIRMLY
I BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@di4mondbarca.gov
JOB SITE ADDRESS cyvskf r ,-
APN LOT TRACT
OWNER
ADDRESS3
CITY''kZIP e. SEL;,..
APPLICANT ,s TEL.
CONTRACTOR
ADDRESS, E�
CITY �.irl 1`'JR! ZIP w L 6UA
ARC H/ENG/
DESIGNER
ADDRESS
CITY zip TEL.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the reasons)
indicated below by the checkmark(s), 1 have placed next to the applicable lteri [Section 7031.5, Business and
Professions Cade, Any city or county that requires a permit to construct, atter, 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 91 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 penalty
of net more than five hundred dollars (5500).
U I, as owner of the property, or my employees with wages w their sole compensation, will do U all of or C-) portions
of the work, and the structure is not intended or offered for sale (Sectlon 7044, Business and Profeselons Code The
Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, colds
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 11 was not hunt
or Improved for the purpose of sale.).
(} 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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 contracts forthe projects with a licensed Contractor pursuant to the Contractors' Siate
License Law.).
U I am exempt from licensure under the Contractor's State License law for the following reason(s):
Date: Sign:
By my signature below I acknowledge that, except for my personal residence In which I must have resided fur at least one
year priorto completion of the improvements covered by this permit,) cannot legally sell a structure that I have built as an
owner-bullder 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: httplwwwteginfo.ca.go /calaw.html.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm penalty of per U, t t I am licensed under provisions of Chapter 9 (commencing with Section 7000)
of Division, th ` ns Code, and my license is in full farce and of act,
ICENSECLASS: - -C. 110- `
txP. DATE: � � 'f CONTRACTOR:
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 Salt -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 3706 otihe Labor Code, for
the performance of the work for vich this permit.is issued. My Worker's Compensation Insurance Carrier and
Policy Number are:
CARRIER a� P
POLICY NUMBER
(THIS SECTION NEED NOT COMPLETED IFTHE PERMIT ISFOR ONE HUNDRED DOLLARS $100 OR LESS).
I certify that in the performance of the work for which this permit is issued, I shall not employany person in any mouser so as to
became subject to the Worker's Cumpansafian Daws of Caliiamia. 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: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal
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 37G& all 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, Clv. C.).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state thatthe above information is correct. I agree to comply with all city and
county ordinances and stale laws relating to building construction, and hereby authorize representatives of this county to
enter upon the above-mentioned property for inspection purposes,
PERMITT E (P ,' �.
�. r
SIONAtrrVPERMITTEE DAFE
APPLICATION DATE: PIC# PRR -11 -41
ISSUE DATE: ISA4.,ryi PERMIT#1l1
TYPE CONST. OCC GROUP:
Scope of Work
,n
# DWEL. UNITS
a
0
# STORIES # BEDROOMS
DESCRIPTION SQ, FT.
FACTOR PSF ADJ. AREA/VALUATION
SFR/ADD/REM
Garage/Carport
W
Patio/Deck
LU
LL
Pool/Spa
Re -Roof
O
Commercial
Z)
m
valuation:
T,. Adj. Area:
QUANTITY
DESCRIPTON FEE
U
V
W
w
z
cc
J
rL
J
d
v
z
d
x
v
CONSTRUCTION:
PLAN REVIEW:
S
ELECTRfC:
. 3
PLUMBING:
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
-1-2, Z
SMTP:.
ENERGY P/C:
ENERGY PERMIT;
RETENTION FEE:
PRE -ALT FEE:
° c
BASF:
1,0C)
PLOT PLAN:
ZONING CLEARANCE:
TOTAL FEES
COMMENTS:
P/C: �qqJ I PAID BY: g VALIDATION:_l
RECEIPT# \ PAID BY: VALIDATION: _
WHITE— Department Copy, YELLOW — Finance Copy, PINKAssessor Copy
CITY OF PIAN`hOND BAR
INSPECTION E
SETBACK/ LETTER
TRACT ANO LEDGER
FOOTINGS FORMS
__ ......... _-
SWITCH GEAR
_
SLAB
COMMERCIAL HOOD
UG. PLUMBING
T -BAR
_.
UG. ELECTRICAL
INTERCEPTER
UFEA GROUND
HOT MOP/SHOWFRPAN
SEWER LATFRAI.
FAIN WATER l !NE
SEWER CLEANOUT
ROOFSHFALHING
FLOOR SHFAHIING
SEPTIC/CESSPOOI
HERS REPORT RCC[IVED
DEMOLITION
OOFDRAINS
ROUGH CONDUIT
P�IDLlSFd
FINAL B1110ING
SHEAR WALLS EX I ERIOR .
SHEAR WALLS INTERIOR
FRAMINGIVFNTING
ROUGH IViECHANICAL
ROUGH ELECTRICAL W(.) C ()
ROUGH PLUMBING
INSULATION WALL
INSIIIALIONCEILING -
DRYWALL
ROUGH FIRE APPROVAL
ROUGH PLUMBING
ROUGH ELECTRICAL
FINAL MECHANICAL
ROUGH MECHANICAL
FINAL FIRE DEPARTMENT
GAS TESL
PRE GUNITE
POOL PRE DEGK BONDING
FINAL PLANNING
P -TRAP
FENCE I GATE/ ALARM
FINAL POOL
WALLS:
WALL FOOTINC/STEEL
WAII STELL 1''( )2N°( ) LIFT
FINAL PLUMBING
[.AT[ I (PRE)
FINAL ENGINEERING/ PVA
I ATH EXTERIOR
T.C. of OCCUPANCY
LATH INTERIOR
FINAL COMMUNITY SERVICES
GAS TEST
GERt all OCCUPANCY
SCRATCH COAT
WAIL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAINI SEAL
GAS METE:H RELEASE
WALL FINAL
SPECIAL. INSNE:f.' LION
RO. FRAMING PLANNING APPROVAL
FINAL B1110ING
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECT i3lCAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PVA
T.C. of OCCUPANCY
FINAL COMMUNITY SERVICES
GERt all OCCUPANCY
FINAL HEALTH DEPT.
FINAL INDIJSTiAL WASTE
frI ?� Assembly Bill 2188 applies only to residential rooftop solar energy systems
i that are no larger than 10 kilowatts or 30 kilowatts thermal.
This form conforms to Assembly BW 2188.
.,i.
Residential Photovoltaic Power Systems
Permit Issuance Checklist
Please complete the following information to submit for Building & Safety plan check.
APPLICANT.completes this box.
Address R
Lot Size: S.F.
Technology: (check one)
o !
APN: r ` TIS � Zone:
Average Slope: %
Building Integrated Roo£ Mounted Panel V Ground -Mounted Panel
System size and power: Number of panels: Total square feet: sq.ft. kW (if electric)
Are the property lines correctly dimensioned on the plans? (circle onecYes) No
If Ground -Mounted: Max. height of system, (i.e. distance from top of pail o natural or finished grade):
If Roof -Mounted: Max. height above roof, (max.distance from top of roof to top of panel): '"
If framing is over eight inches (S") off roof or ground, is it screened? (circle one) Yes 'IVA
Are the panels proposed on a permitted structure? (circle one) a "I es o N/A' o
Panel directional orientation, (check one): West Southwest gSouth -_�_ Southeast 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.
❑N/A ❑Yes ❑No b. If Around -mounted: Does the project comply with setbacks and lot coverage
requirements?
❑Yes%.vo C. Are the panels proposed on a permitted structure?
❑Yes ❑No d. Are the property Iines correctly dimensioned on the plans?
2. Design
❑Yes j - do 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 -eject affiliated with a historic resource (Check historic resource list)?
❑Yes
Page I of 3
5. Is the proposed Pro' C located in a restricted use area?
❑Yes O
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 ofB&Splans)
❑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,
ins
Ration instructions, and listings.
ZYes []No
2. Al
exposed conduits painted to match the roof is noted on the plans.
pYes ❑No
3. In submittal, provided electrical single -line diagram clearly identifying all devices installed in the PV system and
Iin icating total kW rating of system.
CYes ❑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
la ification 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.
[pes ❑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
r9of,framing members on plans.
It6es ❑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
reornia Building Code based on the type of construction of the building Effective January 1, 2015.
s ❑No
Page 2 of 3
8. Aplicant acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California
&Y -
cal Code Article 640.
❑No
9. Applicant acknowledges installation of the interconnected electric power production source shall be in
co pliance based off 2016 California electrical Code Article 705.
l 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
an,Professions Code Section 7031.5.
Ees ❑No
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":
http://opr.ca.gov/docs/California Solar Permitting_ Guidebook.pff
Yes ❑No
13. Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code
on R908 CRC 2016.
Mes
nNo
Signature of Applicant: �'� Date:
Print Name: —LI L—)
Page 3 of 3