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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