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Home My WebLink AboutPR17-13068cr cr z 0 0 LU onJ on a CD CD V) a m a C3 Lu a 0 z m a CD 0 d LU z a- Cn SQ cr CD a Co M C) C) Co CD O Z on X 2 O w CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS 288 - fi r `� a rii- r' APN LOT TRACT OWNER s. ADDRESS g e:,._ CITYT ZIP TEL. f, APPLICANT TEL, ca itr . CONTRACTOR ADDRESS CITY k° ZIP 4A 2 d- TEL. L4,,—'7.j ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I herehy afflrm under penalty of perjury that I am exempt fmm the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) (Sectinn 7031.5, Business and Professions Cade, 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 fur the permit to file a signed statementthat he or she is licensed pursuant to the previsions of the Contractor's State License Law (Chapter %Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exemptfram licensure and the basis for the alleged exemption. Any violation of Secilon 7031.5 by any applicant fora 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 () 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' or personal effort, builds or Improves the property, provided that the improvements are not Intended or offered for sale. It however, the huilding or Improvement Is sold within one year of completion, the Owner -Builder will have the burden of prCNng that it was not built or improved for the purpose of sale.). (T 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 Llcenso Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law.). O 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 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 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 fallowing Web site: http/www.leginfo.ca,gev/calaw.html, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that € 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 farce and effect. LICENSE CLASS:.�''-�+ LIC. NO.: _-1L2 EXP. DATE: CONTRACTOR: e, WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: have and will maintain a Certlflcate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Cade, for the performance of the workfor which this permit is issued. € have and will maintain Worker's Compensation Insurance, as required by Section 3700 ofthe Labor Code, for the performance of the workfor will this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: c CARRIER POLICY NUMBER (FHIS SECTION NEED NOT 3E COMPLETED IF THE PERM T IS FOR ONE HUNDRED DOLLARS Siort OPLEP, 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 at 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 civil tines up to one hundred thousand dollars ($ip0,000}, in addition to the oast of the compensation, damages as provided for in section 3708 of the Iahor node, interest, and attorney's fees CONSTRUCTION LENDING AGENCY I hereby affirm under ponafty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit Is Issued (Sec. 3097, Oil C.}. LENDER'S NAME: LENDER'S ADD9ESS: I certify that I have read this application and state that the above riormation is correct I agree to comply with all city and County ordinances and state laws retailing to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. PER ITTEF NA E (P 7} IG AT-Ei MITTEE DATE APPLICATION DATE: _1 - . P/C#{{ IRK 11- 13 ISSUE DATE: 6_1PERMIT# TYPE CONST, OCC GROUP: Scope of Work S Fla t St's i, # DWEL. UNITS # STORIES as # BEDROOMS DESCRIPTION SQ. FT. FACTOR I ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport uOL Patio/Deck Lu LL Pocl/Spa ZRe -Roof Q Commercial 07 Valuation: € Adj. Area: QUANTITY DESCRIPTION FEE a U_ w ri ca z m a U_ x U CONSTRUCTION: PLAN REVIEW: - .i ELECTRIC: } F PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 12. Z SMTP: Gy ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: -52- 61 6ASF: ., PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: 57 E 3 3 PIC: PAID BY: } VALIDATION: RECEIPT# .:t "`�6 PAID BY: Z VALIDATION: �- WHITE — Department Copy, YELLOW — Finance Copy, PINK Assessor Copy SETBACK/ LETTER TRACI ANU LFDGEH FOOTINGS FORMS SWITCII GEAH SLAB COMMl:f1�'IAL HOOD T -BAR UG. PLUMBING UG. ELECTRICAL INTEKLPIER HOT MOI'/SHOWERPAN SEPI K,/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS 11OUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL LIFER GROUND SEWER LATFRAI. MAIN WATER I INE SEWER CLI'ANOUT ROOF %1FATHING FLOOR Sl{fATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGAIENTING ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( } 0 ( ) ROUGH PLUMBING NSill AXON WALL NStJI ATION CEILING DRYWALL GAS TEST PRE GUNITE POOL PRE DECK BONDING -P.--TRAP FENCE 1 GATE/ ALARM IIITIi (PRE) FINAL POOL LATII EXTERIOR LATH INTERIOR MALLS: WALL FOOTING/S1Ff l GAS TEST WALL STEEL 1ST( }grin( 7 LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASEWALL _........._ _- DRAIN/ SEAL _ ..._ -_ GAS METER RELEASE. WALL FINAL SPECIAL INSPECTION R0, FRAMING PLANNING APPROVAL FINAL BUILDING FINAL MECHANICAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ELECTRICAL. FINAL PLUMBING FWAL EHWNEERIING/ PW TLC of OCCUPANCY F[NAL COMMUNITY SERVICES CERT. of /OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE Assembly Bill 2188 applies only to residential rooftop solar energy systems I I I that are no larger than 10 kilowatts or 30 kilowatts thermal. This form conforms to Assembly Bill 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: 2 APN: Zone: Lot Size: S.F. Average Slope: % Technology: (check one): Building Integrated Roof -Mounted Panel v Ground -Mounted Panel System size and power: Number of panels: m Total square feet: sq.ft. 4 kW (if electric) Are the property lines correctly dimensioned on the plans? (circle one) 4 '' No If Ground -Mounted: Max. height of system, (i.e. distance from top of panerto 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 (8") off roof or ground, is it screened? (circle one) Yes No N/A Are the panels proposed on a permitted structure? (circle one) (Yep } No NIA Panel directional orientation, (check one): West - Southwest South L ----Southeast East System visibility from nearby public streets, parks, or trails, (circle one): Not Visible, Low, Medium, High If "no" to any of the above, see the Planning Division. COUNTER PLANNER completes the remaining form. 1. Zonin Yes ❑No a. Does the proposed project meet the setback requirements (or is it an allowed encroachment)? Front setback 5S $ ft. interior setbacks 6 S ° ft. NIA ❑Yes ❑No 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 public views of the site, especially on hillside properties. If "yes", then skip to item. No.b below. If "no", continue to item 3. 3. Is the proposed�No of ect affiliated with a historic resource (Check historic resource list)? ❑Yes Page 1 of 3 4. Is the proposed project on a site which includes a potentially sensitive visual resource, such as: ❑Yes fNo 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 l arance f le, stamp and initial three (3) sets of B&5 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. ❑Yes ❑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. ❑Yes ONO 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. ❑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. Dyes ❑No 6. Applicant acknowledges wet -stamped and signed submittal of structural calculations for wind uplift based of ASCE 7-10 froze. State license civil or structural engineer. All Structural Elements shall be identified on existing roof framing members on plans. ❑Yes ❑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. ❑Yes []No Page 2 of 3 8. 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 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. ❑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": http://opr.ca.goy/docs/California Solar Permitting Guidebook.pdf ❑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: i Print Name: J1_ -- Page 3 of 3