HomeMy WebLinkAboutPR17-14946T' CITY OF DIAMOND BART` °
I I { DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
p (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofdiamondbar.com puilding@diamondbarca.gov
JOS SITE ADDRESS/ _S?,f" --
APN `OT TRACT—
OWN ER
RACTOWNER ✓®y
ADD S &fi
CITYZIP I �TE
APPLICANT CA6tl TEL.
CONTRACTOR
ADDRESS �a
CITY �� ZIP - ' TEL. rf
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 reasarrX
Indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and
Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair, arty
structure, prior to its Issuance, also requires the applicant tot the permit to file a signed statemerrtthat he or she
is licensed pursuant to the provisions of the Gontractor's State License Law (Chapter 9) Commencing with Section -
7000 of Division 3 of the Business and Prufessioas Goll or that he er she is exempt from licensure and the hash; for
the alleged exemption. Any violation of Section 7931.5 by any appllcantfor a permit subjects the appl aantto a civil penalty
of not more than five hundred dollars ($500).
U 1, as owner of the properly, or my employees with wages as their sole compensation, will do tJ ail all (U portions
of the work, and the structure Is not Intended or offered for sale (Sedan 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who, through employees` ar personal effort, builds
or improves rho 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 built
or Improved for the purpose of sale.(.
O 1, as owner of the properly, 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 contracts for the projects with a Ilcensed Contractor pursunutto the Contractors' State
License Law.).
U I am exempt from licensure under the Contractor's State License law for the following reason(s):
Dale: Sign:
By my signature below I acknowledge that, except far my perswai residence in which E must have resided for at least are
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 of a1 the following Web site: httpt mlw.leginfo.ca.gov/calaw.html.
LICENSED CONTiIACTDRT DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000)
of Division3 of the Suslness and P fessions C"" and my license Is In full force and effect.
' LICENSE CLA 9, LIC. NO.:
[ EXP. DATE'. CDNTHACTOR: --
WORKER'S COMPENSATION D RATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING D£CLARl
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 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 of the Labor Code, for
the performance of fhe work for which this permit Is issued. My Worker's Compensation Insurance Carrier and
Policy Number �������
CARRIER ——+$'� �'/�
3 POLICY NUMBER
(THIS SECTIGNNEEDNOT BECOMPLETED IFTHE PERMIT ,16 FOR ONE HUNDRED DOLLARS$t000RLESS),
I certifythal the performance of the wurkfor which this permit Is Issued, I shall not employ any person in any manner so asto
become subject to the Worker's Comnonsatlon Laws of California. And agree that it I should become subject to the Worker's
J 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 udawfd. and shall subject an employer to criminal
C penalties and civil floes up to one hundred thousand dollars ($100.000), in addition to the cost of the compensation,
j 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 Agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Civ. C.).
LENDER'S NAME:
LENDER'S ADDRESS:
J
6 l 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 Saws relating to building construction, and hereby authorize representatives of this county to
enter upon the ab7Bve-mentione d propgrty for Inspection purposes
5 A
o PERMITf AMETP NT) .✓ -��.
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SIGNATURE OF PERMITTEE
APPLICATION DATE: P/C#PRC044,ll
ISSUE DATE: f —7 PERMIT# F 4�`9 A—1
TYPE CONST.'�-5d5� ' OCC GROUP:
icy
Sc �ofIVoX AW
dpi r�.
# DWEL. UNITS TORIES
# BEDROOMIS
DESCRIPTION SQ. FT. FACTOR PSF
ADJ. AREANALUATION
SFR/ADDi
Garage/Carport
LL
Patio/Deck
LL
Pool/5pa
ZRe
-Roof
i
Commercial
ED
lfaluatio►r: ` °°
Adj. Area:
QUANTITY DESCRIPTION
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CONSTRUCTION:
PLAN REVIEW: 30 .00
ELECTRIC:
-�
PLUMBING:
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
SMIP:
ENERGY P/C:
ENERGY PERMIT:
RETENTION FEE:
PRE -ALT FEE:
BASF:
PLOT PLAN:
ZONING CLEARANCE:
TOTAL FEES
COMMENTS:
P/C: r_ PAID BY: �(
RECEIPT# S(o�,Q_ PAIDBY: y
VALIDATION:
VALIDATION:
WHITE— Department Copy, YEU[ OW — Finance Copy, PINK— Assessor Copy
SET3ACK/ LETTER
FOOTINGS FORMS
.............
SLAB
UG PLUMBING
UG ELECTRICAL
_.
UFFR GROUND
.... ......... -
..........
SEWFR f A7FRAL.
MAIN WATER I INF
SEWER Cf_F:ANOUT
ROOF SHEATHING -
FLOOR SHEATHING
SHEAR WALLS EXTERIOR
SHEAR WALLS INTERIOR
FRAMING/VENTING
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C ( )
ROUGH PLUMBING
INSULATION WALT_
INSULATION CEILING
DRYWALL
LATH (PRE)
LATH EXTERIOR -
LATH INTERIOR
GAS TEST
SCRATCH COAT
ELECTRIC METER RELEASL
GAS METER RELEASE
SPECIAL INSPECTION
-
FINAL BUILDING �� r
FINAL MECHANICAL
FINAL ELECTRICAL 14
FINAL PLUMBING
T.C. of OCCUPANCY
CERT, of OCCUPANCY
COMMENTS:
CITY OFMOND BAR
I SPEC I
TRACT AND I.L:F)GER
SWITCH GEAR
COMMER{,IAL fiDOD
T -BAR
ENTERCEPTFR
HOT MOP/SHOWERPAN
SEPTIC/CESSPOOL
HERS REPOf3T RECEIVED
DEMOLITION
ROOF DRAINS
ROUGH CONDUIT
PiaOUSPA
ROUGH PLUMBING
ROUGH ELECTRICAL
ROUGH MECHANICAL
GAS TEST --
PRE GUNITE __..._
POOL PRE DECK BONDJNG
P -TRAP _
FENCE / GATE/ ALARM
FINAL POOL
WALLS:
WALL FOOTING/S"FEEL
WALL STEEL Is.( 2NC( ) LIFT
WALL BOND RI -AM
WALL DRAIN/ SE -Al.
WALL FINAL
130, FRAMING PLANNING APPROVAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PW
.. .- _
FINAL COMMUNITY SERVICES
FINAL HEALTH DEPT,
FINAL INDUSTRIAL WASTE
Assembly Bill 2188 applies only to residential rooftop solar energy systems
that are no larger than 10 kilowatts or 30 kilowatts thermal.
This farm conforms to Assembly Sill 2188.
Residential Photovoltaic Power Systems
Permit Issuance Checklist
Please complete the following information to submit for Building & Safety plan check.
APPLICANT com .fetes th's box. " "�"
Address:
�'011,;XWN: 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: sq.ft. l� � �O kW (if electric)
Are the property lines correctly dimensioned on the plans? (circle one) qel
No
If Ground -Mounted: Max. height of system, (i.e. distance from top of paaturalor 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 No NIA
Are the panels proposed on a permitted structure? (circle one) V No NIA
Panel directional orientation, (check one): West Southwest South i1 Southeast VrEast
System visibility from nearby public streets, parks, or traits, (circle one): Not Visible, ow Medium, High
If "no" to any of the above, see the Planning Division.
COUNTER PLANNER completes the remaining form.
I. Zoning -
XS [-]No a. Does the proposed project meet the etback requixements (or is it an allowed
yeencroachment)? Front setback ft. interior setbacks
`NIA ❑Yes []No b. If ound-mounted: Does the project comply with setbacks and lot coverage
requirements?
❑Yes ONO C. Are the panels proposed on a permitted structure?
❑Yes ❑No d. Are the property lines correctly dimensioned on the plans?
2. Design
[]Yes %o 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 proposedro'ect affiliated with a historic resource (Check historic resource list)?
❑Yes [Q
Page 1 of 3
4. Is the proposed project on a site which includes a potentially sensitive visual resource, such as:
❑Yes ANO a. Hillside property (regardless of slope)?
5. is the proposed project located in a restricted use area?
❑Yes to
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 f le, stamp and initial three (3) sets of B&S plans)
IYes ❑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,
insta tion instructions, and listings.
es ❑No
2. All exposed conduits painted to match the roof is noted on the plans.
�s ❑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.
[res []-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
class cation C-46 or C-10.
es ❑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 ifornia 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 mg members on plans.
es ❑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 15 05. 1 of the
California Building Code based on the type of construction of the building Effective January 1, 2015.
s
[]No
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1
S. Applicant acknowledges installation of the photovoltaic system shall be in compliance based off 2016 California
elec cal Code Article 690.
'es ONo
9. Applicant acknowledges installation of the interconnected electric power production source shall be in
pliance based off 2016 California electrical Code Article 705.
res ❑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 ofessions Code Section 7031.5.
es ❑No
11. Ap ant acknowledges that the photovoltaic system may only be installed on a permitted structure.
Yes DNo
12. Applicant acknowledges that the photovoltaic system meets the "California Solar Permitting Guidebook":
h :llo r.ca. Qv/docs/California Solar Permitting_Guidebook. df
Yes ❑No
13. Proposed project meets state fire marshal set -backs for roof mounted photovoltaic system requirements and code
section R908 CRC 2016.
E 'es pNo
Signature of Applicant: Date:
Print Name:
Page 3 of 3