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HomeMy WebLinkAbout15-0217 (2)CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 6 - 21810 Copley Drive, Diamond Bar, CA 91765 f, (909) 839-7020 Fax (909) 8fi1-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS I M i0WM APN LOT TRACT OWNER& ADDRESS Cris' zip !�elx TEL ' '" APPLICANT TEL CC INTRACTOR Y J1 .'... ADDRESS CITY IIP� TE ARCH/ENG/DESIGNEP ... ADDRESS CITY ZIP TEL CIMER-91.11I. iCERMATBNI I hereby attm under pealty of wry that I am evampt hum tip Coltueaa State Lkense law nor the ramon(s) tr*cstsd bduw 4 tb ctretlimai (s) i have plrsd nerd to the applIcW8 hwrrW PftbM 40816, 8uliros3 end Pfollailloolbso Cons Aft, sire or County *at a p&Tfdt to Consbucl, aft, In"W e, clamiwtat4 tit repair m *Uc%v , perish W tis Lxsrenet, also mWm No a0licaral far 1be permit to flit 0 shined otatemmtt Mat he or fn is ft jtauuslltodwprev4*4ofINC4t $tells License Low Mwp*Sfi Comeowhilil Witter Secam Tim d Ow sNm 3 of the Stain 8 mW ftfuslovia Cadial or Stet M or see is tzmr=pt krun beery ar.0 the basis for the allotted ti Any vialCm ofSection7015ny any applicant xpoonli u4scis the appl ttoauvi#penNy of rxrt woo Brant no foundred dollars ¢M t 1,its ONM ul the qmwlly, or mir employees Nrttta VNN as Ctw$* winpMadon, portim of tint wQ& and she murue is no: atanded or oh no; W sais i5ection, 7044, and NufassiIXs Cods The Camraaiore' Stav Lkmtree L a-x am V. apply W an owner rA prop ly who M(mgh ample c or lowearral dfA Wide or Impre ma this properly pro's that the impiorvemerb am not mtondW # of rod for sale G however ft txrM% or hoprovamem is sold wdlsn one year at campW an, the Omer Budder win rave this bode n or prWi02 that It was ma# or mrpri red hN the purpose of Salo ) U 1 as owner of the pro" am onhovdy cou"an with Iksfl3W Can aomrs toamsImmi! the p Ct PKWR 7044 Buakness and Prolesslon Cade The t}a rbacbrrs' Stoat Warren Law chit not apply to an owner of property +atlas builds or Impioves thereon and whocontracts Car the pray wth a joansed CdntmcW oursuam w the C.antrNtare' State mane Law) Al ere exempt tom ticansure under tho Crinbeia 's Stale Uoil ae law for Me fohove ng manism By my signature Wow I acknowledge that, except fir my personal lesiIdenca in which I must have readed io at isaist one year prior to completion of the Impro mmoMs Glowered by this permit I cannot legally sell a structure Mat I have twill as an awrier bufder [fit has not been c onsaucted In Its oft" by licensed cunhacivri I understand that a copy tithe apoicable taw 5ffitlan 7044 of ttw Business and Nufasalorm Codle Is awdablo upon requast whao this appkcabon Is submitted or at ft kil(n Arrg Web site htvwww 100* era. w IutTE 8 i-„_ 1 C r WNP6 COMUTWS DECLARATIUN I herebyaltrm under penattyof {er(ury that WA licensed under provision of Chapter B lonunenong with SeMan 70MI or Wigan 3 of ft &greeas ea! Prise Cade and my Homes is In too Ion and eefrem LICENSE CLASS C 4'�_ W lift !S IY C13WRAMR S d XUaY AFFAM tMEA PD AUY 0F Pi' ONE OF of OEO-41SI406 i Ins and wal males a Qor�;a of Cmzw 10 Set Ind for Www's G=pemmoe as pry by Scow 37W or this LaW Cola for ft tMr onrnanis of the +rack Far which en permit rs *.md l have rd WjI milrrtain WwKs'^a Gampar norr Insurance. as raWiraa by SeCtion 3700 at the Labor C fir the perfm lance of the wok f¢u Whkh thol pdtovt Is ISSUod 1ty Wtukari CWPOnSa"M Insurance Cyr And Fpilcy Numbo are CAMER POLICY NUMOER ME SECTION NEED NOT BE CWLETM IF1HE MAW G FOR ONE ANNO 1XILUR9 tal0%OR tom) fcerbtyding Intheparhom o of the WWX b which this pomV 4 Owed IMdrot enVoyer"Mpe''eanmany mwv soasto bemos suW to tie Wbrtrer'e Comparreetlin Laws at C.aillo . And a nee Mat f I should bworm subject to the Woltmtb Canpars0n pr vasions of SaMon 3700 of tts Labor Cade I shall lordw h mrrq* whh arose provsims DATE APPLIW WARNNO Fature to secure ftrkar's C -onsabbn coverage Is ulawNl, and shall %b(ect an employer to nrlminal penWres and Pr d fires up th one hwtoaad O*uWW dollars (g100 0" In addition to Get cast of sire romper"tlbb damages as pmmw Ire in waction 3704 of the Fast 06do Interest, and attomeyn fees CONSTRUCTifai LENUM ACEPICY hethisy ffMnr. aukr pereft if 1 Ioy that there Is a Construeten tang Aga'c1r'a the pelonnance of the wok la whiff this perrat Is i rer3 3W CW C ) TENDER S NAME. ............... iI3#iEfi S AIiOBFSS I cetbty that I have rat thix ap pMatrnn Wd erase shelf Ike abm htaoratior as roost I stima 0 cans* w" all [$ty and €xxrny odlaaacei and ttate law* miahn to budding construction, nil hereby autteze rarer oaf ref ofWs coui0 to eta upon the same men oned Popttty (W ftoom purpoees .�� akNT} 06GNh PFRf11LT .. �ATc' 0, /U f)3 IFINALI M FIRMLY APPLICAT10N DATE-J,/4}.;Dtf- _ PiC# ISSUE DATE � � f Sri f, � PERMIT# TYPE CONST OCC GROUP � ZONING SETBACKS FRONT Fitt REAR StDE/SIDE STREET RtN SIDE � C] CI C? ---- C] PROPOSED USE 41 t M ._a,., S� �Tt3T1i1 L M DWEL UNITS # STORIES # BEDROOMS I I DESCRIPTION SQ FT FACTOR PSF ADJ AREAfVALUATION SFwADWEM ', fiar>3g6'Cer'pcwt � w' Patkst[7unk No44'Spa 1 Commercial i VOtUsttiCWS :�i Ar88 QUANTtTY DESCR# FION ; FEE u W z I CONSTRI 1-H N PLAN REVIEW % ELECTRIC C2 �917 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP 1 ENERGY PIC ENERGY PERMIT RETENTION FEE PRE•ALT FEE BSAF i Li I I TOTAL FEES COMMENTS (S i mi l S§EDEIRTd � PAIDEY VALIDATION .........._ WHITE— Department Copy YELLOW— Rrnance Copy, PINK—Aeeellisar Copy, GOLDENRCO — FRO Copy GREEN—Appticmty Copy V II�P r w iw SETBACK! LETTER FOOTINGS FORMS SLAB UG PLUMBING UG ELECTRICAL UFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SKA [WALLS RTERIOR SHEAR WALLS INTERIOR FRAMING/VEt+ITING ROUGH MECHANICAL ROUGH ELECTRICAL W } C ( i ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE W METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL � FINAL ELECTIRMAL r. FINAL PLUMBING M of OCCUPANCY C9K of OCCUPANCY COMMENTS CITY OF DIAMOND BAR INSPECTION RECORD w wmillw TRACT AND LEDGER SWITCH GEAR ........... COMMERCIAL HOOD T-)m INTERCEPTER HOT MOP(SHOWERPAN SEPTICICESSPOOL HERS REPORT RECEIVED DEMOLITION _ ROOF STRAINS ROUfAi CONDUIT POOLISPA ROUGH PLUMBING ROUGH ELECTRICAL < ROUGH MECHANICAi. GAS TEST PRE GUN)TE POOL PRE DECK BONDING -TRAP E FENCE 1 GATE./ ALARM ANAL POOL WALLS WALL FOOTINGISTEEL WALL STEEL l ) 2?D( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAT. j WALL FINAL RO FRAMING PLAMVfIaIGAPPROVA ROUGH FIR/: APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINE'ERING1 PIN FINAL COMMUNITY SERVICES Tl ' FIIAL, HEALTH DEPT [F AL INI?USTRIAL. WASTE STATE OF CALIFORNIA SIGN LIGHTING 1 CEC-NRCC-LTS-01 WE Ravt"d OBl14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign lighting (Page 5 of 5) purled Kx 777T—pate prepared DOCUMENTATION AWHOR'S DECLARATION STATEMENT 1 I certify that this Certificate of Compliance documentation is accurate and complete DOturrrentatipn Author mime (-[t 6 YIATA t H Documentation Author Signature Company 6 0 i Signature Date Address t CEA/ HERS Certification Wenu Catvn lit applicable) CICY+/Statoilip � � � �O � ahcna RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California 1 The information provided on this Certificate of Compliance is true and correct 2 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance fresponsible designer) 3 The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of [ Regulations 4 The building design features or system design features identified on this Certificate of Compliance are consistent with the information I provided on other applicable complance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application 5 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permitts) issued for the building, and made available to the enforcement agency for all applicable inspections I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupan Reipontible Dazilir r Nam ` A q Respc�mitileDeslg r Signature V���"✓l Company Datened D�+ Address L15ta 8 [ityrstatet i L— ; cc-; o-o Fisu,i o--3r— p CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE of CALIFORNIA SIGN FIGHTING CFC-NRCC-LTS-01-F1Rav1%*dD61114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LT5-01-E Sign Lighting (Page 1 of 5) Pro1at5a.m. 1 eP,"4red .. .. } Project Address f� % Location of Sign utdoor Signs Phase of Sign Construction ew Signs Type of L!&!Lvng Control © New Lighting Controls ❑ Indoor Signs © Sign Alterations Ageplaced Lighting Controls © Not I nstal!N Lighting Controls This Certificate of Compliance includes the following components (check all that apply) 0 Mandatory Measures (Lighting Controls) © Maximum Allowed Lighting Power ❑ Specific Lighting Sources 1. Mandatory Sign Lighting Controls NOTES l The some responsible person may instoll boat the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power 2 The Mandatory Measures (sign lighting controls) ore required for compliance with the sign lighting Standords if the person responsible for installing the sign lighting power is not also responsible far the sign lighting controls, then the owner of the sign, general contractor, at architect shall be responsible to have the sign lighting controls installed 3 if more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they ore responsible, alternatively, the person with chief responsibility for construction shall prepare rind sign the Certificate of Compliance Declaration Statement r the entire construction Ia. Statements of Responsibility, Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LT5-DI-E shall complete Part la Check Yes or No for all of the following statements i I have responsibility for installing the sign lighting controls © Yes, complete parts 1a and lit of this form J4 No, com fete part la of this form 2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls 0 Yes % No 3 There are no existing sign lighting controls and someone else will be responsible to instal# compliant sign lighting controls Ci Yes VNo There are existing sign lighting controls that do not comply with the applicable provision of §110 9 and §130 3 and I will be 4 installing compliant sign lighting controls ©Nare existingsign lighting controls that do not comply with the applicable provision of §110 9 and §130 3 and someone l be responsible to Install compliant sign lighting controls L No CA Ruilftg Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA SIGN LIGHTING rul CEC-NRCC-LTS-01-E Ravmed W14 CALIFORNiA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NCC-LTS-01-E Sign Lighting (Page 2 of 5) Pr*ct Name ^1 Lure P-pared 7= � J 1b. Mandatory Sign Lighting Controls if the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting contrail requirements, that person shall answer all of the following questions If there are construction documents, Indicate where on the building plans the mandatory measures (sign lighting control) note block can be located 1 §130.3(a)1. All indoor signs lighting is controlled with an automatic time -switch control or astronomical time- y N NA switch control ❑ ❑ 130 3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA switch control, or an astronomical time -switch control ❑ ❑ 2 EXCEPTION to Section 130 3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor Y NA areas that are intended to be continuously lit, 24 hours per day and 365 days per year ❑ §130 3(a)20. All outdoor sigh lighting that is ON troth day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 6S percent during nighttime hours Y N NA 3 Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both ❑ ❑ clay and night EXCEPTION to Section 130 31aj28; Outdoor signs in tunnels and large covered areas that are intended to be y NA illuminated both day and night ❑ $130.3(a)3 Demand Responsive Electronic Message Center Control An Electronic Message Center (EMC) Y N NSA having a new connected lighting power load greater than 15 kw has a control installed that is capable of ❑ ❑ 4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute, Y NA ordinance, or regulation to be reduced by 30 percent ❑ Field Ins ector Notes CA Building Energy Efficiency standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LT5-01-E Revised 00114CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of S) PreagKc4Nlarne �'j �y NX6^-\ paRePreprrtd 0 t— za:L— >0 f,_S 2. Maximum Allowed Liehtins Power Method of Compliance Certificate of Compliance and Held Inspection Energy Checklist Complete this part if there are signs using the maximum allowed lighting power method of compliance (Complete part 3 of this Certificate of Compliance if there are signs using the Specific it tin sources method of compliance) A Symbol Or Code 8 Dmriptian of the 5tgn C OPTIONAcL— Energy 1tenfimd Label (see instructions below) 1) E F 6 Allotted Watts H Design Watts I Compiles Y/N J Filed inspector Check that sign complies tUj E %t ua .M ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ A Symbol or Code used on the ptans (when plans are recluired) and other documents B A description of the sign, or location of sign on the buildi2g, and the location of si n on construction documents OPTIONAL- Ched this box only if this sign has a permanent, pre-printed, factory- installed, ENERGY VERIFIED label, confirming that the sign complies with the Section 140 B of the California 2013 Title 24, part 6 Standards, using the Maximum Allowed Lighting Power method of compliance The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (U L) or other Product Certification Body accredited to ISO/IEC Guide fay by the American National Standards institute in accordance with I50/tEC 17011 Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program tarried out by a Type A inspection body in accordance with ISO/iEC 17020 For signs with such an ENERGY VERIFIED label, Columns `D' through 'I' are not required to be fitted out Note Using an ENERGY VERIFIED label is an optional method to validate compliance An ENERGY VERIFIER label is not needed for compliance O The sign area insquare feet E List "I" if the sign is internally illuminated List "E" if the sign is externally illuminated F Allowed watts per square foot Enter 12 if the sign is listed as "I" in column E Enter 2 3 if sign is listed as "E" in column E G Multiply the square footage in column D times the allowed Lighting Pourer Density (LPD : watts) in column F N Shaw the total installed watts in the sign, as determined according to the applicable provisions of §130(c) l Enter Y if the number in Column H is less than or equal to the number in column G Otherwise, the sign does not compty J This page doubles as a field inspection checklist Field inspector Notes CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 $TATF OF CAUFORHSA SIGH[ LIGHTING CE"RCC-I.TS-01-E(Rev d 051741 CALIFORNIA ENERGY COli MiSSION CERTIFICATE OF COMPLIANCE NRCC-as-01-E Sign Lighting (Page 4 of 5) ptolea mime /V\ y oiie 8repwod - I 2 {„/ A E 3. Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspect on Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting ower method of compliance) A B C 0 E OPTIONAL Specific light source used for Symbol ENERGY VERIFIED compliance Field Inspector or Description label Shall include only lighting Check that Sign Code (see instructions technologies listed below Complies below) List all that apply ❑ Cl Li ❑ 13 ❑ ❑ ❑ A Symbol or code used on the plans (when plans are required) and other documents B A narrative clestril2lion of the sign, or location of sign on the building, and the location of sign on construction documents C OPTIONAL- Check this box only dthis sign has a permanent, pre-printed, factory -installed ENERGYVERIFIED label, conforming that this sign complies with the Section 140 a of the California 2013 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with 60/lEC 17011 Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/[EC 17020 For signs with such an ENERGY VERIFIED label, column 'D' is not required to be filled out Note Using an ENERGY VERIFIED label is an optional method to validate eom fiance An ENERGY VERIFIED label is not needed for compliance Specific light Source Compliance Method The sign(s) identified above use only the following lighting technologies List all applicable numbers (1 thr22 h 9) that apply in column D above for each row i High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or 2 greater Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82 6-2005 Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by 3 a ballast that has a minimum efficiency of SO percent Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82 6-2005 Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent D 4 when the transformer or power supply rated output current is less than 50 mA The ratio of the output wattage to the input wattage is at lOD ercenttubing load Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent 5 when the transformer or power supply rated output current is 50 mA or greater The ratio of the output wattage to the input wattage is at 100 percenttubing load Fluorescent lighting systems meeting one of the following requirements A Use only lamps with a minimum color rendering index (CRI) of 80, or B Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater, Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a 8 nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations itle 20) 9 1 Compact fluorescent lamps that do not contain a medium screw rase sockets (E24/E26) E This page doubles as a field inspection checklist Field Inspector Notes CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014