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HomeMy WebLinkAbout15-0362 . (� I --�'��,___�,„ CITY OF DIAMOND BAR • = l ��-�i 4//s _....... ..,..i �" I `' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 =� ..:-- PRESS >�„ ;�:� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `�''8e"� BUILDING PERMIT APPLICATION � ��`� h � APPLICATION DATE: P/C# L JOB SITE ADDRESS �Iv� lJ �cu�onct 8�� �L-� U ,n�(� z APN LOT TRACT ISSUEDATE: J-�l��oy/'[J pERMIT# I��0�6 �- � OWNER L - TYPE CONST. OCC GROUP: � T � ADDRESS ^ � �eD Z �,/ � CITY ZIP TEL. ZONING F ONT KS RW ❑ = APPLICANT TEL. REAR ❑ � � SIDE/SIDE STREEf RW ❑ a CONTRACTOR � SIDE ❑ � � � � ADDRESS � � r PROPOSED USE I s CITY ` 1 ZIP TEL. � � �� - � ARCH/ENG/DESIGNER � y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS I z CITY ZIP TEL. � ¢ OWNEH-BWLDEB DECLAHATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � = I hereby aftirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s�,I have placed nezt to the applicable item(s)[Sectian 7031.5,Business and Garage/Carport I � Professians Code:Any city or county that requires a permit to construct,alter,improve,demalish,or repair,any z struc[ure,priar to its issuance,also requires 1he applicant for the pertnit ta file a signed statement that he or she � Patio/Deck I � is licensed pursuant to Me provisions of the Canhactor's State License Law(Chapter 9)Commencing with Section W � 7000 M Division 3 of the Business and Professions Code]or that he or she is exempt from licensu2 and the basis for LL PooVSpa I � the alleged ezemption.Any violation of Sedion 7037.5 by any applicant for a permit subjecCs the applicant to a civil penalty C7 sof not more than five hundred dollars($500�. ZQ Re-Roof I � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(�portions � Commercial ' I � of the work,and the s[rudure is not intended or offered for sale(Section 7044,Business and Professions Code:The � ZContractors'Sta�License Law does not apply to an owner of property who,through employees'or persanal effort,builds m y or impmves the property,provided that the improvements are not intended or oftered Por sale.If however,the 6uilding or I � 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 puryose of sale.). I � �]I,as owner of the property,am exclusively cont2cting with licensed Cont2ctors to construct the project(Section Valuation: Ad Area: Z 7044,Business and Professions Code:The Contractors'STate License Law does not appry to an owner of property who 1� � � build5orimprovesthereon,andwhocontractstortheprojecLswithalicensedContractorpursuanttotheContractors'State QUANTIIY DE�CRIPTION FEE I Y license Law.). � U I am exempt from licensure under the Contractor's State License law for the following reason(s�: � I �' ¢ I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year prior to completion of the improvement5 covered by this permit,l cannot legally sell a structure that I have built as an w owner-builder if it has not been construc[ed in iTs entirety by licensed contrac[ors.I understand that a copy of the applicable I � law,Sedion 7044 of the Business and Professions Code is available upon request when this application is submitted or at I X the following Web site:http/�vw.leginfa.ca.gov/calaw.html. � y Z I = DATE: SIGN: � LICENSEO CONTHACTOH'S DECLAlIATION � I a I � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) � � of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J I � s � � , � LICENS SS: �E�i'�_L1 .NO.: D z I � DATE: CONTRACTOR: - � I Z r w ¢ WOHI�N'S COMPENSATION D � 10 � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVIEW: � �,� > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Cade,far Z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: �+ �[ PLUMBING: � CARRIER � � �C"�� MECHANICAL: � � POLICY NUMBER INSPECTION FEE: n (f}iIS SECIION NEED NOT BE CO LEfED IF E PERMR IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: J.f' � I certify that in ihe pertortnance of ihe work for which ihis pertni[is issued,I shall not employ any per,on in any manner so as to � become subject to the Worker's CompensaUon Laws of Califomia.Md agree that if I should become subject to the Worker§ SMI P: r' JCompensa4_ 'op provisiqp�ction 3700 of the Labor Co ,I shal�wi mpty wi rovisions. ENERGY P/C: ''� i DATE:?�••��__` APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall su6ject an employer to criminal ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition m the cost of the compensation, RETENTION FEE:___ � ..� � damages as provided for in section 3708 of the labor code,interes[,and attorney's fees. PRE-ALT FEE: i CONSTpUCTION LENDING AGENCY BSAF: �, y I he2by affirm under penalty of pery'ury that there is a Construction Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: s LENDER'SADDRESS: i I certify that I have read this application and sTate that tl�e above information is correct.I agree to comply with all city and TOTAL FEES �Q� y y � county ordinances and state laws relating to building construction,and here6y authorize representatives of this county to COM M ENTS: z � enter upon the above-mentioned property for in ection purposes. J � b a PERMITiEE NAME(PRI " r- Z_ n +� = SIGNANRE OF PERMITfEE DATE RECEIPT# �1-�a PAID BY: �� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMO�!D BAR INSPECTION RE�CORD ' ' ti, I . � ] . � � . � , � . � . � �r� �t _ SETBACKi�LETTER ��' � �� � ���� TRACTAND LEDGER ��,.�,�� . ,,,,., „��, EOOTINGS��ORMS�"� `"�' � � ' �° � � SWITCH GEAR � - _'�, - ` � � SLA$_,, ��` �« -� `" �� COMMERCIALHOOD UG.P�UMBING�- „ �,._ „r „ „� < < T-BAR �� � � �,. � ,. ,UG�.€LECT�tICAL� �� � '�' � � � � ' INTERCEPTER - x: _�, - UFER�GROLtND - � � � �' � � � �� � ��� HOT MOPISHOWERPAN ��� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVEO SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR ; � � � POOL/SPA s„��� - - � ��, , , �� „ SNEARWALLS�INi`ERIOR n� ' � ��� � �� � � �ROUGHPLUI�lIBING � I ,FRAMING/IIENT(NG -;, ���_ � � � � �' 3 ROUGNELECTRICAL � t ROUGH MEGHANICAL�. , ,. � �. � ;� ;� ,ROUGH tVIECHANIGAL � � � w °. �•' �ro� �a � �� � �� � >� _t� °� ROUGN ELECTRICAC W( )�C( } �` � � GAS TEST RO�GH°PLUMBiNG •�� �f , �= y� ��-. � � �� �� � �PRE GUNITE" , , � . _ ,, _ lNSULATION WALL POOL BRE DEGK BONDING `� � �` " INSULATION CEILING P-TRAP. , DRYWALL ; FENCE/GATE/ALARM LATH(PREI ; FINAL PDOL � � � - �� _ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOQTING/STEEL 6AS TEST WALL STEEL 1sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION '(�O.FRAMINGPLAAJNINGAPPFiOVAL �� � �� ����� �' � • 'FINAL�BUILDING :, � „; �" ; .;;, ,�: � ROUGM FIRE APPROVAL , � '� � � �,:_,��.�..�� � x � � � FINAL MEGNAtdiCAL� �. n, _. � � FINAL FIRE DEPARTMENT • � ; _ � ���=,E �,.,. �,< . _., �INAL�ELEC�RICAL �,' � � ' � �� � _ � ` s � FINAL PLANNINC� _ � . ,�� � �_ FIt�AL PLUM�IN6 . ..�_°�� � ��'" _ , � n, � - � � � " FI�iAL�NGINEERING/PW � �° � �T.G�.�of�OCCUPANGY,�� ,,,�, °- ��,. �.� � � �� .�, PINAL.GOMMUNI7Y 56RYICES � � x � � � � .:: u � � � CERi`of�C�UPANCY ,��_ -� �� � FINAL HEALTH DEPL , -.� ��� � FINAL INDUSTRIAL WASTE � � ry COMMENTS: . . , � � .. ti, . �1. STATE OF CALIFORNIA � t�•'�;.., - SIGN LIGHTING ��� CEC-NRCGLTS-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION - CERTIFICATE OF COMPLIANCE NRCGLTS-01-E Sign Lighting (Page 1 of 5) Projea Name: ,� � Date Prepared: � ^� � r�. I Project Address: S�' � � �: C � Location of Sign Outdoor Signs ❑Indoor Signs Phase of Sign Construction ❑New Signs ❑Sign Alterations Type of lighting Control ❑New Lighting Controls ❑Replaced Lighting Controls ❑Not Installing Lighting Controls This Certificate of Compliance includes the foilowing components(check all that apply} �Mandatory Measures(Lighting Controls) ❑Maximum Allowed Lighting Power ❑Specific Lighting Sources 1.Mandatory Sign Lighting Controls NOTES: 1. The same responsibfe person may install both The sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person instolling the sign lighting power. 2. The Mandatory Measures (sign lighting controlsJ are required for compliance with the sign lighting Standards. If the person responsibfe for installing the sign lighting power is not also responsible for the sign lighiing controls, then the owner of the sign, general contractor,or architeci 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 Insrallation Certificaie applicable to the portion of construction for which they are responsible;alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Dedaration Statement for the entire construction. 1a. Statements of Responsibility:Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-OI-E shall complete Part la.Check Yes or No for all of the following statements: 1 I have responsibility for installing the sign lighting controls Yes,complete parts 1a and ib of this form ❑No,complete part la of this form , 2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls Yes ❑ No 3 There are no exisfing sign lighting controls and someone else will be responsible to install compliant sign lighting controls ❑Yes No 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 ❑Yes �No There are existing sign lighting controls that do not comply with the applicable provision of§110.9 and§130.3 and someone 5 � eise wili be responsible to install compliant sign lighting controls ❑Yes No �.,,, . . ��51 00 ... 7C S�� ��� ??Jp �pC� �Yl �oc� � �� ��D �� � �Q� � �� ��� � ��� rn� �-c�x � �j N '� rn y, rrm m m r�- �'�ryn �D ��� T-{, C�) 1 � Q � P p �ai� i.� G � r , � � �.�. Q��w tS e � _�.{ a Ykm .��2. b� qD �. ��-<.a � A �"U: co�r�- i/2 17 •`,f/i� G�.G Z � �s° � o W evt � m CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA ` ` }���,-. �IGN LIGHTING �:��. �EC-NRCGLTS-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION `" - CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) Projea Name: �n Date Prepared: ( �+C lb.Mandatory Sign Lighting Controis If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting control 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: � §130.3(a)1.All indoor sign lighting is controlled with an automatic time-switch control or astronomical time- Y N NA switch control. ❑ ❑ � §1303(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA 2 switch control,or an astronomical time-switch control. � ❑ 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)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65 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 ❑ ❑ j2� day and night. EXCEPTION to Section 130.3(a)26:Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night. ❑ I� §130.3(a)3. Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC) Y N N/A 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 1303(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. ❑ � Fieid Inspector Notes: CA Building Energy Efficiency Standards-2013 Nonresidential Compliance , June 2014 . _, � , � STAJE OF CALIFORNIA �' ' �IGN LIGHTING ���� CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION �- CERTIFICATE OF COMPLIANCE NRCGLTS-01-E Sign Lighting (Page 3 of 5) Project Name: Date Prepared: \ � � 2 Maximum Allowed Lishtin�Power Method of Compli nce Certificate of Compfiance and Field 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 lighting sources method of compliance) A B C D E F G H I J S mbol OPTIONAL—Energy Complies Filedlnspector Y Description of the Sign Verified Label(see Allotted Watts Design Watts Y N Check that sign Or Code instructions below) � complies � � c � � �w � a\� m °i .o° x V � y � � LL `1 � c0 C f6 C ' � ry m d x C � Cl a ` E 3 .� r.i � — y � Y X � � I 11 p O �p E N � w Q �� Q F— 3 0 ✓ U � � � � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ I A Symbol or code used on the plans(when plans are required)and other documents. B A description of the sign,or location of sign on the building;and the location of sign on construction documents. OPTIONAL-Check this box only if this sign has a permanent,pre-printed,fadory-installed,ENERGY VERIFIED label,confirming that the sign complies with the Section 140.8 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(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 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/IEC 17020.For signs with such an ENERGY VERIFIED label, columns'D'through'I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label is not needed for compliance. D The sign area in square 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 Power Density(LPD=watts)in column F. H Show the total installed watts in the sign,as determined according to the applicable provisions of§130(c). I Enter Y if the number in column H is less than or equal to the number in column G. Otherwise,the sign does not comply. J This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 , , . . � , , STf4TE OF CALIFORNIA .x��, " $IGN L•IGHTING �;��;i CEC-NRCC-LTS-Ot-E Revised 06l14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-OI-E Sign Lighting (Page 4 of S) I Pro)ec.Namr. � � Date Prepered: ' + �. y�- 3.Specific Li�htin�Source Met od of Compliance Certificate of Compliance and Field Inspection 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 power method of compliance) A B C D E OPTIONAL Specific light source used for Symbol ENERGY VERIFIED compliance Field Inspector or Description label Shall include only lighdng Check that Sign Complies Code (see instructions technologies listed below � below} List.all that apply _ � �- S � ❑ ❑ ❑ ❑ ❑ o ❑ ❑ ❑ A Symbol or code used on the plans(when plans are required)a�d other documents. e A narrative description of the sign,or location of sign on the building;and the location of sign on construction documents C OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that this sign complies with the Section 140.8 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 I50/IEC 17011.Surveillance by the Accredited Certification eody shall be an ongoing annual inspection program carried out by a Type A Inspection body in a�cordance with ISO/IEC 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 compliance.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 through 9)that apply in column D above for each row. 1 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 AN51 C82.6-2005. Metal halide iamps 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 80 percent. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to AN51 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 � 4 when the transformer or power supply rated output current is Iess than 50 mA.The ratio of the output wattage to the input wattage is at 100 percent tubing 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 percent tubing load. 6 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(Title 20). 9 Compact fluorescent lamps that do not contain a medium screw base 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 , . . . S.:,ATE OF CALIFORNIA •��; $IGN LIGHTING ,�.�_,,l:�� CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION - CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) :rcjec 7r'ame: Date Prepared: ^ � C � �' �_� DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentatlon Author Name: Documentation Author Signature: Company: � � Signature Date: Address: CEA/HERS Certification Identification(if applicable�: • . �w��i- � City/State/Zip: � r� / Phone: ^ _ �� ' v 'v '— RESPONSIBLE PERSON'S D CLARATION 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 corred. 2. I 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(responsible 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 provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit applicatio�. 5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)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 6uilding owner at occupancy. Responsi6le Designer Name: Responsible Designer5ignature: � Company: � Date Signed: Address: �� • � , ` License: �� �a � � � U� City/State/Zip: � r / Phone: / _� _ � p— 2 - v b �LS � CA Building Energy EfFiciency Standards-2013 Nonresidential Compliance June 2014