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Home My WebLink About10-1011 ��_ CITY OF DIAMOND BAR �0��D , . DEPARTMENT OF COMMUNITY&DEVELOPMENT � � 21825 Copley Drive,Diamond Bar,CA 91765 � � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS '°"'� � BUILDING PERMIT APPLICATION FIRMLY I N JOBSITE �.c1 C Z APPLICATION/ °� ^ PERMIT / p/� o ADDRESS v � S CZ I � DATE /v�/ �v NUMBEFI�'�/DI/ # � ISSUE ^ TYPE OCC APN LOT TRACT O� p OWNER ��J G� Z��r DATE_ � �-'�'V CONST. ��GROUP ADDRESS d�'jNvC ZONING SETBACKS Z CITY � ZIP TEL. FRONT R�/y � � APPLICANT �. REAR p � SIDE/SIDE STREET RW ❑ z a CONTRACTO SIDE p � CITI' S • ZIP �� ., tp PROPOSED USE �lT/V r�9J tJ Se�1� S o ARCWENG/ C �' z DESIGNER � "� w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES �^ BEDROOMS u� v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFIRM UNDER PENALTV OF PEiL1URV THA7 I AM E%EMPT FROM THE CONTRACTORS LI- Gefd90/CefpOfl W CENSEUWFORTHEFOILOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCINOR (n U COUNTVWHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- - w TURE,PRIOR TO I7S ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMI7 TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS IJCENSED PURSUANT TO THE PROVISIONS OF THE CON7RAC70R5 LI- � � CENSE UW(CHAPTER e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOUSPB � FESSIONSCODEJORTHATHEORSHEISEXEMPTTHEREFROMANOTHEBASISFORTHEALLEGEDEXEMP� C7 V TION.ANV VIOUTION OF SECTION 7037.5 BY ANV APPIICANT FOR A PERMIT SU&lECTS THE APPLICANT TO Z Re-Roof Q � A CIVI�PENALTY OF NO7 MORE THAN FIVE HUNDRED DOLLARS(f5oo).): Z OI,ASOWNEROFTHEPROPERTY,OHMVEMPLOVEESWITHWAGESAS7HEIRSOLECOMPENSA710N, � COffIfilBfCi81 WILL DO THE WORK,AND THE STRUC7URE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.7od/,BUSI� J � NE55 AND PROFESSIONS CODE:THE CON7RAC70R5 LICENSE LAW DOES NOT APPLV TO AN OWNER OF ? PHOPEHTV WHO BUILOS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR wTHROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m 0 OFFEREDFORSILEIF,HOWEVER,hiEBUILDINGORIMPROVEMEN715SOLDWITHINONEYEAROFCOMPLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUIID OR � IMPROVE FOR THE PURPOSE OF SALE�. w ❑I,ASONRJEROFTHEPROPEHTY.AME%CLUSIVELVCONTRACTINGWITHLICENSEDCANTRACTORS � TO CANSTRUCT THE PR0.1EC7(SEC.70��,BUSINE55 AND PROFESSIONS CODE:THE CONTRAC70RS LI- V81U2flOn O� ADJ.AREA W CENSE UW DOES NO7APPLY 70 AN OWNER OF A PROPER7Y WHO BUILDS OR IMPHOVES THEREON,AND � NMOCANTRACTSFORSUCHPR0.1EC75WITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y 70RS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOR 7HI5 REASON Q � � U � � OATE OWNER H � w � LICENSED CONTRACTORS DECLARATION W � 1 HEREBY AFFIFM UNDEF PENALTY OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER � d B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X MY LICENSE IS IN FULI FOFCE AND EFFEC7. m � C - 7 I LIC.NO. II/1 V 10 �'✓� j . UCENSE CLASS U DATE I 7�� IIA CONTRACTOR PIII^ � _ a W � WORKERS'COMPENSATION DECLARATION Q � I HEREBV AFFIRM UNDER PENALTV OF PEfYIURV ONE OF THE FOLLOWING DECURATIONS: Z Z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' _ ¢ CAMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE U Q OF 7HE WORN FOR WHICH THIS PERMIT IS ISSUED. � W �.1 HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE,AS REOUIRED BY SECTION Q 370o OF THE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FO{i WHICH 7HIS PERMIT IS - /^7� /�O ISSUED.MV WORKERS'COMPE SAT N INSURA CE CARRIER AN POLICV NUMBER ARE: CONSTRUC IO �/ � > �.�.�e�� r J CARRIER ' ` PLAN REVIEW Z POLICV NUMBER 1/f �� 7i-� ELECTRIC �'T Q � (i}iISSECiX7NNE�NOTBE00MRFfEDOFT1iEPEWMISPoRONEFdNDREDDOLIARS(5100)ORLESS} PLUMBING Z I CEq71FV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL (� SHALL NOT EMPLOY ANV PERSON IN ANV MANNER 50 AS TO BECAME SUBJECT TO THE �/j WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE ? SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR J� CODE.I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANC �V O � (0-}'�d SMIP p DATE: APPLICANT: �� / J WARNING:FAIIURE 70 SECURE WORKERS'COMPENSATION COVERAGE IS UNIAWFUL.AND SHALL BE ENERGY P/C � SU&IECTAN EMPLOVER TO CRIMINAL PENALTIESAND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLURS(5100.000),IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. TENTION FE ' / O OCONSTRUCTION LENDING AGENCY PRpyC/��`LT FEE: � 1 HEREBV AFFIRA/UNDER PENALTV OF PERJURY THATTHEflE IS ACONSTRUCTION LENDING AGENCV //�y r D D FOR THE PERWRAIANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.�. � Z W � LENDER'S NAME ' F- LENDER'SADDRESS � TOTAL FEES I��✓' O � I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE 7HAT THE ABOVE INFORMATION IS CORRECT. w I AGilEE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE UWS flEUTING TO BUILDING � CANSTRUCTION,ANDHEREBVAUTHORIZEREPRESEN TIVESOFTHISCOUNTYTOEN7EFUPON7HE � ABOVE�MEN710NED PROPEFTV FOR INSPECTION P R SES. Z COMMENTS o �� . _ ¢ PERMI7TEE NAME(PRINn w' ✓ � � fn \/ � SIGNATURE OF PERMITTEE DATE , = RECPT.NO. PAID B VALIDATION ~ WHITE—Department Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDEN OD—File Copy,GREEN—ApplicanYs Copy . ,i ` . :';; `C!OTV �� 0��0�� E$ .-. , 9I�S�[��f�� I�[��FB� . . � `Da�pCC�400a ' DG�C �,. Qa�pC��40p Oa�3pL��400{RJ DG�4G Oa�pCC�401� , SET BACK FLOOR JOIST' � FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID H'T. BOND BEAM • ROOF SHEATHING j�p )�_ Q � 8 FT. BOND BEAM • FRAMINGNENTILATION � � ' FINAL BOND BEAM ROOF COVER � _ PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER�T'UB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINA�ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID •. FINAL PLUMBING • ' � ENE'RfaY ' �Ju�o r COMMEfVTS �n�.�'�� 1� �S_ � � � SEPTIC TANK SIZE SEEP PIT/U SIZE a c� � ------------- � . _ , � . . . , , Prescri tive Certificate of Com liance: Residential Reroof CF-1 R-ALT-ReRoof Project Address: Climate one Permit# Zo Z .Czl v' Q,�� z�r � ROOFING PRODUCTS(COOL ROOFS)§159(�!2 - When the area of exterior roof surface to be repfaced exceeds 50%of the exisfiny roof area,or 1,000 ,whlchever is/ess,the new mofrng area must meet the roofing product"Cool RooP'requirements of§152(b}1Hi,i52(b)1Hi1,or 152(6)1N1i1. Check.applicabte altemative or exception below if the roof alterdtion is exempt from the roofing product"Cool RooP requirements:: ❑ Cool roafs rsot required in Climates Zones 1-12,14,and 16 with a low sloped roof pitch(less or 2:12 pitch). � Coot roofs no required in Ciimates Zones 1=9,and 16 with a steep-sloped roofs(gre�ter pitch than 2:�I2)and product weight less than 5/Ib/fi�. Altematives to§152{b)1 Hi and§152(b)Hii,Steep-slope roof{pifch>2:12J � ❑ Insulation with a thermal resistanoe of at least 0.85 hr�°FBtu or at teast a 3!4 inch airvspace is added to fhe roof deck over an attic;or ❑ F_xisting ducts in the attic are ins�lated and sealed according to§151(�10;or ' O In dtmate zones 10,tZ and 13,with 1 ft2 of free venUlation area of attic ventilation for every 150 ft2 of attic floor anea,and where at feast 30 percent of the free ventilation area is wiUvn 2 feet vertical distance of the roof ridge;or O" Bulding has at least R 30 ceiiing irisulatian;or O Buitding has radiant barrier in the atGc meeting the requirements of§151(fl2;or O Building has no ducts in the attic;or O In dimate zones 10,11,13 and 14,R-3 or greater rooi deck insulation above vented attic. ' Exception to§152(b)1Hiii,Low-slope roof(pitch<_2:12) ❑ Building has no ducts in the attia �I Other Exceptions , O Roofing area is covered by bu�lding integrated;photovoltaic panels and solar lhermal panels are exempt from the Cool Roof criteria. � O Roof constructions that have ihermal mass over the roof inembrane wtlh at least 25 ib/fl2 are exempt from the Cool Roof criteria. NOTE:If any one of fhe altematives or excepfion is checked fhe Aged Solar Reflecfance and Thermai Emittance requiramenfs for roofrng products in§1 i8(rJ are not applicable.Do not frll table below. I Roof S�ope Product Weigfit Pr�duct Aged Solar Thermal I CRRC Product ID Number' S 2:12 >2:12 < 51b/ftZ >_ Slblftz T eZ Reflectartce3'4 Emittance SRIS � � ❑ ❑4 � ❑ O ❑ �a Note:ff no CRRC-1 la6el is available,this compliance method cannot be used,use the Perfornrance Approach to show compliance, � 1.The CRRC Product ID Num6er can be obtarned from the Coo!Roof Raling Counci/�Rated Product Direcl at www.cooJ fs.o roducts/s arch. h ory roo a e o 0 2.lnd+cate the type of product is being used for the roof top,i.e.single piy rool,asphalt roof,metal roof,etc. " . If fhe Aged ReBectarrce is not avaUable in ihe Coo!Roof Ratirrg Council's Rated Product Di2dory then use the Initra!ReNectance vatue hvm the same directory and use the equation(0.2+0.T(p;,,�„—0.2)fo obtain a calcufated aged value. Where p is the lnftia!Solar Reflecta»ce. .Check box if the Aged ReAectance is a cafculated value using the equation above. ' ' 5.Calculate the SRl value by using the SR!-Woricsheet at httnJ/www.enerov.ca.00v/title24/and enter the resulting value in the SR!Column above and attach -� acopy of the SRl-Woricsheet to the C�iR. o apply Liquid Field Applied Coatings,the coating must be appiied across the entire roof surface and meet the dry mit thickness or coverag recommended by the coatings manufacturer and meet minimum perFormance requirements listed in§118(i)4. Select the applicable coating: ❑Aluminum-Pigmented Asphalt Roof Coating O Cement-Based Roof Coating ❑ Other NOTE: When a Cool Roof is required,the installing contractor shalf compfete and submit the CF-6R-EM/-0!for fina!inspection. Declaration Statement • I certify under penalty of pe�jury,under the laws of the State of Califomia,the information provided on this fortn is accurate and complete. • I ceAify that ihe energy features and performance specifications idenfified on this CeAifiple of Compliance contorm to the requiremen4s of Title 24,Parts 1 and 6 af the Califomia Code of R ulafions. Name: �� Signature: Company: O� /� � S �/(./� Date: O ,, `�` �.t�, Address:� � � � �� License: Ciry/State i • N � � � � � Phone: � � .. For assistance or quesfions regarding the Energy Standarafs,confact the Energy Hotline at;9-800-772-3300.