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Home My WebLink About13-428 ` T � �� _� 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 PRESS �'��', BUILDING PERMIT APPLICATION FIRMLY QJOBSITE �1Ca� C•� _��^ _�,�(� DATE CATION� )[ � NUMB R4 �_�� /C Q ADDRESSCl.JC� �h�tt� `i,.lLl�:� I 7 � ISSUE TYPE �(Ji�'�"4 OCC APN LQT TRACT DATE CONST. L GROUP p OWNER ' p ADDFESS ZONING SETBACKS z CITYOIS ZIP TEL FRONT RW ❑ � o APPLICANT TEL SIDE/SIDE STREEf HW O z ¢ CONTFAC O � ti �t a SIDE ❑ � ADD9ESS � CITY ZIP� � TELq PROPOSED USE Q �DOrv�, 1O� w ARCH/ENG/-- ' � , � iz DESIGNER < < NO.DWEL NO. w NO. a ADDRESS. SC 11 cn ,,. UNRS STORIES BEDROOMS � CITYcS� ZIP TE cn � ,, cn DESCAIPTION Sa.FT. FACTOFI PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADO/REM � O � I MEA�Y AFGWAI UNOEA 7ENALiY OF PEAIURY 7HA7 I AN E(EMVT FROM TME CONJRACTOiLS�J• Gaf�90/L•arpOrt W CENSEUWFOHh1EFOLLOWW6REASON(SEC7o]t.58U5WE55MIOPROFE5510NSCO0EANYd7YOR (n - U �p�rl7`/WHICTIREOUWESAPERMfTTOCONSTRUCi,AITEF�WVqOYE,0EAA0U5H.OPfiEPAIAANYSTAUG W . w 7UR�PFIOR TO RS ISSUANCE,AL50 REOUWES THE AP%JCANT FOR SUOi pER),11T TO FlLE A SIGNEO w PatiolDeck � STATE6IEHT THAT ME OR SHE 6 L1GEN9ED PULLSUAM TO TME PHOYLSIONS OF 7HE COMRAGTOR3 LL � � CENSE UW(CHAPTER G(L04NEN@!G WfTH SECTION 7000)OF UMSION�OF THE OUSWE55 ANO PR6 PooUSpa � FESSIONS COOk�OH THA7 HE OR SME 19 D(EAIPTTHEREFROM AND THE BA515 FOH iNEALLEGED E%EMP- C7 U TION..WY VId.ATICW OF SECTK7N 7o�t.5 BY ANY APPLIGVlT FOR APEHAl1T SUa1ECT5 THE AVPl1CMIT TO Z qe.Rool A CML PEN.LLT7 OF NOT IAORE TUN FNE MUNORED DOILAHS(�Soo�.X 0 ❑I.ASOYMERaFTHEPROPEHTY,OFYVEFIPIOYEESWfT}i-WAGESA9THEJRSOLECOHPENSATON, � COR1T0lCi21 � Z WILL DO THE WORI(M!O THE STRUGTURE LS NOT IMENOED OR OFFEHED FOfl SALE(SEG 70N,BU51- J � NE55 ANO OROFESSIONS COOE'THE CO'lTiUGTOiLS UCENSE Uw OOES NOT AP7lY TO AN OWNER OF j - PROPERTY NM1iO 9UI105 OR IAIPROVES TNEAEON,/�ND YMO OOES SVGl7 WOHK HW9pF OF HERSELF OR Q THROUGN WS Oq HEA OM?!EMPIOYEES,PHOVIOED THAT SUGI WVqOVEMEHTS AHE NOT IMENOED Oq m Q OFFERmWRS/�LEIF.FIOWEVERiMEBU1LOWCOHPA7flOVEMBfTI550LDWfTHWONEYEAfiOFCONGIE• Z T10N.TT1E OWNERANIDER VALL HAVE THE BUROEN OF PqOVWU 7W1T HE OR SHE DI�NOT 9V0.D OR � W PROVE FOq THE PURFOSE OF SILE} w QI,tiSOWNEAOFTHEPflOPERTY,AA/E](ClUSNELYCAMRACiW6WfT77lICENSEDCOHTRACiORS ' Q TO CANSTpUCT THE PR6IECT(SEG 7oa�,BUSINE55 ANO VROFESSIONS COOE TH£COHTRAGToqS�l. Valuatlan AQJ.AREA W GENSE lAW DOES NOTAPFLY TO AN OWNER OFA PH07EATY WFiO gU0_p,5 OH IMPqOVE9 iHEREON,I!W � wHocAHCilAci5FOR5UCJiPRalECTSYrtTIiACOMMCTOR(5�LICFNSEDpuASUANi70THECOM'RAG qUANT1TY DESCRIPTION FEE � TOiLS 110ENSE UW.� � ❑I M.1 EJfENVT UNOEA SEG B.i P.C.FOR THIS REASON Q x I ?� U � OA7E _ OYMER � ¢ � Q w F, LICENSED CONTRACTOFS OECIARATION w . � 1 HEREBY AFFlRM UNDER PHJ/�LTY OF VEFIAIRY THAT IMI UCF_NSED UNOEA PROVISIONS OF CYIAPTEH � � Y(COMMENqNO WfTH SEG710N i000)OF OM510N]OF THE BVSWE53 N1D PPOFE551pN5 pppE,�7Jp Z lV �LICENSE 19 W FVLL FORGE/✓�D EFFECi, C m � UCENSE CLA55 LIC.NO. •J � V OATEI`'� �� COIdrRACTO � d W � � WORKEAS'COMPENSATION DECIARATION a . � N1 HFAEBY AFFIAM VNDER PENAL7Y OF VE0.IUFY ONE OF TNE FOLLOWING OECI,AAATqNS: Z Q � _IHAVEANOWILLMNHTAWACEATIFIGTEOFCANSENTTOSELHNSUqEFORWORKFA.4 = '� COMFENSATlON,/5 PROVIO�BY SECTION]IOa OF THE UBOR RtD�FOR THE PERFOAAfANGE `U Q ` OF TNE WOPo(FORYMItli THL4 PFAAtlT IS ISSUEp. � . W I HAVE ANO WILL MARfTAPI WORKFAS GOMVENSAT70H MSUqANC�AS HEOIfIRED BY SECf101J �^ � Q 7700 OF TiE IABOR COOE.FOH THE 7EAFOHMAMCE OF THE WOPo(Pofl WMO/7}IIS VEAMIT IS � f55Um.IAY WOAlCERS'004PE}lSATON INSURANG£GRRIFA M1�.iC/NUMBER ARE CONS7AUCTION � � > �EAEV�R� t��►c�J�t�� P�,�� o - � o«�� l:� .,_ i z �3 �crwc o m+ssEcnn+r�wreE�r�cFn�aw..�sFa+«+e�+xaa�mu�a,�oa�sst PLUMBING 9 z I CEHTIFY i}IAT PI T1E 7EHFOWJANCE OF THE'WpW(Fpq W WQI 7FII5 pERMR IS ISSUED,1 MECHANICAL �— L,'J SHALLNOT QAPIOY INY VEASOH P!ANY MMYIER 50AS TO BECOME SllBJECf TO THE (/) WOFKERS COMPENSATpN UWS aF I D AOAEE iHA71F I SNOUID BECOME INSPECTION FEE . SU6JEGTTOh1EWOFKER5COMPENS OV ns SEC71oN7laooF7T7EUBOH � caoE i siuLL rormman�couv�r E aao �o ISSUANCE � � � O �,� p DATE:�� APPLICAN7: � SMIP W J WARMN6:FNLLIRE TO SEdJqE YYORNEAS ION COVERAGE IS VM/�WFUL AND SVLL 8E ENERGY P/C �y, SUBJEC7ANEA1PlovERTOCAIMWI�LGENALTI f�FWESUPTooNEHUNOREDh1ol1SI11D , . OOLLAiiS(S10o.o00�Pi IDOfM1N TO7HE COST aEns�noH.oMuc�.s tis vAwmEo wa w � EIJERGY PEAMIT J SECTION 770!OF 7HE LABOfi COOE VlTERES�AND ATTORNEYS FEES . ¢ flEfEMION FEE: O CONSTRUCTION LENDING AGENCY p _q T� . . O RE L � � I HEAEBY AFFlNN UNOER PENKTY OF PERJURY THAT THERE 19 ACONSTAUCTION LENOW(3 AGENCY /�'f r'r Z FOH THE PFAF-0Ai�OF hiE WOFK FOH W/1ICS/h119 PERMR 19 LSA/ED(SEC]o9T,QV.C} W ' � LENDEH'S rV/AE , � LENDEA'SAOORE55 / �✓ wieexr�rnuTiw�veae,�nnus,�rvuc�nor��wosr�renuTn�e�sovewwawna+�scorweer. TOTAL FEES �l OD •L�J � IA6REETOCOMPIYWITHALLClIY1N000UNTYOPOWANCESINOSTATEUWSFELATW6TOBURDINO - �, CONSTRUCTION,ANU HEP�Y AUfHORIZE REPRE5617A7NE5 OF iH6 COUNT'/TO ENfER UPON THE - Z �eovE-uort�orrEo vaav wa wsvecnor+v�aaoses COMMENTS � J �� m PERAUrfEENAME(PflIHT7 � I` � � SICNA7VqEOFPEAeAfI7EE DATE � HECP7.NO. � PAID BY VAIIDATI � WH ent Capy.YELLOW--Finanee Copy.PINK—Assassor Copy.GOLDENROD—Fle Copy.GREE7J—ApplkanCs Copy . �9 �ir �� ,�i1�� CS�.a � � ��a�;•��G`��'t3 �a��.��''u� ,gy-,;7^� ..a �`-" ,tp,.�5'�.ti.y, �s-,ag' r --N.,o� �,�;�n^� .,a�;;�:�-`.'_"'�` �-:-�-.'-�'�—Z.�.;.,j•c3' J T�.-- �` "4 p, ' µ � � � '°� � ca i��Y�' ,� aT�`'� � � �Sf��d�" ��"��, ��y� .i,5. v-� „u�E:`��.,, j o � .:. ,�m pr ��: t t ,- 4� Es�. � : �,�- � t�� i��a,a �'�F� t �� ,�,� ��4 i.�r ��,� i��;�'��-; r�.3�i',�� .�'�,i"< �� a•`�.: _��.,r_.��_��._._i�._;... �:+�{.�E-„"',��.'�.-�1="u�_,.u��_�+` ti� . `+-.h'�..� .;`.�='�y.,'g-z-yt-"rt_ T i_ �✓"��4�,.r,�Y�i ^-*�� 1E� B,-�CK rL00RJCIST — ---- I I _ �- ------ --- -----�- _--- - - -- ------ -----------� - --- ---- -------- -- - FT;;'�;'�J�iv15i:TEEL - — ---i ------ -- � t=HP,REQfvITS ------ �---- --- -----..---- ----- ELEC`.1"RIC�aRC:U�an -- � --' -----� IJNDER FlUOR Ol1C? ---.— -------.-- --- — � — ------ GRCUi?D FLU�_�12ihJ� _ -- .— � ----�---- —� Ut•IDER FLOOn�ONOUIT —�--- — SLA9 GR;DE i _� FIR�E FQUp;GAT1UPd �fENiP PO'+�IER I �FIP,EFLACE BCfvD BE:;h-1 —�— V!ATtR�ERVICE _ I I F:11D HT.BOP�ID BEAN9 ROOF SHEATHIhaG � 3�T.BO�dD BEP.NI ' FRA.�V11fdG!VEP�ITILATION _� _ _ ____ FINAL BQND BcP.r41_ _ __ ROOF COVER � PFE- RADING ROUGH HEATING —�-- BEPJCI�Ih�G _ _ FOUGH cLECTRIC � � �ROUGH GF�;DIN('i ROUGH FLUP�161P�G FINISH GRADING SH04`,'ER/TUBTEST � PGOL ELECTRIC EXT.LATH;SIDING POOL FEPJCINv 4VALL INSUlATIOPd FOOL Flf�lAL CEILI�JG I�dSULATIO�J CfF SITE IMFS. GRY�/ALL�lAILING i DEDICA,TIONS SE�+;ER ------- - — ---- FINAL ENG---- -- SEPIIC TANI': LANDSCAPEiIRRIG SEEP PIT;'L.L. ON SIT�Iib1PS. i GAS AIRTEST FINAL ZO�dING FINAL C�JNST. • FIRE DEPT.FIP•lAL FINAL HEATI�IG HEP,LTH DEPT.FINAL FIP�IAL ELECTRIC ' DEV.FEES PAID FINP,L PLUN181NG ENERGY fINAL PLANING ___ _�__ _ __ FIN�.L ENGINEERIP•!G_ ` I � __` __ _ _ � • �� COiVIMENTS —.---.- --.----.-. -- — — -- — ---- ; - ---- -- — SEPTIC TANK SIZE SEEP PIT/U SIZE V " - -- �� • * , III INSTALLATION CERTIFICATE CFfiR-L1'G-01 Residential Li htin Pa e 1 of 3 Site Addrcss: Enforcement Agency: Pcrmit Number: ]. Kitchen Lighting Docs ro�ect includc kitchcn li htin 7 ❑Yes,com Iete section I No, o on to section 2 ❑Yes 150 k 3: e wat• c of rmanentl installed luminaires li tin fixhues has becn determined as s cified b 130 d). ❑Yes ❑No §150(k)3:In the kitchen,are lhere electrical boxes finished��th a blank cover or where no elechical equipment has been installeei,and where the electrical box can be used for a luminaire or a surface mounted ceilin fan7 If es,the followin row must also be Gs: ❑Yes ❑NA Watt e has bccn calculated as 180 watts of low eFfica li htin r blank ciccVi�l box. §150(k)8 Kitcheo Lighting must comply with either method(a),(b),or(c)bclow: (a)All 6igh efficacy luminaires � Yes,com lies because onl hi h cffica luminaires have bcen installed in the kitchen. ❑ No com lies with method or c. (b)>_50%watts used by high efficacy luminaires ❑ Yes,complies because aY least 50%oPthe installed watts are from permanently installed high efficacy luminaires as dcmonstrated in the table bclow:Total A_>Total B. , ❑ No com lies with method a or(c. Fill out the following table iPcomplying with either method(b)or(c). Table � Efficacy Luminaire T e Hi h Low Watts x uanti = Hi h Gfficac Waris or Low Efficac Watts ❑ ❑ x = or � o X = or � ❑ x = or ❑ ❑ X = or ❑ ❑ X = o� Complies with method(b)if A>S Total: A: > B: i (c)Additional Kitchen Low Efficacy Lighting ❑ Yes,complies because the kitchen lighting qualifies for addilional low efficacy lighting � and es demonstrated in table in b above and the table in c below that A+C >B ❑ No,oom lies with method a or b. i Additional kitchen low efficac li htin is available onl if all of the followin are true: ❑ Yes. All low efl"icacy luminaires in the kitchen are controlled by a vacancy sensor Dimmer ener man ment control s stem EMCS or a multi-scene ro mable control stem. ❑ Yes. Pertnanently installed luminaires in garages laundry rooms closets greater than 70 square feet and utility rooms are high efficacy luminaires AND are controlled by a vacancy sensor. � , j Table c i Use 50 W for dwelling units<2,Sd0 ft From the Table in b Use 100 W for dwellin units>2,500 ft2 Add Yes1No'? A B C A+C Is A+C >B? 2.Lighting Internal to Cabinets Does ro'ect includes li htin internal to cabinets? ❑Yes com lete uction 2 No 0 on to section 3 ❑Yes l50 9:Permanentl stalled li htin intemal to cabinets uses<20 watts of wer r linear foot of illuminated cabinet. 2008 Residential Compliance Forms August 2009 . • . � INSTALLATION CERTIFICATE CFfiR-LTG-Ol Residential Li htin a e 2 of 3 Site Address: Enforcement Agency: Permit Number. 3.lnstalled Devices and Components IIave Bcen Ccrtified to the Encrgy Commission Dces thc ro'ect includc un of the deviccs or com nenlc listed below7 Ycs,com lete section 3 ❑No, o on to section 4 Y�-� ,119 ctnd�150(k)7(F):Any of the following devices and componcnts which have been installul have been ccrtified to thc Energy Commission according to thr,applicxbic provisions of Q I 19:All LF..D lighting systems that are cla_csifted as high cfficacy,ballasts uscd in recessed luminaires, vacanc sensors automatic o(T/manual on occu ant sensors,dimmers track li htin inte al current limiters and outdoor motion scnsors. 4.Li htin Controls Com lete section 4 Ycs ❑ NA Q 150(k)7A:Pertnancntly installed low cflicacy luminaires arc contrnllcd by switchcs scparate from those conhvlling high cfficncy luminuires. ❑ Yes C�f NA §150(k)7E3:Gxhaust fans with integral lighting systems are switched separntely from lighting syslems,OR havc a lighting system that can be manually tumed on and off while allowing thc fan to continue to operatc for an cxtended period of time. � Yes ❑ NA §150(k)7C:All permanently installed luminaires are switchcd with rcadily accessiblc amtmis that permit thc luminaires to bc manually switched on and off. � Yes ❑ NA §150(k)7D:All lighting controls 6ave been installed in accordance with the manufacturer's instructions. � Yes ❑ NA §I50(k)7E:All lighting circ:uits Ihat are conh-olled by more than one switch,where a dimmer or vacancy sensor has been installed to comply with§150(k),no controls bypass thc dimmer or vacancy sensor functions. S.Luminaires(Lighting Fixtures) Dces tFn: ro'ect include the installalion of an luminaires indoor or ouldoor? �Yes,complete section 5 ❑No,go on to sectian 6 [�Yes,high efficacy luminairc classification has been determined according to§150(k)I,and low eflicacy luminairc classification has becn detcrmined accordingto�I50(k)2. Yes ❑ NA §150(k}4:Fluorescent lamps rated 13 watts or greater hnvc an clectronic ballasts having an output frequency no less than 20 kllz. ❑ Yes NA §I50(k)5:Permanently installed night lights,and night lights integral to permanentty ins[allcd luminaires or exhaust fans, contain'only high effic:acy lamps.mecting the minimum cfTicacies containcd in Table 15aC nnd do not contnin a line-voltage socket or line voltegc lamp holder,OR the night light is rated to consume no more than 5 waUs of power and dces not contain a medium screw-base sockct. ❑ Ycs NA §150(k)6: Lighting integral to cachaust fans,in rooms other than kitchens,meet the applicable requiremenu of�150(k). . ❑ Yes f�i( NA Any electrical box finished with a blank cover or where no elech-ical equipment has been installcd,and wherc the electrical box can be used for a luminaire or a surfacc mounted ccili�g fan,has bcen trentcd as low cfficacy(uminaires for compliancc with§150(k). Does the ro'ect include an luminaires that are recessed into insulated ceilin s? Yes,complete the rest of section 5 ❑No,go on to section 6 Yes,$I50(k)l2: Luminaires that are recessed into insulaied ceilings meet all ofthe following conditions: I ❑ Yes,are listed,as defined in§101,for zero clearance insulation cuntnct(IC)by UL or other nationally recognized tcsting/rating laboratory,and ❑ Yes,have labels that certify thc lumiaaires are airtight wich air leakage less than 2.0 CFM at 75 Puscals when lested in accordance with ASTM E283(Exhaust fan housings are not required ro be a;rtified airtight),and ❑ Yes,are sealed with a gasket or caulk bet�vecn luminaire housings and the ceiling and all air leak paths t�tween conditioned and -. unconditioned spaces have been sealcd with e ga�ket or caulk.(including all exhaust fan housings),and ❑ Yes,allows ballast maintenance and replacement[o be readily accessible to building occupants from below the ceiling without requiring the cutting of holes in the ceiling. 6.Indoor Lighting(any indoor room that is not a kitchen) Does the ro'ect include rtnanentl inslalled luminaires in an room that is not a kitchen? Yes,complete section 6 ❑No,go on to secfion 7 � Yes ❑ NA §I50(k)10:Pertnanently insfalled luminaires in bathrooms,garages,laundry rooms,closets>70 ft,and utility rooms are high etTica luminaires OR'are controlled by a vacancy sensor. � Yes ❑ NA §150(k)1 I:Permnnently instfilled luminaires locnted in rooms or areas other than in kitchens,bathrooms,garages,laundry rooms,closets,and utility rooms are high efficacy luminaires,OR are controlled by a dimmer switch OR aze controlled by a vacancy sensor. 2008 Residential Compliance Forms August 2009 . , - � , INSTALLATION CERTITiCATE CF-6R-LTG-Ol Residential Li htin a e 3 of 3 Site Address: Eoforcement Ageocy: Permit Number. 7.Outdoor Lighting � Does the ro'ect include an ermanenti installed outdoor li htin 7 ❑Yes,complete section 7 No,go on to section 8 ❑ Yes ❑ NA. §I50(k)13:Lwninaires providing outdoor lighting,including outdoor lighting for private patios on low-rise rasidential buildings with four or more dwelling units,entrances,balconies,and porches,and which are permanently mounted to a residenrial building or to other buildings on the same lot are high efficacy luminaims OR are controlled by a manual on/off switch,plus a , mvtion sensvr not having an override or bypass switch that disabies the mo[ion sensor,plus one of the following three additional control methods: a. A photocontrol that dces not have an ovemde or bypass switch that disables the photocontrol;or b. An astronomical time clock not having an override or bypass switc6 that disables the aslnonomical time clock; or c. Energy management controls systems(EMCS)not having an ovemde or bypass switch thutallows the ' luminaire to be alwa s oa � ❑ Yes ❑ NA Exception 2: Low efficacy outdoor luminaires used to comply with Exception 1 to§150(k)13 are controlled by an override switch which temporarily bypasses the motion sensing function,and the motion sensor is automatically reactivated within six hours.The luminaire is c�ntrolled by x photocontrol,astronomical time clock,or EMCS as required by Exception 1[o §150(k)13. ' ❑ Yes � NA Ezcep[ion 3: There are permanently installed luminaires in or around swimming pools,water features,or other locaYions subject to Article 680 of the Califomia Elec[ric Code which do not need to be high efficacy luminaires. ❑ Yes O NA §I50(k)14: Intemally illuminated address signs comply with§148,OR do not contain a screw-base socket and consume no more than 5 wntts of power cis determined according to§130(c�. ❑Yes ❑NA §150(k)15 Lighting for pazking lots and carports with a total of 8 or more vehicles per site have Gghting that complies with §130,132,134, and 147.Lighting for parking garages for 8 or more vehicles comply with§130,131,134,and 146. Ifycs,the Nonresidential compliance forms must be submilled 8.Common areas of low-rise residential buildings Does the ro'ect include the insrallation of an luminaires in common areas of low-rise residential buildin s? ❑Yes,complete section 8 No,go on to section 9 ❑ Yes,§150(k)16: Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more dwclling units shall be high cfficacy lucninaires OR arc controllcd by occupant sensor(s)certificd to comply with§119(d). � DECLARATION STATEMENT • I certify under penalty of perjury,under the]aws of the State of California,the information provided on this form is true end correct • I am eligible under Division 3 of thc Busincss and Professions Code to acc�;pt responsibility for construction,or an authorized representative of tha perso�responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this ccitificate(the installaiion)conforms to all applicable codes and regulations,and the installaHon is consistent with the plans and specificarions approved by the euforcement agcncy. • I reviewed a copy of the Certificaie of Compliance(CF-1R)form approved by the enforcement agency tUat identifies the specific requiremenls for the installation. I ceriify that lhe requirements detailed on the CF-IR that apply to the installalion have been meL • I will ensure that a coropleted,signed copy of this Installallon Certificate shall be posted,or made available with t6e building permit(s)issued for the building,and made available to the enforcement agency for all appllcable iospections. I undetstand that a signed copy of this Installation Certificate is required to be includcd with the dceumentafion t6e builder provides to the building owner.st occupancy. ��m��Q��C��orBuilder/O \ � Res�Perso e: Res e e ns naWre: C B L'cea�se: D�e�i :`1� Pos' ith Com itle): v 2008 Residential Compliance Forms August 2009