HomeMy WebLinkAbout14-4802 ' �,�,'�i4i� CITY OE DIAMOND BAR
I � � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
, ,�llll�r: 21810 Copley Drivc,Diamond Bar,CA 91765 PRESS
�� ��� � ) g pection Hotline(909)839-7027
;���ry„ r,,,,� (909 839-7020 Fax:(909)861-3117 Buildin Ins � FIRMLY
"'�"°�_ BUILDINGPERMITAPPLICATION
w JOB SITE ADDRESS �/' " � /�nV�� • APPLICATION DATE: l � P/C# P� � - 4�0
z APN LOT TRACT ISSUE DATE: J���� VW��7 PERMITi� `Z� "7
o OWNER A/ TYPE CONST. OCC GROUP:
w
� ADDRESS
y CITY IP TEL U • . S ZONWG F ONT KS RW ❑
� APPLICANT �TEL. REAR ❑
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v� SIDE/SIDE STREET RW ❑
o CONTRACTOR �� SIDE
❑
4� ADDRE PROPOSED USE
¢ CITY �I'�/� ZIP?��TEL. ' � • L'
o ARCH/ENG/DESIGNER �
w
o ADDRESS
N DWEL.UNITS #STORIES k BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNER-BUILDER DECLAAATION
o I hereby amrm under penalty o(perjury that I am erzempl hom the Contrac[or's State License Law Iw the reawn(s) SFR/ADD/REM
p indicated below by the checkmark(s�,I have ptxed next to the applicable ilem(s)[Sectlon 70315,Business an0 Gerage/Carport
o Professlons Code:Any city or county ihat requlres a permit to consWct,afler,improve,demolisA,or reDair,any
� z strucWre,pdor to ils issuanc&also reqWres lhe applicant Mr the permit to file a signed statement that he or she � Patio/Deck
a is Iicensed pursuant to the prodsions ot ihe Contractor's State License Law(Chapter 9)Commencing with Secifon W
i � 7000 of DiHsion 3 of the Business and Prolessions Code]or ihat he a she is exempt from Ikensure antl tlie basis fw uw- Pool/Spa
� the alleged exemption.My violation ol Section 7031.5 by any applicant 1or a permit suDjecfs the applicant to a civil penalty C7
� ot rrot more ihan frve huntlred dollars(5500). Z Re-Roof
�
o (,�I,as owner of the property,a my emptoyees with wages as their sole compensallo�,wlll Uo(,all of a(,�porlio� � Commercial
� of the work,arM ttie structure fs not intended w oflered for sale(Section 7044,Business and Prolessions Code:The �
� Contractnrs'State License Law Ooes not appty to an owner of property who,ihrough employees'or personal ettort,builds m
u�7 a improves the property,provided that the improvoments are not intended or offeretl tor sale.If howaver,�he building or
� improvement is sold within one year of completlon,Ne Owner-Bullaer will have�he burden oi provinq ihat it was not buitt
p w Imprmed for ihe puryose of sale.).
V I,as OWn¢r 01 Ne ro
F U P GertY�am ezdusively contractlng with licensetl Contractors to construct the project(Section
0 7044,Business an0 Professions Code:The Controdors'State Ucense Law does not appty to an awner ol property who Valuation: Adj.Area:
� builds or improves ihereon,antl who contrxfs fm the pro�ects with a licensed Contracta pursuant to the Comracrors'Stale QUANTITY DESCRIPTION FEE
� Y License Law.). � N
o (,)I am exempt hom Ilcensure under the ConUaclur's State L)cense law lor the tollowing reasort(s): �
3 � -
"—' By my signature betow I acknowled e ttiat,ex t for m
g cep y personal reslde�e in which I must have resiAetl fw at least me �i
o year prlor to cmnpletlon ot Ihe imprmements covered by this permit,l cannot legalty sell a sWCNre that I have built as an w
� owner-builtler if it has rwt been consWcted in lis entirety by licensed contractors.I untlerstand mat a copy otme applicable
� law,Section 7044 of the Business and Professlons Code is available upon request when this applfcation is su6mltted a at
X the following Web site:httpl�wnv.�eginfo.ca.gav/calaw.htrnl. Z
W DATE: SIGN: �
� LICENSED CONTqACTOH'S DECLARATION �
a
� I hereby affirm under penalty of peryury that I am licensed under provisions of Chapter 9�commenci�with Secfipn 7000)
w
m ol Division 3 ot the Business antl%fessions Code,and my license is in�ull lorce nd eflect J
� p��
�
u, uc�se c uc. e,�'"� _
oZ DATE: CONTRACTOR: � x
¢ WORKEN'S COMPEN ON UECIARATION g
� I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
oI have antl wlu malntain a Certmcate ot Consenl to Sen-Insure tor Worker's Compensa6on,as providae hy CONSTRUCTION: � �7 e 2 7
� Section 3700 0l the Labor Code,tor Ne pertamance of the work fw whlch this permit is issued. �
PLAN REVIEW: �"l. 3
> I have and wdl mainfain Waker's Compensation Insurance,as required by Section 3700 0l the Labor Code,la �
Z the peAormance of Ne wmk tor which this permit is ued.My Worker's Compensatlon Insurance Carrier and ELECTRIC:
a FdicyNumberare: y�-� A PWMBING:
� CARRIER �� V MECHANICAL:
� POLICY NUMBER
INSPECTION FEE:
N (T}OS SECfION NEED NOT BE fF'f}¢ R IS FOR ONE h91NDRED DOLLMS($t 011j OR LESS).
� ISSUANCE: '�/.��7/
o I certi(y ihat m the performarice d the vmrk la which Ihis permit is tssueQ I skill rot empby any person fn a�ry maru�er sp as to SM I P: r ,
o become su the Workers Con�persatian Laws ilomia.Md agre�hat If I sho be me subject in the Worker's ,��
� Compeiva r ot Sectiai 3700 ol the laba �oithv+"� mPry ' se t�s ENERGY P/C:
"- �A�' ���' ENERGY PERMIT:
� WARNING.Failur to secure Worker's Comper�sa� c erage is unlawlul,and shall subject an emptoyer ro criminal �,an
w penattles and ,il lines up to one hundred th dollars(§t00,000),in atltlioon to the cost of the compensation, REfENTION FEE:
o damages as provided tor in section 3708 of the code,interest,and anwney's tees. PRE-ALT FEE:
a CDNSTRUCTION LENDING AGENCY BSAF: ,/M
w I hereby aKrm under penalty of perjury thal there is a ConsUuction Lending Agency for the peAornwnce of the work fw �
� which ihis permit Is Issued(Sec.3097,Gv.C.). .
F- LENDER'S NAME
� LENDFR'SADDRESS:
a I certi that I have read mis TOTAL FEES ����
fy application and state that the above intormation is conect.I agree N wmpty wRh all city and ��• 3�
� county wdinances and sfate laws relating to buildirq7 construcGon,anU heBby authorize representatives of this county to COMMENTS:
Z �
o enter apon the above-mentianed pro in ection purposes�
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�
m
¢ PERMfTTEE W1ME(PRINn ��C a\�}.�I('� ���1pp ��
N
� SIGNATURE OF PERMITTEE DATE RECEIPT#���/ ,� PAID BY: ✓ VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy
CITY OF DIAMOND BAR � .
INSPECTION RECORD � '
s � . � • - • � � • '
'SET�AGK/,LETTER ,;';' ., �`i r ";'s; ' ' , ,:� � ,= TRACTANDIEDGER
FOOTINGS FORMS . :',�:., . , �={ . = � '( � ' ,,z5'' , �_ .+;; SWITCH GEAR
�g�qg ;: , ' ' � ; _�_ �� COMMERCIAL HOOD
`.UG.PCUMBING`-, = v.. - _: T-BAR
UG.EIECTRIGAL, - - � ; , � ;�, = INTERCEPTER
UFER GROUND> '� � '< - HOT MOP/SHOWERPAN
-�;. r
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
. _ _ : - -
SWEAR WACtS EXTER(OR_� __ �•' fP00USPA;:: `� "r r
SHEARWALLS.INTERIOR,i;; ` ? `�,, , �'; '' t_ - `ROUGH PLUMBING .�, ` � r`, `%
PRAMINGNENTIN6 ��_ '`�- '' `� �'. � �� �'�� �RQUGH ELECTRICAL�; '' ' _ k � ' � ��'
ROU6H MECHANICAL 7';-E� ' t.` k� r Y� ;�.' L�� � ROUGH'MEGHANICAL`"� ' 9 r .�- y w��� : r ` �`
ROUGIi ELECTRICAL'�W(�;)C�I ) ; ` : , "" � s ', GAS TEST =�;�.�'' � � ` � `'` � r �' � �
.� -;; + § �..,s ,.;� ` ; j 2i� a '� i �tu
�� �� �,r �� � �� +�
ROUGH PLUMBING *�s�::k:,� : � .� _ ' .�r,_ <' ��:> . "'� POOL PRE��DECK BO � � �
,_ _ RE GUNITE �'NDING ..�. .. �` �� �' � `�
INSULATION WALL - `' `` �
�:...: � -i V
INSULATION CEILING P-THAP :;', ' ` f �� �t �,`
DRYWALL FENCE'/GATE/ALARM, , _'' '� �� ' : ,
LATH(PR� FINAL FOOL r - =' � r '� �
IATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1sT� �2r+o� ����J
SCRATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALI FINAL
SPECIAL INSPECTION RO FRAMING"PLANt�pNGFIPPROVAL - y ` ��'
FINAL'BUILDING = y ` ROUGH�FIREAPP,'ROVAL ' � �� '
s ' F � Y
FINAL�MECHANICAL � � �` � . �, �FINAL FIRE DEPARTMENT � � �� '�' � r-�
'' FINAL P.LANN1Nf F � � � � r
'EINAL�ELECTRICAL �� ��� Q r � � a:�� �' :r � . � `�. '
' 1' ' ::,; :. ��'�" �� ,;� a E rr ?, FINAL EN6lNEERIN�I `' �. � ,- �
FINAL,PLUMBING , �;> �; .._: PW . a �'�
�,
T.C.of OCCUBANCY - ;;�� - �. FINAL'COMMUNITY SERVICES >} �
�
CERT.'.of OCCUPANCY ;�.,, . - rv ' - FINAL.HEI4LTH DEPT ;: :- � ' .
' �` .. ,. . � .. .. ..: , , �
r. FINAL;INDUS7RIAL-WASTE.>-. -- �
. !'n i
� r L L A..
COMMENTS:
` . . - , ' i
MOBILE CONNECTOR - NEMA 14-50 � � �
. INSTALLATION GUIDE � ,
To take fuil advantage of your Tesla Mobile Connector, work with
- � an electrician to install a NEMA i4-50 outlet where you plan to park
your Model S.
- To ensure uninterrupted charging at full power, the circuit.breaker
shouid be rated for 50 amps. � �
",::: ,. '-�.
' You'll find that charging your car is a lot like piugging in your cell
phone. For the best experience, we recommend plugging in each
� evening, or when convenient.
�
...... .............._.....,................. ...:.. ........................... ......... ............ ._,............. ............... ...._ ......... .................._.................... .....
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� ' Y �t:i� 1 11�.4t;C
DETAILS �T°�� �1'�
,
1 ��°� �:�r��` V _i4
� . � yk., „tr"' ��:;�;N
• Voltage: Single phase, 208-250 volt AC supply, 60 hertz , ; w=_
�; , , ��
� • Current: 50 amp circuit breaker/40 amp continuous draw � � f 2�� � '�-:
��'
� � � � �
• Code: Circuit instaNation should_meet National Electric Code S �. s -°` ,i3
,�.. ,�r;
(NEC) wire and.breaker ratings. In general, this means 6 AWG �`> `
' wire for installations under 100 feet �
.3iE
' •�Ground Fault Circuit Interrupter(GFCI): Not required �' r,, + `��
.��
• Service disconnect: Not required
• Outlet: Install within 15 feet of driver side taillight (vehicle is -�-�--� ----�----��----•-- - �-�-w---�•�
over 16.feet long) and minimum 18 inches above the ground NEMA 14-50, Ground on Top
� Image to scale (�2.25"diameter)
_... ............ ......... ...._. . . ......... .. . .. ... .......... .... ................ ............... ........................ ....._.. ..... .........._....
RECOMMENDED OUTLET LOCATIONS
� �.
One ar two vehicle garage Three vehicle garage
� �:� __�.. -- ,a;+ �
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' Need help sourcfng an electrician,or have questions about home charging installation?
Email Tesla al:CharginglnstallationUteslamotors.com or 1-877-798-3752
.. ���� ���� ����������� ���������
PROJECT ADDRE55' `'- � � : '� � - �t :f ��. �;< {: ' .
! f S"
r••' 'y.' -f�
. . , . . :. .�Y. .`:.�: ` `T' .�:�.� - .7:Lor._ ��'_1_.. ��......._���..ir�, .r-�:..� ..i. - .t'}�`Y...s�..._i._....�._.i'i.. _� r....4'
. . .... ._ . � . . ._lr,.. .. .�.� Y •1...�_ ._.. . . -c. .�. . . ( - ._ .
� � �- 3 3 ��� . �Z.� ��� ����..� � u . - f� �d�� .
GENERAL LIGHTING LOAD Your home's square footage: �--�,. ��� X 3 VA = % y� y��
ISmall appliance branch circuits(2 min.) 1500 VA X � circuits ,:j��jp
Laundry circuit 1500 VA X / circuit(s) /,S"U L7
�
IAPPLICAfVCES AND EQUIPMEPVT-Values are minimums,use actual values if known to be greater. Enter N/A if not
present at project site.
� Microwave(in dedicated space) 1300 f�.c:�0
Compactor 1000
Dishwasher 1200 %dLDc=�
Disposal 800 �('7 O
Proposed EVSE circuit 72� ,lo(J�
Pool/Spa Pump 1 horsepower 1920 �
Pool/Spa Pump 1.Shorsepower - 2400
Pool/Spa Pump 2 horsepower 2880
J u. " c�J z..'� i� � �'C��
� ,
. *Attach additional sheets if needed
� 5ubtotat{A) 3 l�,: 5 UC`j
Subtota)(A)minus 10,000 VA �2(��,5(>� X 0.40= /� (,���
' pJus J 0,000
Subtotal(B) " � , (�,U c�
Total A/C Load,use nameplate rating or A/C circuit breaker rating(C) /�.�', yv C�
D=(B)+(c) �3s_c� D� '
Total demand is D/240V= ��/.�i �3 Amps. If this value is less than the rating of the existing electrical service
or subpanel NO service or subpanel upgrade is necessary. If the value is greater,an EVSE permit may only be issued if a
panel upgrade is included with the work;a subpanel upgrade requires a plan submittal.
PLAN:CHECKER•NOTES � �'- - :, : _ c - ,,. _ ��'�: `. .
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FORM 66-114 REV 06/11
PAGE 2 of 2
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