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HomeMy WebLinkAboutPR 2010-146 (2)a O DL11(01DD HAS �R� CITY OF DIAMOND BAR ver' DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES R-1 ""' ''k' 21825 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOBSITE A L ADDRESS ✓� / �/✓i � �T APN L T TRACT OWNER ! ADDRESS 4p, 3:3 CITY' ZIP TELeO APPLICANT7;4ZyTEL. CONTRACTOR C JC CITRIC cy'lM.,P-41 42L CITY ZIP TEL, 9004 ARCFVENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REWIRES A PERMIT TO CONSTRUCT. ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUG TUBE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER 0 (COMMENCING WITH SECTION 7000) OF OIVISK)N 3 OF THE BUSINESS AND PPO- FESSIONS CAGE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($600).)- 01, $500).):DI, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION. WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER. THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). 0 I. AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS ONTRAOTORS LICENSE LAW.). 0 1 AM EXEMPT UNDER SEC. B. 1 P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT, LICENSE CLASS EFy -74-LIC, NO. DATE /L ;2-6- CONTRACTOR RS WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: _ I HAVE AND WILL' MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE THE WORN FOR WHICH THIS PERMIT IS ISSUED, I HAVE .WORK MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' -COMPENSATION INS�{jf NCE CARRIER AND PBW POLICY NU WRARE: CARRIER cII _4 LLIi�4, R/ - POLICY NUMBER y9 (THLS SECTION NEED NOT BE COMPLETED OF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($I OD) OR LES% I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. 1 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROM IONS OF SECTION 3700 OF THE LABOR CODE.1 SHALL FORTHWITH COMPLY WITH THOSE VISIONS DATE: 1APPLICANT: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3701 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY 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 LENDERS ADDRESS I CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE.MENTIONED PROPERTY FOR INSPECTION PURPOSES. PERMITTEE (PRINT) 2- S- SIGNWTL43E OF PE MI EE DATE PRESS FIRMLY APPLICATION PERMIT P/C DATENUMBER II4i # ISSUE TYPE OCC a las DATE 1111. CONST. GROUP ZONING SETBACKS FRONT RW REAR ❑ SIDE/SIDE STREET RW p SIDE O PROPOSED USE NO. DWEL. NO. NO. UNITS _ STORIES BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM U) Garage/Carpon WPatio/Dock lL 0 PooUSpa Z Re -Root 0 Commercial m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE ccU H U W J W 0 Z m Q X U W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL SA} QO INSPECTION FEE ISSUANCE Up SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE: py PRE -ALT FEE: TOTAL FEES COMMENTS RECPT. NO. d 3 PAID BY VALIDATION WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD 1 aa�p�c��ooa o� k coa 4 oa�p�caoa : o` .KA o: SETBACK 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 HT. BOND BEAM , ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING scG' b HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY COMMENTS'y SEPTIC TANK SIZE SEEP PIT/U SIZE a 111FOULIMIAi7i1i�. Building & Safety Division 21825 Copley Dr. Diamond Bar, CA 91 765 'Property Owner: DYER,WILLIE C AND (Contractor: American Residential Services j Permit #: PR20100000146 _ Date Issued: February 25, 2010 ! Job Address: 633 MOUNT ST DIAMOND 3AR CA, 91765 ;Description: A/C & Furnace change out 1JOB. POST IN A SAFE, CONSPICUOUS PLACE AT THE FRONT OF PROVIDE PERMIT NUMBER WHEN CALLING FOR INSPECTION. HAVE APPROVED PLANS ON JOBSITE AT TIME OF INSPECTION. INSPECTION REQUESTS SHALL BE MADE 24 HOURS IN ADVANCE. FOR INSPECTION REQUESTS PLEASE CALL (909) 839-7027. "Permit will expire 6 months from the date of issuance or from the last inspection" INSPECTION ! DATE INSPECTOR INSPECTION j DATE INSPECTOR Setback Drywall Nailing Seepage Pit/Leach Line Excavation/Forms/Reinforc i j ing ;Gas Line Air Test Ground Plumbing i IT -Bar Ceiling Electric Ground ISmoke Detector(s) Water Service I ;Final Mechanical I / fo ; Under Slab Ducts j i jFinal Electrical ' j °,1 Under Slab Conduits j ; ;Final Plumbing I 'Fireplace Foundation j ;Final Planning I Joists/Girders j I iFinal Fire Dept. j j I ;Stab Grade IFinal Health Dept. , DO NOT CONCEAL UNTIL ABOVE ARE SIGNED Final Construction I j Mid -Height Bond Beam jCertificate of i Occupancy 8 Foot Bond Beam Final Bond Beam SWIMMING POOL INSPECTION RECORD Roof Sheathing !Location Shear Nailing Steel, Forms & Bonding DO NOT CONCEAL UNTIL ABOVE ARE SIGNED Light Conduits t !Framing & Ventilation DO NOT GUNITE/POUR UNTIL ABOVE SIGNED Roof Covering Conduit Under Deck j Rough Mechanical Rough Electrical i_ _ Gas Line Under Deck! I ! lWater Line Under Deck Rough Plumbing P -Trap iShower Pan Test DO NOT POUR DECK UNTIL ABOVE SIGNED j Stucco I Mesh/Siding/Scratch i I Electric Wires j 1, DO NOT CONCEAL UNTIL ABOVE ARE SIGNED Fences & Gates jWall Insulation j _ Door Alarms 'Wall Insulation j ;Rough Wiring I Sewer j __ !Final Electrical j Septic Tank (Gas Line Test j Seepage Pit/Leach Line ,Final Pool Approval i j Certificare of Numc: LJ' C1Q'-IR-ALS' (Pa a -Sof 5) CYmate Use a # of Shiries ]HERS VE.,,F1CAT10N SUMMARY 72re enfoneen;ant ogeRct+ should pay special �Ntio r rn the HERS' Mraszrrea sprchEd in this cJiecklist belott+. A romp/etcd nerd signed CF -41t Form for al1 tftc measures 4peceietd shall be subatlrted to the building irxrpectar before fZ/ i ctivn. DuCt Senna & Testing HERS verifiaatiov is rcquiredfor this measure, ❑ vE' S NO YES: In Cl ma4c &mb 3 and 9-16, if more than A© linter feet of now Or repleLtmeut ducts are installed in ummdido 3Paft. the dum are to be sealed per ¢ 152(b)1Dii end tho newly installed ducts tare to be ins nCd 8 =CLPTIUN_ Ex bt* duct ulaor Scar ', With M systerias tiwt.are extended, which ere coastrueied, insuhited or staled with asbaswsl ❑ YES NO Y": In Climutt 7.om9 2 and 9-16, iftim wdsting space -conditioning system (9VAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1Di YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing RVAC equipment is `` outdoor condensi unit of a $ lit replaced (including the replacement of the air handls r, erg P system, cooling or heating coil, scaled per §152(b) I E. or the fumax heat exchanger) the ducts are to be ❑ OWEPT'1ON. Duct systems that era documented to have been previuiwiy smiLd confirmed througb flErtS verification io accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCE"JON: Duct sysitins with less than 40 linear feet in unconditioned spare. 0 EaCEMOM Existing duct syskelm cuustructed. iosiallatcx! orsealad �vitL asbestos. frigerant Charge -Split System HEIS verrfir4lion is required for this measere. YES 13 NO YES: In Climate Zones 2 and 8-15, Nhcn the t:cisting }IVAC equipment is replaoed 01cluding th handier, outdoor cnnde%ing unit of u split system A/C or heat pump, cooling, or heauing coli heftunace tmt h� air cx r) are ' event charge mxsw=ent shall be verified r 152(b)] F7. mt Central Fan InI tgrated (CF1)'V'entflation System and Fan `Watt Draw The ventilation rmr uienrs of 4150(a) do nota t to existin residential homes. Ducted Spilt Systems - Air Conditrs iaceand pest Pumps: Airflow HRR.'verplomiox is rt:gid,%Ifor this measure_ 0 YES 0 NO YF:S: in Climate zones 10 through 15, when the oxistusg space -conditioning system (11VAC equipm= and dueling) is Te laced. the airflow and fan watt draw shalt be verified er 6152(b"*.-- Cmeet the rcquiremcnts of & 151 tf17R Documentation Author's Declaration statement w 1 certify that this, CertiGeatc of CONUDIjanec documen tion.ie accurate and Nam' Signature. ..irv''T'T CAAA-C-140 Address: If Applicable a CEA or 0): 11!�oX0V Q eA 7Z00 Phone: Respnnsiblr Building Deaignerts Declaration Statement • lam eligible under Division 3 of the California Business and professions Cods to a this Cetifiatie of Compliance. csxpt neaponsibility for the building design identified on • J certify that the energy features and pCrfortnartoc specil;asriolis for the building design identified on this Certificate of Compliance conform to the reyuiraments of Title 24, Pam I wed 6 of tbC Californias Code ofRegulations. + The buddiesdesign features identified on this Certificate of Camplian4ro acre consistent with the infontralion provided m document this a enebuildima design tm the other applicable compliance forms, workshcct% ealculatiaW, Plad$ and specifications submitted to the en!'otcc trent ___ y for appmval with this building ncrmh annlirAnn., Company: rlr4. 1►M l..imm: Phone: For assistance orques#inrss rwarding.the rweW JStan4fards, contffet the E , . �'�1 Hotlineat; 140-772-3300. Registration Number: RCgutration Date/lime: 200E Residefaial Compliance Forms HER4Provider.' August 2001 Prescri kivt Reaifleniiat, Prefect Name: Certfficate of Residential 'CI -IR -ALT (Page d of a) m /-2 1 # of Starim Lisl water healers and boilers for buff, domestic hot water (Z)HW) hsatery and ktir anic zpace haaan . lndisridtial dwelling -0.11W {seaters marl be tM ar Pwopane fired. and may not exceed M gallaw, liar walerpipe insulation from tlm DHWheoter hot water to the kitchen(j) and on all underground y is r aired in all eonr Hent �u in all climate au,rex --j— Water 1•ieater TypeFucl -Distribution Type Nianber In Tank Enc -Externa! Tank sgy Factor or Insulation 1. Idicate Type (Storage Gas. Heat Pump, lnstaruaneous. etc.) 2. Recirculating sltstenss serving multiple dwelling volts shall meet the rer:vmdation mgadrements af¢150(n). The Pmsffiptivc �sguinsmsnts ao M1 allow fhe installation Of 92 rvcirculatirrg water heating zyakan Jar sine d,s eUing nrrlrs. 3. The external watsr hear mg tank and pipes shall be insulated to mewl the reouimmanty of 9 t snli SPECIAL "ATURES Tim eteoromn mt agerscv shrwld pny special attention to the Special Features specified in this checklist 6rltm may ire writr6n ha 8EEc i. These ittms 2 and den xumtution ands Bial vert tearzon KLMROOF ASSEALBLY - Radiant Barrier The radiant barrier tmquirament of &151(t)2_dow not apaly to roof alterations. '[YES. In Unlatr. Zone 16 in Component packages 13, R-7 insulation is 11catedSlab la"Jutica :Q YES J3 NO YES: Slab e4c insulation re uirod for all brated stabs in all Climate 2 'Raised Stub Iusalation 13 YES O NO YES, ES: In Climate Zaneb 1, 2.11, 13. 14 & 16. R-8 insulaiion is reoubw of ihmnal mass, usv the ocs. See details in Table 11&A of the in Climate Zones 12 & 15.12-4 i5 rams Ads vtration M mbar: Registnalion Date/Time: 2008 Residential Compliance Forms HF SPinvlder: August 2009 Opaque Surface Details For the furred portioucd of Mass Walls see )curring Strips Construction Table below. A s C n I; r G l Proosed WC av Standard Values From )A4 Table Framing Thickness, Framed Continuous JA4 Proposed TI Annnibiy Name Materia Sprtratsg, U- a ]A4 Table Cavity Insulation Asaembiy Assembly ID or Tv c and Size or Other, factor Numbers 11 -value° R-Valur? Cell Valuer t1_f„rr. ,9 Nor-: For furred auemblies, accoaaft frit CrJAIlALB� !i trsavlation l�vah�, see Ptrgr JA4�3 and FqusOan �!-t. Far caJcrllausgfurred ,vada tae the Mors cru! Fa Canttruedon whir below. 1. For Tag/LD indicate the idendfication muse that notches the bulldimg plows_ 2. Indicate the Assernbly Name or t}pe,, Pw 7Celli W Wall., Floors, Slobs. Crawl .Space, Doors and etc._Inavowr the Frame type and She: For Wood Adetal• Metal Ruilduvgs. Mass, enter h4. 2x6, or etc._. see JA4 for other possibly frame type assemblies. 3. Enter the thlcbre rsfor naris in inches or Spacing between framing members, enter; 16 "or 24 -OC,- or Otherfor all eaher as"mbty description such as Concreto Sandwich Panel, Spandrsl Panel, Lugs, Straw Bale Panel and etc.... A Based on the Climate Zane; enter the Standard Ci factor from Table 15 l B, C or D for each z4#kr&v assamb/y Narne or type. S. Flter the Table number drat closely reftmbles the proposed assemb6t 6. Fuer the It value that is being installed m the wall cavity or between theframing, othemgse, enter -,0,,, 7. B'nter the Continuous Insulation R -value for the proposed araembly; otherwisw, enter ,0 8. Einer the rvw and column of rhe Ufaclor value based an Column F Table Ntunber and enter the Auvmbly U factor in Column J 9• The Proposed .4 �ygmbly U factor, Colwnn.l must be equal to or lass than the &astfard Ufactor in Column E to comph.,. Furring Strips Construction Table for Mass Walls Only A Walls From Reference Joint Appendix Table 4.3 d.3.6 4.3.7 U 29 Asmnbly � u Mau Nam r Naor JA4 Table I n 3 E >•I G 1 R- •1 1 J Added Ia6riur or EVeriur Inselatiou in Furring Space from Reference Joint Appendix Tabie4.3.73 r L_ ai Final Registration Mwwber; _ Registration DatetlYm e; 2006 R"idernturl Cornpliance Forms HEM prov4fer: August 2009