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Z M c CITY OF DIAMOND BAR f 7�til DEPARTMENT OF COMMUNITY & DEN .OPMENT VICES �� / _ 218110 Copley Drive, Diamond Bar„ CA 91765 PRESS (949) 839-7020 Tax- (949) 861-3117 Budding Inspection Hodme (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS 7- 3 T ryo cat'10 4 � APN LOT TRACT ....—..._Air OWNER ADDRESS '"L3 CSO !'nv e�MTsJv[ owe' CITY+Li ZIP *Ill %T TEL Q Cl .3`Y&s l e7 APPLICANT_ ( ftW¢J Za•-+e.-a=_TEL CONTRACTOR 'r'�'"�+'1�= C%T Q w,l'�lOHI ADDRESS 1"7 -ft/ Savr eq. F'W'uw CITY Y I ZIPgW6'- TEL t 7^t77'%'i ARCH/ENG/DESIGNER ........ ADDRESS CITY ZIP TEL OWWM-BL%M DBLABATSN I effma, ARM undo, penal of pwL av Gut i am exempt h'mn the Conbaim'a sm License law An arc rmsaaal Iaemfa mow by Oce ch o, i tie plaza SEA to the appikede Merri) (@endo Intel OW AM Came Ary Hit ar Camp But"Aft a pa tar tamtru#L OW kVMVB, ftnobk or repair, erg BffisNue, whor, to it lmumNa.arse raGU4Ar the 2~to tel pkmffi 189 a BIpW Bei he a me, *M3of ffiiimp areafiae CmN, Cat W 00 halrtOtes CopmemhnIrCoN9ncandit $ar;In, as 3ai#m &mA+a¢e aW Doael Clam heaerle is#mmp haniicensum as the Gana to Car adepad wwOm Arcyvk4aCen of Salon 7WI 5 by my appuara for aperm48u6Weta New apCrmntm a rood mmm4y or Mt man the Am ham's M'mne Alonal U ha pararof gteproperty, a myampbyaawon wage. aman were Campm%dw n,wll ad 9e of orU Random of Cm ImM aA vo Au ca +s r C privdee a offered M sale Smou, 7844, 8usas8 as P.'Maaenm Code The Orme, i's' Seth Leasee las tloes W appg to an awm of pmmany who, #rpngh @,Cayes' or dural neat Whole or havens the areart, mmoded#0the I,pwemema are not inn rmad ora'fwed Mr We 7 howeav the beaded o� impmvaant m arae wthm ore yarpcompaon Te Owner-8ulltler wil hayethe a;rden N pmwng Gtm rtwm n9 butt at named fa the Perimeter of SN 1 U 1, as owner of the property, am "deanery vRdmptin# with bcenaed C@IltraaeO to co mood the hilbot (Sedan 7044, Bupnem ad "Newry; ; Cade The Content=' Stam Ueense taw die not apply be an owns of pmporly, who awttdealmprever aharoon and who Pmm7ams Nr me matter with a hcensed Contactor pursuant In the Commmaa' State Ucanse Law) U I am exemptimm Ibmaure under the Commctora Stam License thw forthe followed; random) By my Content below I aMuvAedgethat eaceptior my p r±sme, importer In want I rural hate remad fitetimet pm year pdafo Component otfhe fmao+alcems corers by' top mm14J Caval legally an$! a atucts B&C ' hem be It as awmr bmekr:ta no oaf 1 smdvttwd that a s,pyof the appkade law $%Aon 7O4A er the aiatrm atl Fmhmta^..a Cork IS area rryUO r9puaetwll9A flue appnemi419audrAkd ani tN PoIbaN:g WNA&a8 hifTlwwwl99ao Ca qm/mien Cbtp DAT GEN LICENSED CMTAACTOB'S BEsaA PON I hpaby^nordermewrit o4 Penury Chat t ran ekerauMm pruvearn5 W CJNAi 9(mamari xvh+ 17004} of Dwow, 3 of the Burrem arm promeadears Cara eel my ked. re in OR here and marm ENS LmCLASSSq t�'ZO LIC NO 7T11-70 DATE .E.�._1411 CINWTOB .F.2w✓1te r [ F¢a� WORWA'S COMPOSAnIN4 DEGAIAYMN 1 HEREBY AFFWM UNDER PENAM OF PERRW ONE CFTHE FOLLPSWG DECLARATIONS I Now and 4 malrem a CaCikare of Coreat to See twee tv fetes Comp meati No prowdled by semi 9700 of the LirorCode for Ce parom'erS of the Cure for whch th:s norma la Nova I h&e and will «ullaNnWwyer§Cunmenmoon tsumaa sneered by $ecbm 37CCaa aha LahmCode, fa the p&tormer A 9f tbawarN far wlpch the perme!a imus My Wbreeh danperaebon thaumae Camerae fachIry nd CAflMEfl.... )lie 11 C1' i POUCY NWMDEB (THIS ESOM NEED NOT BE COA#hkTED FTHE PEES IS FOR ONE HIMDBDh OOLLWSWOO)OR LESS tromly that Into padamaceofthe wodtAa ween the owned 4 wed IahaPro[emppyarNce�ln mY menti Sato be rem mbNct to Cap Cmar'a Canpwyplbr Laos of C�A1'Ifvrva And agro a Tat d l @taper bottom sA#e ta C's WMEYa fnmperNaton pmwsyuaNSaCm3100 o"thel. rt�fdbi NIbptoth mmpfy with them promune CWTE2ot S_—APPtiCANF ........... i 4Lfl WARNI4G 'ma.m W acxo Worlaws Componeal Ia unaw'J ani anal &g'sact er wrora a m matma .an. era CIC 8nm up IN pe humped Am em d da7ars jL W,COS, In deweo 0 the bod a# Be earassbWr damagm as provided far in action SAM of the iadm, Cade I'Nrem are attorneys tea CSYSTAUGTiON LnNIiNG, AGO= Iinermy alan water Parent of emuy tared more w a Camandibn Laden Agemey La mea fta of the wink for which ane prime m Caved (Sim 3097, ON C) UNDER S NAME ADDRESS . ............ LENDER S A I to". that I bane read No applolahal and Nese that the aloud Ammerman Is correct I agree Id wmppwdh a sty me =my adlnacm aro'aorta arm r#an9 to IxOd#g sordanciLx Areaa al athmus rammeetsovea dthsceuner to- earn, either tv extra manaload pretty for Coleman purpoms PERMRTEE NdME1PflIN Z'jyJl SIGNATUR�DATE APPLICATION DATE 1i 7.. Ti zAl P/C#_��_ ISSUE DATE f"J j l'a PERMIT# TYPE CONST OCC GROUP ZONING SETBACKS FRONT RW ❑ REAR 7- 81 DEYSIDE SIDE/SIDE STREET RW Q .......... _ SIDE ❑ PROPOSED USE ZF6 1-?5doe— e 1 ixvKACAL q6 C?r%4 - :F4 14 GZ wort #DWEL UNITS #STORIES #BEDROOMS_______..' DESCRIPTAiN SO FT FACTOR PSF ACJ AREANALUATION SFR7ADDIREM Coamga'Carpott ........._ W LL PjIkLDock to Raoill P—Irspa ZRew-Roof in J Comenerdal m ( Valuatron ##w ... Adl Area _................ OUANTRY DESCRIPTION FEE u�{ p i IS f CONSTRUCTION ._ PLAN REVIEW ELECTRIC ...__ ...............__ PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMTP ENERGY P?C ENERGY PERMIT RETENTION FEE PRE -ALT FEE &SAF TOTAL FEES COMMENTS RECEIPT#_aSAS!a_ PAIDBY a)5t44� VALIDATION 6"V, WHITE —Depa Copy, YELLOW—Finance Copy—Asseemor Copy, GOLDENROD —Fee Copy GREEN — ApplloaWa Copy v,�UAWS CITY OF'DIAMOTID BAR INSPECTION RECORD SETBACK/ LETTER TRACT AND LEDGER FDOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG PLUMBING T -BAR UG ELECTRICAL INTERCEPTER LIFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOL/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING MINX TING ROUGH ELECTRICAL ROUGH MECHANICAL +� ROUGH MECHANICAL ROUGH ELECTRICALWt n GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL " _ ' POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE / GATE/ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL lm( ) TO( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAVING PLANNINGAPPROWL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL Il94 FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW TC of OCCUPANCY FINAL COMMUNITY SERVICES CERT. at OCCUPANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS O m 5��3w X53" 2s r Mt 0 400 ym E �3m ko ww wc�' n 0 CL n 0 m N 61a m nx vN•S�oa O ». n Ew Ate. 3 m to XS N N F� �i `3 r O nom. p O a y+"n�Ic zD 32?' as W l0 @ N^ 6 O R 9 C £a�n+'"a M N nW a ^„03aM— m c Y 3 SOK w 3to '04 ro n e£ir A 3 N N VI n CT N �"R �C rc N 7f 1O 10 ^r T N N ymcr r d w 3 ? u In O c? w N av Y� JP N Ii, N 3v S O c_ Wiz$ a ro ^ m 00 a h u ; w•b ro ¢ � � �" i ° � �ri @ 7^ 7 O N ¢ S < 40 °: a g ro 3 04 a a S R m ID CL n 4 O N F a. D b s, a a � v � m m u+ L± o � x C o m O W N a W � N � YD n 1� W 3 A � � P C a S� Y O 3 2i B v a " 4 N a c a a y} fb m w � r { M, w d II 6 N m � YJ ✓ a } a u+ °, o � x C o m O W N o S 3 3 W 3 A � C Y 3 a " c a ay � tlr M, w 6 CERTIFICATE OF VERIFICATION 01 CF3R-MCH-23-H Space Condttiomng System Airflow Rate 02 (Page 1 of 4 ) Project Name. DONALD BELL Enforcement Agency City of Diamond Bar Permit Number. PR201SO00400 Dwelling Address 23460 COYOTE SPRINGS DRIVE City Diamond Bar Zip Code 91765 A Ducted Cooling System information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type Alteration 04 Nominal Coaling Capacity (tons) of Condenser 4 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2015-03-10 SO Airflow Rate Protocol utilized RA3 3 procedures for airflow rate measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) In the supply plenum, Procedures for Installing HSPP or PSPP are specified In RA3 3 11 OS Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3 3-1 HSPP/PSPP requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given In RA3 3 11, and system airflow, rate measurement apparatus Information is given inRA3 32 01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification RA3 3 314 02 Manufacturer of Airflow Measurement Apparatus TSI 03 Model number of Airflow Measurement Apparatus TSI Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http(jwww energy ca gov/title24/equipment—cert./ama—fas /index hi mi Registration Number 21S-A0E49066B-M2300002A-M23A Registration Date/Time 2015-03.13122320 HERS Provider CaICERTS CA Building Energy Efficiency Standards Report Version 201405 -OB Report Generated 2015-03-13 110032 ZD13 Residential Compliance Schema Version 0 SS55DD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 4 ) MCH -23a Forced Air System Airflow Rate Measurement- Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3 3 01 Required Minimum System Airflow Rate (cfmjton) 300 02 Required Minimum System Airflow Target (cfm) 1200 03 Actual System Airflow Rate Measurement (dm) 1400 04 Compliance Statement System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150 Olm)12 or ISO Olm)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3 3 1 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance 04 All registers were fully open during the diagnostic test OS System fan was set at maximum speed during the diagnostic test 06 if fresh air duct is part of the HVAC system it was not closed during the diagnostic test 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfmAon) and fan OB efficacy (Wattjcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed 09 Verification Status Pass - all applicable requirements are met 10 Correction Nates The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted In the Verification Status and the Corrections Notes In this table Registration Number 21S-AO049066B-M2300002A-M23A Registration Date/Time 2015-03-13 12 23 20 HERS Provider CaICERTS CA Budding Energy Efficiency Standards ReportVersion 2014-05-08 ReportGenerated 2015-03-13 11 00 32 2013 Residential Compliance Schema Version 0 SSSSOO CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 4 ) F. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of verification as a whole to be determined to be in compliance 01 ' Complies All specified verification protocol requirements on this document are met ' Registration Number 215-A00490666-M2300002A-M23A Registration Date/Time 2015-03-13 12 23 20 HERS Provider Ca10ERTS CA Budding Energy Efficiency Standards Report Version 2014-05-08 Report Generated 2015.03.13 110032 2013 Residential Compliance Schema Version 0 SSSSDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate IPage 4 of 4 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name Documentation Author Signature rr!! �'' Ian Jacoby i..van i %acoa� Company Date Signed Stratz Permit Service 2015-03-13 11 01 49 Address CEA/ HERS Certification Identification (d applicable) 5858 Dovetail Drive City/State/zip phone Agoura Hills CA 91301 818-735-7876 Responsible Person's Declaration statement I ready the following under penalty of perjury, under the laws of the State of California 1 The minivacation provided on this Certificate of Verification is true and correct 2 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater) 3 The installed features, matenals components, manufactured devices, or system performance diagnostic results that require HERS verification ideinified on this Certificate of Verification comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency 4 The information reported on applicable sections of the Certihcate(s)of Imtallation(CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Cenificatels) of Compliance ICF1R) approved by the enforcement agency S 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the bu kill ng permit(s) issued for the budding, and made available to the enforcement agency for all applicable inspections I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the budder provides to the bwiding owner at occupancy Budder Or Installer Information As Shown On The Certificate Of Installation Company Name (InstallmgSubcontrictoc General Contractor, or Bwldeflowner) SERVICE CHAMPIONS INC Responsible Budderor Installer Name CSLB license Kara Brumbaugh 799170 HERS Provider Data Registry Information Sample Group Number (if applicable) Dwelling Test Siatus in Sample Group {rfappiicable) Tested HERS Rater Information HERS Rater Company Name Strati Permit Service Responsible Rater Name Robert Scherzinger..r�C?SLz Responsible Rater Signaturet " Responsible Rater Certification Nvmberwj this HERS Provider Date Signed CC2006349 2015-03-13 12 23 20 DigifallysignedbyCOICERTS This d9rat srgnarure is provided in water to securethe content ofthus registered document and sow way rmptes Registrefde Provider responsibility for the accuracyof the information Registration Number 21S-A0049066B-M2300002A-M23A Registration Date/Time 2015-03.13 12 23 20 HERS Provider CaICERTS CA Building Energy Efficiency Standards ReportVersion 2014 -OS -08 ReportGenerated 2015-03-13 11 00 32 2013 Residential Compliance Schema Version 0 SSSSDD np N vN s a F � R 6 a a , T S (yry� 3 0 �1 p ; 3 N E @ o y a 4N4 F 3 s am c c µ o. o. ° x 3 A S est rai N W N �A � = CL a A a c oTr w n O � N m O m' ry O n v c @ o O m � Y H 3 4 a 0 m c N v m � m O ^ g Y H y in @ » @ C N p » @ 3 y 3 N m A y m n @ 3 a n o O 0 ~ @ a O W � o v y g T N a z n v � � P d a. a @ m a po N OOO 0� b o 9 t'4 � c n 0 A � 3 d c v N O 3 � b C6 a= m :, N o G p� w v V @ 61 n °s C c n n tD � s s3 ~ a 9 a 0 � v m N = s a m y K N 04 ei q n W 0 0 @ a -- o. a z O N D KN 9 O 6 o a^, W f� 'e3 Q @ x w E a N o A in o c � a 'v +� 3 W W @ CL @ N � a A 0 C O d n ? m a w < n a w N a. o E W 3 Z vN s Rm � R 6 a a , T S (yry� 0 2m p ; M N E @ E @ y L 4N4 F 3 s am c c o o. o. ° x 3 N �A = CL b A c oTr n O � N N v c @ o m � Y H 3 4 a z m c N v m � m O ^ o Y @ » @ m A y r A @ O � n o O 0 o o v y g T N a z n v � � P v a. a @ m a po N OOO 0� b N C 9 t'4 G c n 0 A � 3 d c v 3 CL a• C6 w m :, N o £ a w v 'm @ 61 n °s C c n n o � ~ a 9 a 0 � v = N N = s a m y K N 04 ei q n W -- o. a z D 9 6 o a^, f� 'e3 Q @ a o c � a +� 3 � a r' a O ? n a 0° @ a. o M E W 3 Z vN s Rm � R 6 a a , T S W 4N4 F 3 O O z N N = CL 0 oTr n O � N v O Gia Y H 4 z m m � Qm 2 @ » n O 0 o v d a. a m a N C 9 t'4 3 0 A z c 3 a• Y n � o � ~ a O o 0 � v = N N O m § \ } § ƒ ] Isloolumil , e � ( \ �i \ 2( �( � ) °CL '- fp _ § & ) { � | Q \ � } ■ � } ( 7 Isloolumil ( \ �i \ 2( �( \ } } ( 7 k ■££ # }f0, . 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