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Home My WebLink About14-0501R, OLVIOND BAR it CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES M&I 17 r�iiiL; 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION 61M APPLICATION DATE: %%I 1—J I %An P/C# _ ISSUE DATE: PERMiT# VR 14` TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT— RW_ E�_ REAR 0 SIDE/SIDE STREET RW_ Ei— SIDE ❑ JOB SITE ADDRESS APIN LOT TRACT OWNER nm ADDS CITY l"" '41pqLIU-t�TEL. 0' APPLICANT TEL, 6V ir- co uJ CONTRACT)R. ADDRESS 4779-'L * - CITY C406- Zip* TEL'. U;Z ARCH/ENG/DESIGNER ADDRESS -j CITY ZIP —TEL. OWNER -BUILDER DECLARATION I hereby affirm tinder penalty of perjury that I am exempt from the Contractor's State License Law for the reasoms) indicated below by the checkmark(s), I have placed next to the applicable items) [Section 7031.5, Business and Professions Code, Any city or county that requires a permit to construct, alter, Improve, demolish, or repair, any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from IlGensti re and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the ap plIcant to a civil penalty of riot more than five hundred dollars ($500). L) 1, as owner of the property, or my employees with wages as their sole compensation, will do I-) all of or (-) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or 1 orprovers the property, provided that the improvements are not intended or offered for as. It howeve r, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). (J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coft The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts fertile projects with a licensed Contractor pursuant to the Contractors' State License Law.). (_) I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit,l cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code Is available upon request when this application is submitted or at the following Web site: http/www.leglnfo.ca,gov/catawhtmi, DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am 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. - All) �7 C f LICENSE CLASS, LIC. NO,: 1 DATE: !7/114 coNTRACTOR:4Mf_). !N- - 1 WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is issued, My Worker's Compensation Insurance Carrier and Policy Number umIt I CARRIER fil / ffitAnox—g, JmBeR POI JM8FR in I (MIS SECTION NEED NOT BE CO 0 ETED IF THE FRI 11T 11; F R ONE HUNDRED DOLLARS ($100) OR LESS). 1 certify that in the performance of the work for which this permit Is Issued, I shalt not employ any pawn in any manner so as to become subject Its the Worker's Compensation Lame of California And agree that if I should become subject to the Workers Com tip provis a Section3700ofMthebo) �de,lshall forthwith c I Ith the lon& it bo ide a 1 Vvi se PT pyw I APPLICANT , "Fjlumm WARNING: see u,e Worker's Compensation c'overagif � Znlaw4,and Ua1I 'suWletcl: an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for In section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there I,. a Construction Lending Agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civ. Q. LENDER'S NAME: LENDER'S ADDRESS: I cerlify that I 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-meqfictied pro f inspection purposes. P 1111111 I WUPErMl1_T_EE A 1 BIN 2 f Sl J DATE 61M APPLICATION DATE: %%I 1—J I %An P/C# _ ISSUE DATE: PERMiT# VR 14` TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT— RW_ E�_ REAR 0 SIDE/SIDE STREET RW_ Ei— SIDE ❑ PROPOSED USE # DWEL. UNITS — # STORIES # BEDROOMS DESCRIPTION SO. Fr. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport co uJ Patio/Deck W LL Pool/Spa Re -Roof -j Commercial Valuation! Adj. Area: QUANTITY DESCRIPTION FEE LJCDO DA"riff I 1501 AV Ian 1 16 co nr-ni 11nr!r% nICUUMr-Lil n. 106. A 6A ITIV ryv-.,,o 0. 11 nil, 1 W tg 4 CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT RETENTION FEE: • acp PRE -ALT FEE: BSAF: TOTAL FEES COMMENTS: RECIEIPT,# PAID BY: VALIDATION: V-1 WHITE -- Department Copy, YELLOW -- Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD ROOF SHEATHINGiROUGHZORA FLOOR SHEATHING - - ---- �� COWFUIT SHEAR WALLS EXTERIOR I I I POOL/SPA COMMERCIAL HOOD LID PLUMBING LID ELECTRICAL LIFER GROtIND ROOF SHEATHINGiROUGHZORA FLOOR SHEATHING - - ---- �� COWFUIT SHEAR WALLS EXTERIOR I I I POOL/SPA FINAL PLUMBING FINAL ENGINEERING/ PW TO of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS DRYWALL LATH(PRE)Ii LATH EXTERIOR LATH INTERIOR ti -, , WALL DRAIN/ SEAL WALL FINAL FINAL PLUMBING FINAL ENGINEERING/ PW TO of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS 04 N 6 O e M r n a o ,n aR � 6t d xr m x G Y v z CL CL i O w v u w a iV 6 N v C R a O in W ly 06 3 ch E oc 2m E I ? O �c ri y G � a a �j z {� « v O 0 N � � m o C N � A E N 06 3 ch E oc 2m E I ? O �c p i G � a �j bG {� L p i G � a bG {� L c p i CERTIFICATE OF VERIFICATION HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry. CF3R-MCH-25-H Refrigerant Charge Verification AC -1 (Page 1 of 4 ) Protect Name Mohsemn Enforcement Agency, City of Diamond Bar Permit Number. PR14-5081 Dwelling Address. 425 N Del Sol City, Diamond Bar Zip Cade. 91765 A. System Information HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry. 01 System Identification or Name AC -1 02 System Location or Area Served Whole House 03 Condenser (or package unit) make or brand Trane 04 Condenser (or package unit) model number 47TS306OD10DODA 05 Nominal Cooling Capactty (tons) of Condenser S 06 Condenser (or package unit) serial number 14403W875F 07 Refngerant Type R -410A 08 Other Refrigerant Type (if applicable) 09 System Installation Type Alteration 10 Charge Indicator Display (CID) Status (Note Even systems This system does not have a CID device installed with a CID must have refrigerant charge verified by installer) Is the system of a type that the minimum airflow can be Yes, this is a ducted system and one of the system airflow, 11 verified using an approved measurement procedure (RA3 3 rate measurement procedures in RA3 3 or RA3 2 2 7 can be or RA3 2 2 7)? used to verify system airflow rate Is the system of a type that approved refrigerant charge Yes, one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3 2 2 or RAI is applicable to this system and can be 12 with the refrigerant charge verification requirements when used to verify compliance temperatures are greater than or equal to SSF (RA3 2 2, or RAl)a 13 Date of Refrigerant Charge Verification for this system 2015-01-15 14 Refrigerant charge verification method used Subcooling (outdoor temperature must be equal to or greater than SS degF) SS Person who performed the Refrigerant Charge Verification HERS rater reported on this Certificate of Installation 16 HERS Verification Compliance Requirement Status System does not qualify for group sampling 17 Refrigerant charge verification method used by HERS Rater Subcool Registration Number 215-AO015963A-M2500002A-M25A Registration Date/Time 201501-15 1549 32 HERS Provider CaICERTS CA Building Energy Efficiency Standards Report Version 2014 -GS -08 Report Generated 2015.01.15 1134 50 2013 Residential Compliance Schema Version 0551SDD CERTIFICATE OF VERIFICATION CF3R-MCH-2S-H Refrigerant Charge Verification (Page 2 of 4 ) Standard Charge Verification Procedure - CF3R-MCH-2Sb - Subcooling Method B. Metering Device Verfication - HERS Rater is required to visually field verify all information from CF211 Subcooling Method can only be used on systems that have a variable metering device. 01 Refrigerant metering device Thermostatic Expansion Valve (TXV) 02 Subcooling Method applicability status Subcooling Method is applicable to this system C. Instrument Calibration - HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix RA3 2 2 and RA3 2 2 2 01 Date of Digital Refrigerant Gauge Calibration 2015-01-01 02 Date of Digital Thermocouple Calibration 2015-01-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification - HERS Raters are required to visually field verify MAH Procedures for installing MAH are specified in Reference Residential Appendix RA3 2 2 3 of Method used to demonstrate compliance with the( MAH installed and labeled consistent with Figure 3 2-1 Measurement Access Hole (MAH) requirement E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3 2 2 7 01 Minimum Required System Airflow Rate (cfm) 1500 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements F. Data Collection - HERS Rater must independently collect all data in this section Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3 2 2 and RA3 2 2 2 O3 Lowest return air dry bulb temperature that occurred during 70 the refrigerant charge verification procedure IdegreeF) 02 Measured Condenser air entering dry-bulb temperature (T 60 condenser, db) Registration Number 215-A0015963A-M2500002A-M25A Registration Daterrime 2015-01-15154932 HERS Provider CaICERTS CA Budding Energy Efficiency Standards Report Version 2014-0S-08 Report Generated 2015-01.15 1134 50 2013 Residential Comphimw Schema Version 0 5515D0 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4 j Measured Suction line temperature (Tsuction) (degreeF) F. Data Collection - HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3 2 2 and RA3 2 2 2 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcoolmg refrigerant charge verification method 04 Measured Liquid Line Temperature (TiWuid) (degreeF) 67 05 Measured Liquid Line Pressure (fhiamd) (pisg) 225 O6 Condenser saturation temperature (Twn&nwr,sat) from digital gauge or P -T Table using Line F05 (degree F) 77 07 Measured Subcooling 10 09 TargetSubcoohng 10 09 Compliance Statement System complies with Subcoolmg Method - Must also pass metering device verification, next section G. Metering Device Verfication Procedures for the verification of proper metering device operation are specified in RA3 2 2 6 2 01 Measured Suction line temperature (Tsuction) (degreeF) 43 02 Measured Suction line pressure (Psucnon) (prig) 90 03 Evaporator saturation temperature (Tavapw u v,, sac) from digital gauge or P -T Table using line G02 (degreeF) 26 04 Measured Superheat 17 05 Measured Superheat is between 4 and 2S deg F (inclusive) Passes CEC requirement 06 Measured Superheat is within manufacturer's specifications, if known Yes, documentation to be provided upon request 07 Compliance Statement Metering device verification passes H. 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 1 Complies All specified verification protocol requirements on this document are met Registration Number 215-A0015963A-M2500002A-M25A Registration Date/Time 2015.01.15 15 49 32 HERS Provider CaICERTS CA Budding Energy Efficiency Standards Report Version 2014.05-09 Report Generated 2015-01-15 11 34 50 2013 Residential Compliance Schema Version 0 SSISDD CERTIFICATE OF VERIFICATION CF3R-MCH-2S-H Refrigerant Charge Verification (Page 4 of 4 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name Donna Madrid Documentation Author Signature zkZ0115-4-IffAAr a, Company Date Signed GasperAlr, Inc HERS Verification & Air Balancing Services 2015-01-15 11 35 27 Address CEA/ HERS Certification Identification (If applicable) 1212 Orange Avenue 4809 City/State/Zip Phone Monrovia CA 91016 626-236-0268 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California 1 The information 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, materials, components, manufactured devices, or system performance diagnostic results that require HERS venficahon identified 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 Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency S I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the budding permit(s) Issued for the building, 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 builder provides to the building owner at occupancy Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner) METZ AIR CONTROL Responsible Builder or Installer Name CSLB License JON METZ 741824 HERS Provider Data Registry Information Sample Group Number (if applicable) Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name & GasperAir, Inc HERS Verification Air Balancing Services Responsible Rater Name Responsible Rater Signature Carl J Gasper 2015-01-15 15 49 32 Responsible Rater Certification Number w/ this HERS Provider Date Signed CC2005644 Digitally signed by CaICERTS This digdalsignature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibihty for the accuracy of the information Registration Number 215-AO015963A-M2500002A-M25A Registration Date/rime 2015-01-151549 32 HERS Provider CaICERTS CA Building Energy Efficiency Standards Report Version 2014-05-08 Report Generated 2015-01-15 1134 50 2013 Residential Compliance Schema Version 0 S51SDD