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Home My WebLink AboutPR17-157020w G 0 J 7 0 0 a co V5 CITY OF DIAMOND BAR Y k a r DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21510 Copley Drive Diamond Bar CA 91765 y 7 f d E3 t`r s 'PRESS 909) 839-7020 Fax: (409) 851-3117 Building Inspection Hotline (909) 839 0 S FIRMLYssi BUILDING PERMIT APPLICATION li-ww.cityrufdiamondbar.com building(a diamondbarca.gov JOB SITE ADDRESS k:d "d APN LOT TRACT OWNER 0&0/ ADDRESS 2—,;l!t enIX=J 1'r CITY f7r/_ -4r1da A z— L_ ZIP Gln C TEL. APPLICANT - TEL. = = CONTRACTOR ADDRESS O' CITY A-i_,7W - fi t or ZIP TEL. C e g t ,_ t 7Vill ARCH/ENG/ DESIGNER ADDRESS CITY ZtP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reascir s) 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 Ilcensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exemptfrom lcensure and the basis for the alleged exemption. Any violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant io a civil penalty of not more than five hundred dahars ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or L) 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 improves the property, provided that the improvements are not intended or offered for sale. It however, 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}, Lj I, as owner of the property, am exclusively contracting with €icensed Contractors to construct the project (Section 7044, Buslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a Ilcensed Contractor pursuant to the Contractors' State License Law.). I am exempt from Ilcensure under the Contractor's State License law for the following reason(sy: Date: Sign: By my signature below I acknowledge that, except for my personal residence In which I most have resided for at least one year prior to completion of the improvements covered by this peril 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 Cada is available upon request when this appilcation is submitted or at the fallowing Web site: http/www.Icglnfo.ca.govlcaiaw.html LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commenting with Seatlon 70(1 of Division 3 of the Buslness and Professions Code, and my IlcensE is in full force and effect. LICENSE CLASS: &'7V LIG. NO.: )An=a EXP. DATE:`;Y""15 CONTRACTOR: o WORKER'S COMPENSATION OECL TIO I I HERESYAFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will mrsntaln a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, forthe performance of the work for which this permit is issued. have and wII€ maintain Worker's Compensation Insurance, as required by Section 3700 cfihe Labor Code, for the performance of the work for which this permit is issued, My Worker's Compensation Insurance Carrier and Policy N umber are: _ d CARRIER $]a$ POLIcr NUMBER'6 It THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT 15 FOR ONE HUNDRED DOLLARS $100 OR LESS), I certify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to became subject to the Worker's Compensation Laws of California. And agree that If I should become subject to the Worker's Compensation previsions of Section 3700 of the Labor C 1a.1 dsnail fodhwith comply with those provisions DATE: . S"_rl APPLICANT '" Y, ' WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($t 00.000), In addlilon to the cost of the compensation, damages as provided for in sec#ion 3708 of the labor code, interest, and attorney's 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: LENDER'S ADDRESS: I certitythat 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-mentioned property for inspection purposes, J_C to e 24A a PERMITTEE NAME (PRINT) SIGNATURF OF PEHM€TTE DATE APPLICATION DATE: 7 P/C# ISSUE DATE: V5. PERMIT# :191'1 — 0Z, TYPE CONST. OCC GROUP: Scope of Work t C m "7+ Z Z DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. ARFA/VALUATION SF WADD/RENT Garage/Carport LL Patio/Deck LLLL Pool/Spa ZRe Roof Commercial 7m Valuation; Adj. Area: QUANTITY DESCRIPTION FEE J yy vs v w m m Jrl v v U CONSTRUCTION: PLAN REVIEW: FLECTRf C: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE; PRE -ALT FEE: BAS F: PLOT PLAN: ZONING CLEARANCE: TOTAL FESS . COMMENTS: PIC: PAID BY: q VALIDATION: RECEIPT # ` PAID BYVALIDATION: WHITE— Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy SCRATCH COAs WALL BOND BEAM FL LCTRIC ML I ER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION 110. FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL AMinarn rs nnrar fls / FINAL FIRE DEPARTMENT SES fBACKI LETTER iAL, [ A ; LrUUr-h FOOTINGS FORMS SWITCH GEAR COMMiE.RCIAL HOOD T -BAR INTERCFJ'rER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECF-.IVLD DEM01 rrION ROO[ DRAINS ROUGI I CONDUIT POOL/SPA SLAB IJG. PLUMBING UG. ELECTRICAL LIFER GROUND SEWER LATERAL MAIN WArLR LINE SEWER CLEANOUT ROOF SIKATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR k 'Aw ROUGH PLUMBING FRAMINGIVENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C { ) ROUGH PLUMBING INSULATION WALT, INSUI.ATION CEIL€NG DRYWALL LATH (PRE) LATI I EXTERIOR LATI l INTERIOR GAS TEST ROUGH MECHANICAL GAS TEST PRE G'UNITE POOL PRE DECK BONDING P -TRAP FENCE / GATE/ ALARM FINA[_ POOL WAILS: WAIL FOOTING/STEEL WAIL STEEL 1 sr( )2 ND( ) LIFT SCRATCH COAs WALL BOND BEAM FL LCTRIC ML I ER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION 110. FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL AMinarn rs nnrar fls / FINAL FIRE DEPARTMENT CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems {formerly Ci: -131 -ALT -HVAC) (Page 1 of 31 Project Name: 23601 golden springs dr #a-5 Date Prepared: 2017-09-05 A. General information CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFIR-ALT-02 docurrientfgreach dwelling unit. 01 Project Name 23601 golden springs dr #a-5 02 Date Prepared 2017-09-05 03 Project Location 23601 golden springs dr # a-5 04 Building Type Single family 05 CA City Diamond Sar 06 Dwelling knit Name 23601 golden springs dr #a-5 07 Zip Code 91765 08 Dwelling Unit Conditioned 900 Installing Installing Installing Floor Area Wl Location or Area by this SC ducted containing system Number of Space entirely new 09 Climate Zone 9 10 Conditioning (SC) Systems in 1 component? components? feet of ducts? duct system? this Dwelling Unit: Alteration Type B. Space Conditioning (SC) System Information -. 01 02 03 "' 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type whose house whole house 900 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 feet (Sectioni5C.2(b)Mib) This section does not apply to this project. Registration Number 217-AD203044D9A-000-{700-0000000-0000 Registration nate/Time; 2017-0905 05:14.54 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 201709-05 05:15:13 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC} Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) O1 02 03 04 05 06 07 as 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Rewired New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New duct or Name Type Components Type Value System Type Components Type Value Type duct Length R -Value Central split All new Central split All new Less than or whole houseHP heating HSPF 8 cooling SEER 14 Setback equal to 40 R-6 components HP components feet R-egulled Documentation: CF2R-MCN-02-E - Space Con&tionlrrg Systems Duct in5ulatlon requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10,12 and 13) and R8 (CZ 11 and 14-16) CF2R and CHR -MCH -20-H -Duct Leakage Test required when heating ormoling components are installed inducted systems, or when more than 40 ft of duct length is replaced Leakage rate compliance: <- 15% or - 10% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in C22, 8-15). CF2R and CHR -MCH -23 Airflow Rate x 300 CFM per ton required when MCH -25 is required. - Excentions: Duct systems reglstered with HERS provider as previously sealed are exempt from. MCH -20 Duct Leakage Testing requirements. Heating -only systems and Air Handler Furnace changes do not require verTfication of Air Flow MCH -23, or Refrigerant Charge MCH -25. Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20tluctLeakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC) This section does not apply to this project. Registration Number:217-A020304409A-000-000-0000000-0000 Registration Date/Time: 2017-09-0505:14:54 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-05 05:15:13 Schema Version: rev 10116 CERTIFICATE OF COMPLIANCE CFIR-AL"2-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Zabatta, John Company: signature Date: ZABATTA HEATING AND AIR CONDITIONING 2017-09-05 05:14:54 Address: CEA/ HERS Certification Identification (if applkable): PO BOX 9368 city/State/Zip: Phone: ALTA LOMA CA 91701 909 989 9200 Responsible Person's Declaration statement 1 certi"e following under pena#ty of perjury, under the flaws of the State of California: 1. The information provided on th#s Certificate of Compiiance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility forthe building design or system design identified on this Certificate of Compliance Iresponsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices forthe building design o{system design identified on this Certificate of Compliance conform tothe requirements of Title 24, Part 1 and Part 5 of the California Code of Regulations. 4. The building design features or system design features identified orrthis Conificate of Compliance are consistent with the information provided onotherapplicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permft application. 5, 1 will ensure that a registered copy of this Certificate hof Compbanceshail be made available with the building permit(s) issued for the building, and`.made avallabie to the enforcement agency for all applicable inspections, ;understand that a registered copy ofthis Certificate of Complianceis required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: - Responsible Designer Signature: /7 Zabatta, John Company: Date Signed: ZABATTA HEATING AND AIR CONDITIONING 2017-09-05 05:14:54 Address: License: PO BOX 9368 561159 city/state/Zip: 909-989-9200 Phone: ALTA LOMA CA 91701 Easy to Verify r ai CaICERTS.com Digitally signed by CalCOTS. This digital signature is provided to order to secure the content of this registered document and in noway implies Registration Provider,esponsibdity forfhe informationaccuracyofthe Registration Number: 217-A020304409A-000-000-0000000-0{100 Registration Date/Time; 2017-09-05 05:14:54 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-05 05:15:13 Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION Duct Leakage Diagnostic Test Project Name: 23601 golden springs dr #a-5 Enforcement Agency: City of Bar Permit Number: Diamond Dwelling Address: 23601 golden springs dr # City: Diamond Bar Zip Code: a-5 A. System Information 01 Space Conditioning System Identification or Name whole house 02 Space Conditioning System Location or Area Served whole house 03 Building Type from CF -1R Single family Verified Low Leakage Ducts in Conditioned Space (VLLDCS) No, credit is not taken 04 Credit from CF1R? 05 Verified Low Leakage Air Handling Unit Credit from CF1R? No, credit is not taken 06 Duct System. Compliance Category Alteration MCH -20d - Complete:Replaceme0t or Altered Dictysi<em B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 2 02 Heating Capacity (kBtu/h) 24 03 Conditioned Floor Area served by this HVAC system ( ft2) 900 04 Duct Leakage Test Conditions Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method Method This field or section isnot applicable 08 Measured AHUAirflow 09 Calculated Target Allowable Duct Leakage Rate (cfm) 120 Actual Duct Leakage Rate from Leakage Test 108 10 Measurement (cfm) 11 Compliance Statement: System passes leakage test CF3R-MCH-20-H Page 1 of 3) PR1715702 91765 Registration Number: Registration Date/Time: 2017-09-07 08:56:48 HERS Provider: CalCERTS 217-A020304409A-000-001-M20001A-M20A Report Version: 2016.1.006 Report Generated: 2017-09-07 48:55:29 CA Building Energy Efficiency Standards 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE Of VERIFICATION CF311-MCH-20-1-11 Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12 Notes: C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were.r of used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the.aIr handler and the supply and return plenums are completely sealed. 07 If the system complies using the Smoky Test metfto, the Smoke test +eras donlctecf in accordance wit the rquirments of Reference Residential Appendix RA3 ;1.4 3 6 .Z+stems that comply using smpke tilt shall nirit be included insample groups for HERS.ueriftcatrdhriggw iance. `'3 08 Verification Status:= P-6 s - all applicable requirementsemen'ts ark met.., 09 Correction Notes: 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. D. 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. 101 I Complies: All specified verification protocol requirements on this document are met. I Registration Number: 217-A020304409A-000-001-M20001A-M 20A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-09-07 08:56:48 HERS Provider: CaICERTS Report Version: 2016.1.006 Report Generated: 2017-09-07 08:55:29 Schema Version: rev 03/16 CERTIFICATE OF VERIFICATION CF3R-MCH 20-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Kwan Company: Date Signed: J.K. Air Balancing & Duct Testing 2017-09-07 08:56:48 Address: CEA/ HERS Certification Identification (if applicable): 9040 Telstar Ave #137 City/State/Zip: Phone: EI Monte CA 91731 626-274-0522 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 verification identified.on this Certificate of Verification comply with,tlie"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 sectiones, fife Certificato(s) of lnstalta Toir (CfZ" i) sr$hed'%andstibrfzjtYed by the persan(s) responsible for the construction or installation conforms to the r0quirement'gpecifi,ed qn the Certiftcate(s) bf Co plian a (CE ] approved by"fhe on orpeme.nt'agency. 5. 1 will ensure that a registered copy;of this Certificate of Verification shall be posted or rrtade.availab% with the building peemit(5) issued fr r the building, and made:availabletotkteenforcernent gencyfo#alfa pl[t1f(emspe tl4ns I nderstandthatarepis r.,,,. yfii.thtSCertil3cakeof mlgded with the documentafion the bu[ider"provides to the bu[Iding owner at Occup they. Verification is required to he f h s Builder Or Installer information As Shown an The`Certifrcate'Of Instillation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ZABATTA HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: CSLB License: John Zabatta 561159 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: J.K. Air Balancing & Duct Testing Responsible Rater Name: Responsible Rater Signature: John Kwan Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005646 2017-09-07 08:56:48 Digitally signed by CaICFRTS. This digital signature is provided in order to secure the content of this registered document, and in no way impliesRegistrationProviderresponsibilityfortheaccuracyoftheinformation. Registration Number: Registration Date/Time: 2017-09-07 08:56:48 HERS Provider: CaICERTS 217-AO203 04409A -000-001-M 20001A -M 20A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated; 2017-09-07 08:55:29 2016 Residential Compliance Schema Version: rev 03/16