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Home My WebLink About15-1026 ' I �� ?��._._ CITY OF DIAMOND BAR ._ ,>�'_ -...... ... . _ . ( P I ' ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _..__ -� . - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ��'�'i BUILDINGPERMITAPPLICATION FIRMLY � O I� � i n APPLICATION DATE: � T �� P/C# � JOB SITE ADDRESS {- �/ t �} /J z APN LOT TRACT iSSUE DATE: J f 7/��-� PERMIT# �J~ � �V e�.fi � � OWNER TYPE CONST. OCC GROUP: I, ADDRESS -� — QCITY ZIP �7 TEL - Z�NING F ONT KS RW ❑ = APPLICANT CsL TEL. I REAR ❑ n SIDE/SIDE STREET RW ❑ a CONTRACTO ICS1+ � � �I i SIDE ❑ � ADD�R/ESSL = CIM rV Z�P 9a� TEL t,( � PROPOSED USE � � � ARCH/ENG/DESIGNER L � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q OWNEH-BUILDEH DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � r I hereby atfirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I I L indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport � Professions Code:Any ciTy ar county that requires a permit to construct,alter,improve,demolish,or repair,any L structure,prior W its issuance,also requires ttie applicant for ttie permit to file a signed sfatement that he or she � Patio/Deck I � is licensed pursuant to the provisians of the Contractor's State License Law(Chapter 9)Commencing with Section W � 7000 of Divislon 3 oT the Business and Profeuions Code]or that he or she is exempt from licensu2 and the hasis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry I n—s of not more than five hundred dollars($500). o Re-Roof � U I,as owner of the property,or my employees with wages as tl�eir sole compensatian,will do(,all of or(�portions j Commercial I y of the work,and the structure is notintended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal eftort,builds � or improves the property,provided that the improvements are not intended or oRered for sale.If however,the building or I � 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.). I � U I,as owner of the properry,am exclusively cont2cting with licensed Cont2ctors to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: I n builds or improves thereon,and who contrac rthe projecLs with a licensed Contractor pursuant to the Contractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). I � (�I am exempt from licensure under the Contra ' State License law for the following reason(s): a � U I � 1 By my signature below I acknowledge that,except for my p nal residence in which I must have resided for at least one c~.� I � year prior to completion of the improvements covered by this mit,l cannot legally sell a structure that I have built as an W I owner-builder if it has not been constructed in its entirety by licen contradors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available n request when this application is submitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. � . I z � DATE: SIGN: � LICENSED CONTflACTOfl'S DECLAflAT10N � I d I � 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. J I � LICENSE C S: �O �3 LIC.NO.: l 1 / O a �yqT � I . Z DATE: CONTRACTOR� � I ¢ WOHI�H'S COMPE SATION OECLAAATION "' � �� y 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 Worker's Compensation,as provided by CONSTRUCTION: , � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�qN REVIEW: � �I have and will mainlain Worker's Compensation Insurance,as required 6y Section 3700 of the Labor Code,Por � Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare:� ^ � PLUMBING: y CARRIER i o��rrA�-- MECHANICAL:_ �� 6I7 � POLICYNUMBER C C L � D� INSPECTION FEE: � (fHIS SECTION NEED NOT BE COMPLEfED IF1HE PFRMR IS FOR ONE HUNDRFD DOLI ARS($100)OR LESS�. �.� ISSUANCE: � I certAy ihat in the performance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to I � become s bject Ne Worker's Compensation Lavrs oF Califomia.Md agree that A I should become subject tn the Worker's SMIP: I � Compe 'o p visiorys of Section 3700 of tl�e Lab Code, all forthwith comply with those pmvisions. ENERGY P/C: i DATE: � APPLJCANT: � , ENERGY PERMIT: � WARNIN :Fai re to secure Worker's Compensation coverage is unla and shall subject an employer to criminal � � y penalties and civil fines up to one hundred thousand dollars($100,000),in 'tion tn the cost of the compensation, RETENTION FEE: i � damages as provided for in section 3708 of the labor code,interest,and attorneys tees. PRE-ALT FEE: � i CONSTflUCTION LENDING AGENCY BSAF: = I hereby anrm under penalty of perjury that tharE is a Construdion Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). \ LENDER'S NAME: z LENDER'SADDRESS: TOTAL FEES � 1 I certiTy that I have read this application and state that the above information is conect.I agree to comply with all city and ��'� D Z county ordinances and state lavrs relating to building construction,an hereby authorize representatives of this county to COMMENTS: Jente pon the above-menti ed-property for inspection pur ses. � �� o�-�,c.`� ¢ TTE N E(PRI n � � �/ c/ x SIGNATURE E DA RECEIPT# 7 AID BY: �' � 7 VALIDATION: _ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR - ' - INSPECTION RECORD `'�� -�, � � , � s � � • e , � � � s `�ETBAGKIaLETTER, ` � � � ' � �".'��' � � � TRACTAND LEDGER FOOTINGS F�}RMS �`'�� ` � ' � � � � SWITCH GEAR � F - ;SLAB°"° ' COMMERCIAL HOOD _ . � . p. Y 3 .__ . __ 'UC��PLU�fiBINC� _ �� m , ' ° ; ; �.. � , . T-BAR ,U,G.,'�LECTRIGAL°�, ' �� , � � � �� , � � � INTERCEPTER � �UFER GROUND�..' ��,�m � �` � . , �� e . '�� ' � HOT MOPISHOWERPAN , SEWER LATERAL SEPTIC/CESSPOOL ; MAIN WATEH LINE HERS REPORT RECEIVED � SEWER CLEANOUT DEMOUTION � ROOF SHEATHING ROOF DRAINS FLdOR SHEATHING ROUGH CONDUIT , _ , » ., _ � w . _ . �SH�i4R WA��S E;(TERIORa"� ,z, � ° F � . s.. POOUSPA . ;�; ; ,� ��,. . r �. _ , . � .< - _ _ _. �SHEARWALLS�I�ITERlOR � �s � � � z ' � ' �� ROUGH PLUMBING � ° ' ' � � _ .. , � � „ : � y , �m � � � �FRAMING%VEN � '�_ � � �� . � ROUGH ELECTRICAL � � � TI(�G� - �� r . e e � . , � - , . . . , . ROU,GH jv1ECHAPIICAL �. _` :"� � � �"��a � � � - � � ROUGH MECHANICAL� , . � _ _ � ., � w , , FtOU'GH'F.�:ECi'I�1C,�L�W��)�,�{��J . 'r a GAS TEST x RO�;.H'PLt1MBIN��'��c�,�;��;� � �. �: ;; , _ � PHE GUNITE � ` � ; , , , fNSUI�TfON WALL ' �'' �POOL PRE DECK BONDING � � � INSULA�IQN CEILING`'' :•.• ;�. � '' F-TRAP : . DRYWALL FENCE/GATEIALARM' LATH(PREI FINAL POOL LATH EXTERIOR WALLS: LA7H INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Ne� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DHAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMINGPLANNINGAPPf3dVAL « � A ..F , ,F1NA1.BUI�QING�� ; . _ -G �'. � ROUGH FIRE APPROVAL _ _ �F�INAI�MECHANICAL� �� / � � ' FINAL FIRE DEPARTMENT � ' x.��x , .� _ � —_ FINAL ELECTRlC,4�. � : � � �. �T: • . `� "' " ` � FINAL PLANNING � , b � � � w , �� ° ; _ �.. . , , r t . _ FINAL PLUMBING s�4 � � �; �� - ` � " � - � ' ` ` FINAL ENGINEERING/PW � , „ , a . � �� , ��: � �� #y � �� ' . _ � � FINALGOIJIMUNITY5ERV(CES � L�of=OCCIiPANCY - � � � � � �,q_ �-„ �_ _ , . _� d � = CEI�T.of�OCCUPANGY��^, � � � - �°�� ` � � FINAL HEl1LTH DEPT. � _ FINAC iNDUSTRIAL WASTE � � _ � , ° � � COMMENTS: �- n STATE GF CALIFORNIA �4 �+k:1 , ALTERATIONS - HVAC CEGCI-'9R-ALT-04-E Revised QS/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15(fo�merly CF-iR-ALT-HVAC) (Page 1 of 1) Site Address: D � � � � E cement A ncy D� rep red: Permitti: New ucting,Plenums,tineset: Co iti ed Equipment Type Equipment Efficiency Required R-value Floor Area(sq ft) Thermostat ❑Packaged System ❑Evaporator Coil 7�fUE COP O R-6 (CZ 2,8-13)Ducting , Served by system ❑Setback O Split System ndensing Unit ❑R-8' (CZ lI,14,ISJ Ducting ��sqit (If not already ❑Mini Spiit ❑Compressor �SEER HSPF present,must ace ❑Lineset EER �R-6�al!CZ's)Plenums be installedJ ❑TXV ❑R-5 or R7.5)Lineset HERS VERi�'ILATIOfd SUMMARY Installer determines work to be completed and matches to one of the options beluw. At permit application this form is allowed to be filled out by hand. For final inspection ali forms are to be registered(no hand filled forms allowed)and a copy left on site. l. AC ChangeoutJRepair Required Compliance Docume�ts to be left o�site for final: All Equipment, CF3R-ALT-02-E Conde�ser Unit,Evaporator Coil, Cf2R: MECH-Ol,MfCH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-H�RS' Compressor,TXV,Lineset, Cf3R: MECH-20-HERS,MfCH-(23 or 24)-HERSZ,MECH-25-HERS' Air Handler/Furnacez(Can include new ducting) Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_� ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 Cf1R-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS�,MECH-25-HERS� CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERSZ Mini Splits require CF1R-ALT-02-E,CF2R-MECH-Ol,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow>_350 CFM/to�(or alternative),Refrigerant Charge ❑3.All New Ducts witfi Replacement Required Compliance Documents to be left on site for final: All New Ducts3 and one or more of the following CF1R-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-Ol,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,lineset,Furnace' CF3R: MECH-20-HERS,MECH-�23 or 24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:�1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Fi�al: New ducting but less than All New Ducts3 CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS � Installer Required to:Duct leakage(<15°6 or,<10%to outside or,or seal all accessible leaks) � EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less tha�40 ft installed. This includes in walls,between floors etc. Z Heating only systems and Air Handler/Furnace changes do not require Air flow MECH-(23 or 24�,or Refrigerant Charge verification MECH-25 3 All New Ducts is when at least.75 percent bf the duct system is new duct material,and up to 25 percent may consist of reused parts from the dwelli�g unit's existing duct system�e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) "R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for,linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-25/s",2.5-3T-2'/.",�3.5 to 4T-2'/.",5T-4%." Contractor(Documentation Author's/Responsible Designer'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 Compliance is true and correct. 2. I am eligible under Divisio�3 of the California Business a�d Professions Code to accept responsibility for the information on this document. 3. That the energy features and perFormance specifications for the desig�identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the Califor�ia Code of Regulations(CCR). 4. That the energy features and performance specifications,materials,compo�ents,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable complia�ce documents,worksheets,ca�culations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible�Name: Responsible Designe i aWre: Da� i � / License: �1 �J 1 / ��,�' C pany: dd e • .1 �' � Ci /S ate Z : �J �ne: �(;,� � � a�� I - 1 For assistance or q estions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-33 0