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Home My WebLink AboutPR16-1103DLVION'D BAR CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEtiLOPNIENT SERVICES FINALIZED 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS fG. APN LOT TRACT OWNER X SA h C,1 �+4 rG e o ADDRESS I l i2 L Q (f b g7 U 1- die- CITY�b 1A,�� ZIP /79 TEL. 4Pq lqir227g- APPLICANT 1Z &T ,1 -Ma f% TEL. • 77 CONTRACTOR ADDRESSsf� Co I d ex_ nn j -re CITY dL�.. /'e i�t ZIP 921'6L TEL. �' l A J2b (f iT0 ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) [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 State 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 licensure and the basis for the alleged exemption. 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 ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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. If 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.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business 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 licensed Contractor pursuant to the Contractors' State License Law.). U 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.leginfo.ca.gov/calaw.htmi. 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. LICENSE CLASS: 1^ % LIC. NO.: —7!7,q � ,O fi DATE: itI ( CONTRACTOR: WORKER'S COMPENATIOA 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 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 of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are:: , CARRIER I{ h r t, POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUN RED DOLLARS ($100) OR LESS). 1 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 become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE:S f9 It A APPLICANT: WARNING: Failure to secure Worker's Gompenfion cov ge is unlawful, and shall sub ct 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 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 certify 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-mentioned property for inspection purposes. r--0 rAAl PERMITTEE NAME (PRINT) SIGNATURE OF,2L4AITTEE DATE PRESS FIRMLY APPLICATION DATE: S ISSUE DATE: -1 3 TYPE CONST. I 11 �o P/C# b PERMIT# : IO OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck LU LL Pool/Spa ZRe -Roof o Commercial 5 C3 Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U Q U w J w co z M J a zd FA Li w '- CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 35 (043. SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: Q PAID BY: VALIDATION: RECEIPT # ra O PAID BY: 31� �.7 VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy aviITY �Awil CINSPEC DIAMOND RECO DR INSPECTIONDATE INSPECTOR SETBACK/ LETTER SWITCH GEAR FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL UFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ) ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS: INSPECTIONDATE INSPECTOR TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED d DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE/GATE/ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1ST( )2 ND( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL R0. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE ALTERATIONS - HVA -C CEC-CFIR-ALT-G4 E (Revised (16114. _ CALIFORNIA ENERGY COMP -ASSIGN CERTIFICATE OF COMPLIANCE CF1R-ALT-i�4-E 1. Alterations -HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) _ (Page Z of 1) � -ir';;drlra;c•=i"•e`_f_ :r+..ret.ge�icv: -at' - - I'I r2 2P ) J! ! I \le 7jrn� et: 1 rte t -dl !!�� ctina pa,; ms s .. Ca i.i^r[_ Equipment Type Equipment Eificiency , Required P, -value 1 Floor Area (sq ft) I - Then osta ! ❑ Packaged System &I vapor =tor Coil I i l] R-5 (CZ 2, 8-13) Ducting Served by system 1 I ! AFUE COP � � ❑ Setback ('� not already ❑ Split System ondensing Unit i i P y � i ❑ R-8' (CZ 11, 14, 1,} Ducting i Gft ! { ❑ Mini Split 11Compressor SEER HSPF ❑ Plenums i !present, must I19 I R-6 (afl CZ's) be ins teffed} ® Furnace ElLineset SER 1 0R-5 or R7.5) Lineset' ❑ TXv -�_ HERS VERIFICATION SUMMARY installer determines work to be completed and matches to one of the options below. At permit application this 1 form is allowed to be fiile_d out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. ❑ 1. HVAC Changecut/ RepairRequired Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Air Handler/Furnace' (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-. 111. Duct system registered with HERS provider as previously sealed, or 112. There is less than 40 linear feet of duct in unconditioned space, or i ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building 112. New HVAC System Required Compliance Documents to be left on site for Final All new equipment and All New Ducts' 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: h7ECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', 141ECH-25-HERS' Mini Splits require CF111-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS ' installer Requirement Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM_ /ton (or alternative), Refrigerant Charge _ 3. All New Ducts with Replacement!� Required Compliance Documents to be left on site for Final:� ! All New Ducts' and one or more of the following CFIR-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, PAECH-(23 or 24) -HERS, MECH-25-HERS I Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow >_ 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 Final New ducting but less than All New Ducts' CFIR ALT -02 E, CF2R: iV?ECH-20 HERS, CF3R: MECH-20 HERS Installer Required to: Duct leakage (< 15% 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 than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handier/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification PAECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling 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. iviost mfg will require Suction line Diameter { with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" t Contractor (Tocuirentation 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. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). and manufactured devices for the building design or 4. That the energy features and performance specifications, materials, components, j 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 compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement I agency for approval with this building permit application. Responsible Designer Name.. Responsible Designer Signature: Date Signed: License: i I i company: Add 23s:City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the tnergy notime at: i-uuu-ifc-;-yu t CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4 ) Project Name: ISABEL ARCEO Enforcement Agency: Diamond City of Bar Permit Number: pr161103 Dwelling Address: 1152 CALBOURNE DRIVE City: Walnut Zip Code: 91789 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 Cooling Capacity (tons) of Condenser 4 05 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 ° �, N61", ass Duct 09 ER Date of System Airflow Rate Measurern6nt 20i6-05-10 Wit: 10 Airflow Rate Protocol utilized ` RA3.3 p o"cedures for airflow£Fate'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 RA3.3.1.1. 01 I Method used to demonstrate compliance with theI 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 RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas /index.html Registration Number: 216-A0164495A-M2300002A-M23A Registration Date/Time: 2016-05-12 11:28:58 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-05-12 11:28:13 2013 Residential Compliance Schema Version: 0.555SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (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: Documentation Author Signature: �/ � Ian Jacoby clan Jacob" Company: Date Signed: i PERMIT E RATERS 2016-05-12 11:28:58 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 818-735-7876 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 Rate'r.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 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 & the CertificaYe(s) of Installation (CF2R)`signed;and fsubmitted, by the person(s) responsible for the construction or installation conforms to the requirements=specif ed n the Certificates) of Compliance (CF1R) approved by thegriforcemenvagency. 50 5. 1 will ensure that a registered copy,of this Certificate of verification shall be posted, or made,available with tkie building permits) issued for the % d a - x building, and made availableAo the enforcement agency forY;II applicable inspections. I understand that a registered copy of thisCertificate of , , i i =' 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): W C HEATING & AIR CONDITIONING INC Responsible Builder or Installer Name: CSLB License: Rusty Cochran 779604 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: i PERMIT E RATERS Responsible Rater Name: Responsible Rater Signature: �/ Ian Jacoby clan dacobJf Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006111 2016-05-12 11:28:58 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0164495A-M2300002A-M23A Registration Date/Time: 2016-05-12 11:28:58 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-05-12 11:28:13 2013 Residential Compliance Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7 ) Project Name: ISABEL ARCEO Enforcement Agency: City of Diamond Bar Permit Number: pr161103 Dwelling Address: 1152 CALBOURNE DRIVE City: Walnut Zip Code: 91789 A. General Information 01 Dwelling Unit Name ISABEL ARCED 02 Climate Zone 9 03 Dwelling Unit Total Conditioned Floor 2000 04 Number of Space Conditioning 1 SC System Area (ft2) Is the SC Installing a Systems in this Dwelling Unit. Installing more 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to Calculate HVAC Loads NotApplicableEquipmentChangeout 07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated.Dwelling Unit Heating Load This field or section is not applicable Alteration Type Cooling Load (Btuh) Served System (ft) (Btuh) containing t09 Dwelling Unit Number of Bedrooms 3 system? MCH -Dib Prescriptive Alterations - Space Conditioning Systems,Ducts an'cf Fans 3 N . {_ B. Space Conditioning (SC) System Information H E ] = 01 02 03 04 05 06 07 08 09 10 SC System SC System CFA served Is the SC Installing a Installing new SC Installing more Installing Installing Identification or Location or Area by this SC systema refrigerant system than 40 feet of entirely new entirely new SC Alteration Type Name Served System (ft) ducted containing components? ducts? duct system? system? system.> component? Altered space System 1 Location 1 2000 Yes Yes Yes Yes No No conditioning system Registration Number: 216-A0164495A-M0100002A-0000 Registration Date/Time: 2016-05-12 11:27:32 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-12 11:25:54 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 7 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jacoby, Ian 111n Cacocq Company: Signature Date: i PERMIT E RATERS 2016-05-12 11:27:20 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 818-735-7876 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 Installation is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation,_ and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. -` = 3. The constructed or installed features, materials, components or manufactured dewcer(the installation) identified on this Certificate of Installation conforms to all a plicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance appro ed by the enfo,,rceme tt g ncy that identifies thexspecific requirements¢or the scope of construction or i allation identified on this Certificate of .. Installation, and I have ensured that the requirementsAhat-apply to the construction or installation have been met. ` a- s s l - > 'mit(s) for S. I will ensure that a registered copy of this Certificate of Instal Ilation shall be posted or made available with _the building issued forthe building, and made available to the enforcement agency all applicable inspections. I understand that a registered copy of this Certificate oflristallation is required to be included with the documentation the builder p ovides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Cochran, Rusty Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): W C HEATING & AIR CONDITIONING INC EMPLOYEE Address: CSLB License: 25976 MADISON AVE 779604 City/State/Zip: Phone: Date Signed: 12016-05-12 MURRIETA CA 92562 951-600-0700 11:27:32 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0164495A-M0100002A-0000 Registration Date/Time: 2016-05-12 11:27:32 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-12 11:25:54 Schema Version: 2013.1.007