Loading...
HomeMy WebLinkAboutPR16-2765a=: CITY OF DIAMOND BAR lit. 111 is I DEPARTMENT OF COMMUNITY& DEVELOPMENTSERVIti� AT "R ]IIIImI 21810 Copley Drive, Diamond liar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (9 R'a¢fQ�� FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS 22G1 I True C-7n+ I�- ace APN LOT TRACT OWNER kRff16t5Ef" arnl natilg4 ADDRESS 2 L-`'1 11 IrlJG rtfiFc- 2 CITY]C-WO (— ZI TEL.%ILI--7IS- 43 APPLICANT lriS ,TEL. U214 • %03 -93I6 CONTRACTOR fins n LLYIA i ADDRESS 5 4-1 L&OA Aot_ e- CITY ✓ i� ZIP 7q TEL. W21Q " 9 (03" SIR I C7 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 tine 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'Stale 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.html. 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. LICENSE CLASS: —'WI C3 `Qesi C ✓ b LIC. NO.: DATE: C RACTOR: WO�OM��S WORKER'S CP S(, IO 6EC RA N 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 POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED 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 Workers Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 a Labor Code,1 shall forthwith comply with those provisions. DATE: APPLICAN WARNING: Failure to secure WorkerlT mpensation coverage is unlawful, and shall subject 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 on the abovementi ed property for inspection purposes. ItElIMITIYE A E (P IN SIG OF� DATE — APPLICATION DATE: ISSUE DATE: Z TYPE CONST. P/C# -7 / _�- PERMIT# P R I (D -T Pl OCC GROUP: ZONING SETBACKS FRONT REAR SIDE/SIDE STREET SIDE RW ❑ ❑ RW ❑ ❑ PROPOSED USE # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SO. FF. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport r) w Patio/Deck LL Pool/Spa CD Z Re -Roof J Z) Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE J U cc H w w Z z in J lL Q ( v0 Q g7 C4(J O U Q F (J x CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE-ALT FEE: 2. On BSAF: Aap % TOTAL FEES COMMENTS: RECEIPT # 32 0 S PAID BY: VALIDATION: t-- C WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION COMMENTS: WALLS: WALL FOOTING/STEEL WALL STEEL 1-( ) 2Ni WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING LIFT CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: America Lopez Awtef,iCa Lopek Company: Signature Date: Cypress Heating & Air Conditioning 2017-01-16 Address: CEA/ HERS Certification Identification (if applicable): 547 S. Loraine Avenue City/State/Zip: Phone: Glendora CA 91741 1626-963-9810 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 devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. 5. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation,,and I have ensured that the requirements that apply to the construction or installation have been met. 6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building 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 Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: America Lopez Antewira LopeSl Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): 11 Builder/owner) Contractor/Installer Cypress Heating & Air Conditioning Address: CSLB License: 547 S. Loraine Avenue 302865 City/State/Zip: Phone: Date Signed: Glendora CA 91741 626-963-9810 2017-01-16 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): false Digitally signed by CHEERSTM. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 417-A0013157A-M2000002A-0000 Registration Date/Time: 2017-01-16 11:51:33 HERS Provider: CHEERS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-01-16 11:51:33 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-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: America Lopez ><1rww6ca,Lopek Company: Signature Date: Cypress Heating & Air Conditioning 2016-11-30 Address: CEA/ HERS Certification Identification (if applicable): 547 S. Loraine Avenue City/State/Zip: Phone: Glendora CA 91741 626-963-9810 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 Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, 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 California Code of Regulations. 4. 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 agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made.available with the building 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: America Lopez Anwn ,vicalLopP Company: Date Signed: Cypress Heating & Air Conditioning 2016-11-30 Address: License: 547 S. Loraine Avenue 302865 City/State/Zip: Phone: Glendora CA 91741 626-963-9810 Digitally signed by CHEERS"". This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 416-A0009828A-000000000-0000 Registration Date/Time: 2016-11-30 09:23:48 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-30 09:23:54 Schema Version: 0.555SDD ,&A ' 547 S. LORAINE AVE. CYPRESSGLENDORA,CA91741 � � PROPOSAL x LIM (626) 963-9810 ..<<-'e (909) 592 6715 JOB NAME FAX (626) 335 0023 Swaninathan — Opt. 9b HEATING AIR CONDITIONING LOCATION www.cypressalr.com _____ SQYY1e TO: Ramaswamy & Gagna Swaminathan - Email: gangaswaiii@hotmaii.com 22911 True Grit Place Phone: 909 861=8381 Home Diamond Bar, Ca. 91765 PHONE 714 715-7443 DATE 0812912016 WE PROPOSETO FURNISH AND INSTALLTHE FOLLOWING HEATING AND/OR.AIR CONDITIONING EQUIPMENT, OR OTHER EQUIPMENT AND/OR MATERIALS LISTED BELOW: QUANTITY Lennox, 14ACX--060 AIR CONDITIONING UNIT up to 15 S.E:ER./LOCATION. Rear 1 ADP LH49I61E9 EVAPORATIVE COIL -------- 1V60C AIR COND. RATED FORCE AIR FURNACE 96YO _A.EU.EJLOCATION Relo WFi f 1 Lennox iCom 6rt 71 w11EM -------- THERMOSTAT OR ZONE SYSTEM-:T-Stat/Place in best location - NEW COPPER, INSULATED, ELECTRIC CIRCUIT(S), ©, WITH DISCONNECT SWITCH BOMES), BREAKER(S) AND WEATHERPROOF CONDUIT AND CONNECTORS AT OUTSIDE UNIT HEAVY-DUTY COPPER 410A REFRIGERANT LINES © - HEAVY-DUTY CONDENSER PAD ELECTRICAL PANEL UPGRADE El REMOVE OLD EQUIPMENT AND HAUL AWAY m KEEP WORK AREA CLEAN AND REMOVE TRASH Q `'_Install. High Efjeierit z 'r Install Higher Meier, ` Install in. Attic: 3000 NEW SUPPLY DUCTS R-8 L)ucts ® CARBON MONOXIDE KIT ❑ ALL REQUIRED PERMITS MAND ATO RY Q TITLE 24 DUCT TESTING NEW RETURN DUCTS 0 CONDENSATE LINE INSULATE DUCTWORK ❑ CONDENSATE PUMP ❑ NEW REGISTERS & RETURN GRILL(S) m MODIFICATIONSTO SUPPLY & RETURN.PLENVM SEAL & PATCH ALL OPENINGS 0 BALANCE AIRFLOW FOR PROPER DISTRIBUTION BALANCING DAMPERS 0 ENERGY SAVINGS AGREEMENT - ONE PRECISION TUNE-UP INCL. FLUE PIPING Br GAS LINE 0 SAFETY SWITCH /.SECONDARY DRAIN PAN 1011 �iion of e _iciency AHRI #5831796_ _Power Saver Constant Torque "_- --- ---- ---- = - �, ., oa uw vuu vinc, uc/ VGt a Al[//, iJf rV1Ge lilg%i[ -- INCL------ _S14FETY Horizontal Secondal� D>"ain Pan and Safety Shut-O Switch. --= - ff-------------- �` Install New Return in U stairs Hallwa _ area Consul#Prior- to the Installation . ----- -- - -- -- -- --�' - � - -- n D��� * Install Lennox Carbon. Clean 16 Whole House Air Filtration System_____, --------- -------- _-_ --- — --- "_L== _* Install Sup_ ff in Downstairs Liv_in79 _60m_area, only; i f accessible XConsult prior to Instal._-- *Place Condensed on New Heat/y Du Condenser Pad /Mount, Balance and Strap unit_ -_- _ Citerequires Smoke Detectors in Bedrooms I&_CIO Monitor(s)__Homeownersresponsibility. _ Note: PermitlCAZ/Duct �i Rehr eration Chafe TestfnJg ("HERS Testis ' INCLZJDED=___ -- ---- m -- ---- ---- -- - - __ Cypress_to .Seal and Routh Patch --Closet Ce li � opening jConsult on detailspraor to Install1_ --- --- _ After; Costco Cash CaYd(1100 ,. ExecMem 2% 268 , Vasa 2% 268 =�11 764.00 et Cost -1-------=--------------- --------- ----- -----� JOB TYPE: ❑Cut -In ❑Add -On ❑✓ Change -Out WARRANTY El 1 year(s) labor warranty 10 year(s) parts warranty ' © Manufacturer warranty on compressor .10 years © Manufacturer warranty on outdoor coil . 10 year O Manufacturer warranty on indoor coil -10 _. years 0 Manufacturer warranty on. heat excha er i e THIS GUARANTEE IS BASED UPON NORMAL USE OF THE ABOVE SYSTEM SAND DOES NOT APPLYTO DAMAGE CASED BY F - , E H AK JUS OR LACK OF MAINTENANCE. p1/.F. PROPOSE hereby to furnish material, equipment and labor, indicated above, for th of: TOPI Cost = '$15, 500 00 (-2,100) INSTANT Energy Rebate tco sonars (s Payable as follow13, 400.00 Bal Due ) s: * CAZ testing results may require additional cost to correct. (deposits are non-refundable) Work will begin approximately 20 days from the date shown'herein and will be substantially completed within 90 days thereafter unless a different estimated completion date Is shown herein.. Approximate starting date Approximate completion date 1 understand that LhISa3 Oni -an estimated date and (Will heontacted - rior to this:date.to schedule the actual installation. date. _ ACCEPTANCFL f the above price�pecifications and conditions are CYPRESS AIR. PACE Ql/�71 31/2015 12;47 626-335-0023 OZ6.335 00,25 F III (�a) eaA-e�1AX (0)� JUG I-i1 I 1•[O1v1HOW1d�Q.NAINE: _ � 5 PFI�iJQll._—.�.•-' - L I t ie'C' 1,11 10B SITE ADDREQ9� I To, fY C�.1759 STREFT9: • �Ol'x'I CTCIR 'Gt norArr'0 �. CCRfPRACTORNAMR; <-`i��2SS . >✓i4� It /�'�t— pp �S f� Co1j�ACT tYY�`Y BU$iNQS9 LICgN6Q'd. BAR DATE; PU1lG41h6SQRT]>r DATV"Q-Qiyfjt� --„ 16j STAWfbAV WCHAMAD I�C1Lkt~fnCs: _9711'�/ 4aCATIaN NRW `OR RWLAM[vWTIT. (ClitC4'B QNa) . HBAT PUMP:'_ — TQN� JtW or RLPIAMIENT . (C ic"4 01Jl3) PACC .O&lJ1dITa �_. -T0149 44RW 6r LWLALRW1lt(CIRGLI3OR TUNU Imw qY 1> +� Ada fi�.Ar17' (OCL& O1dL)�'. ta)l",: - — Tolls NBW. OR MLA Tv1OM WLB 01iSj lip ATINolCO"OCQW0 TIPPL1E9:: 1,10NMOWNERAaaOU Ot1 yga qr Nq (1PYUn,NBBpAUrx.9R9MtIO-h-J 1#A�tEY�lAli rbL�� .TCAU AlC IAOCX,UP (ADQTNG 1)l5Cc9'*MCT BCnt): 9WIICH)38: . Ht]i19E k7OTWATERMA' CERC10:. _oALLoNA I UAU oi',E1EC•1Pj() (0)APLE"Y� g1, CAS BN9(ON: Fr ALIII17[1�Ir1ALWnRIC nunr:r�irn �timl4iEr16e' FRQNI YARD . s4 WO Aid I6thatlo it & Alike. distgnsa(In X) to the propav 11"Us CYPRESS A 14 PAGE Ol r r71 03/31/2015 12:47 626-335-0023 > 096 335 .008 ' P 1!1 2015-03-31 10.42 . (qQg) 024-040 r` x (�W) 624-6241 ions i.Offif PHOZ`IB 1! - F[OivIHOVJ11�Ji NAME: M S _---..,-,.-•-- Z Zei 11 �v; t JOB sri� ADDREQ$: CROSS STREETS: �nTrT�'I+�C'T�R xl�'0r�tn�rA.x'xi�i�t - • ' . - COWRACTORNAME; Cie,iess ACT; CITY BUMMS LICHNOW E'A'. RATE; i PURC"Gr. QRDPA 9 1�AT>?ItaaU. 3^C>r1� — 4 101a STAXY OAU . F1 QF tltT 7[ iQ PUP, c�: tu'�1 LOCKHON —'NAW OTk REPLAC> 1VWNT (c1RULN UNH) HBAT PUMP: — fl�fS 143W Or R1;I'LACEIv�NT' (Cj}tCL13 QNB) PAC1�A lE tnJlT: _ _w: —T0149 'MEW or IWPLAL"EmP1 T . (ClR0LR QNB) AJA }1q1 iDLLR; k>;1.'D 4O.6�Wr1T (Ci CL13 ONLY A C; `IONS NFW DR R}�LA�iv1k3N1 (�`jRCLE 01* 1i,AUNO1CO011'NO0"Q)L`. 51ZE f FI PLIES:: _. RBIURN$: - I.102v1L OWNER A5500TAT10N: ygS qr NQ (1P YEB, NBED ATTTK FROM xl.gaJ DAMY"D RL CTRICALi , .A/C BOO- -TIP (ADUMa))j5CcaTLQBCT BOX): 9WrTCHEa: • RDTIBE JiQT WATERTiL'.ATBit C10: _oALLoI48 1 ©ASS ur B1 ECTRIQ (G1l�lC1T E 0 ) Y Pb LOCA11ON! , GAS P-XM81m-. ADD ITIQNALW TII±ST�iIS�1Jk#",bM1GIE1ifi9:' �iRf][9TYAITD ' 1P71kgP�9ru I.rNE . ' ' Place a ��}k" svri�•4 A!C lOtflfiu,� It 8i n6ka. ' _ dislvnca (!nit) to fUa propGr•1y tlpt+U