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Home My WebLink AboutPR16-1208CL CITY OF DIAMOND BAR k DEPARTMENT OF COMMUNITY & DEVE'LOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-70(2r FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS L APN LOT�� TRACT OWNER 4a e,11 N �a V={tj ADDRESS CITY Zi ZIP 7 TEL 4_124—�fjf 72l S[ APPLICANT�d r- IJ TEL. y.S` % CONTRACTOR H ADDRESS CITY VL ZIP TEL. _1[J 777 7:77-7 ARCH/EN/ 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 Cade: 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 "W"le Law.). U i am exempt from licensure under the Contractor's State License law for the following reason(s): 'ti,y 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.loginfo.ca.gov/calaw.html. 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 lmyy clicense is in full force and effect. -J% LICENSE CLASS: �` LIC. NO.: N t D DATE: � - CONTRACTOR: COMPEN , ION D ELARATION 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 CARRIER Vis' POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS 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 become subject to the Worker's Compensation Laws of Califomia. And agree that if I should become subject to the Worker's Compensaton provision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. W TE:�APPLICANT: WARNING: Failure to secure Worker's Comp n covers a is unlawful, and =hall 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. PERMITTEE NAME (PRINT) SIGNATURE OF PER EE ATIE APPLICATION DATE: ISSUE DATE: TYPE CONST. P/C# PERMIT# : OCC GROUP: / IdO Scope of Work # DWEL. UNITS # # S DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck LU LL Pool/Spa ZRe -Roof Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U U w w co z M J a ' 7— x U CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: 4L1 % INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: e%iL BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: VALIDATION: RECEIPT # � PAID BY: '/O�/( /p �VALIDATIONS WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF D�AMOXD BAR INSPECTION RECORD INSPECTION DATE INSPECTOR SETBACK/ LETTER COMMERCIAL HOOD FOOTINGS FORMS INTERCEPTER SLAB SEPTIC/CESSPOOL UG, PLUMBING DEMOLITION UG. ELECTRICAL - ,- ROUGH CONDUIT UFER GROUND •3 t: �,,. ;, '. .' •' : ' _i it SEWER LATERAL ROUGH MECHANICAL MAIN WATER LINE PRE GUNITE SEWER CLEANOUT P -TRAP ROOF SHEATHING FINAL POOL FLOOR SHEATHING WALL FOOTING/STEEL SHEAR WALLS EXTERIOR WALL BOND BEAM SHEAR WALLS INTERIOR WALL FINAL FRAMINGNENTING ROUGH FIRE APPROVAL ROUGH MECHANICAL FINAL PLANNING ROUGH ELECTRICAL W( ) C ( ) FINAL COMMUNITY SERVICES ROUGH PLUMBING FINAL INDUSTRIAL WASTE 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 Z / 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 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 1-( ) 2ND( ) 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 - HVAC GEC -CFV-- LT -04-E (Revised 06A4% CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E i— I Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) _i-iIICi �-a-nen . 1.�ea rate =� �. �. =•_r��?=. r---=—� Equipment Type hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. form is allowed to be filled __. . - - Equipment Efficiency Newt �a u c no i,e,.i D:ci,.o, P%er._m.., Lineset: Req.:ired R. -valise n,4 = ed i Co�.ui:i��n_- { Floor Area (sq ft) Thernmstat i ❑ Packaged System ❑ Evaporator Coil CO. i ❑ R-6 (CZ 2; 5-13) Ducting Served by system ❑ Setback 11 Split System i ❑Condensing Unit ( AF UE ❑ R-8 (CZ 11, 14, 15) Ducting I ft (;f not already ❑ Mini Split I ❑ Compressor i SEER ( HS' -F -l ❑ R-6 (all CZ's) Plenums _sq {present, must 0 Furnace ( 11 Lineset I ( { ! R-5 or R7.5) Lineset' replaced: Condenser Unit, Evaporator Coil, I be insta,ied) i Compressor, TXV, Lineset, Furnace' M TVt, { EER i I -� ents to be left on site for Final New Dustin over 40 feet Required Compliance Docum 4. New ducting but less than All New Ducts3 CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. form is allowed to be filled __. . _out _by El 1. HVAC Changeout/RepairRequired Compliance Documents to be left on site for Final All Equipment, CF1R-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-HERSz 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: 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 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: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01 and (CF2R-CF3R) MECH-25-HERS I Installer Requirement Duct leakage < 6%, Fan Efficacy (.58W/CFM), AirFlow>_ 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 CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, 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 >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos -� ents to be left on site for Final New Dustin over 40 feet Required Compliance Docum 4. 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 (:S_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 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 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. Most 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%" i Contractor (Docutrentation Author's /Responsible Designer's Declaration Statement) I certify the following under penalty of perjury, under the laws of the State of California: i 11. 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. i ! 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). { 4. 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 CCR. j ! 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 f agency for approval with this building permit application. i Responsible Designer Name. Responsible Designer Signature: Date Signed: ` License: / I '' /�✓ Company: Addre City/State/Zip: Phone: j . I S f02a A4 I, 71 7 I For assistance or quettions regarding the Energy 5tandarcis, contact the tnergy rtoume CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 ) Project Name: BRIAN & CINDEE QUAN Enforcement Agency: City of Diamond Bar Permit Number: pr161208 Dwelling Address: 2406 CLEAR CREEK LANE City: Diamond Bar Zip Code: 91765 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Building Type from CF -1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken 05 (VLLDCS) Credit from CF1R? Total leakage 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit No, credit is not taken 07 from CF1R? Cooling system method 06 Duct System Compliance Category Alteration using smoke test 09 TA _" MCH -20e - Sealing All Accessibl6leaks using Smoke•Test`& B. Duct Leakage Diagnostic Test � i V � V ki, t-- 1"'41: 01 Condenser Nominal Cooling Capacity (ton) 5 02 Heating Capacity (kBtu/h) 0 03 Conditioned Floor Area served by this HVAC system (ft2) 2624 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method O8 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 300 10 Actual duct leakage rate from leakage test measurement (cfm) 574 Registration Number: 216-A0184267A-M2000002A-M20A Registration Date/Time: 2016-06-10 10:34:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-06-10 09:52:07 2013 Residential Compliance Schema Version: 2013.1.007 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: Ian Jacoby Documentation Author Signature: �' ;an Cacob, Company: Date Signed: i PERMIT E RATERS 2016-06-10 09:52:13 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 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 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 Certificai� (s)ofli sfallattii6W,(CF2R)sgned.andrs6bmittedEby the persbn(s) responsible for the construction or installation conforms to the requirements specified on the Certificates) of Compliance (CF1R) approved by the enforce mentiage ncy. 5.I will ensure that a registered copy of this Certificate Verif be made. the building of ation"shall posted, or %ailab a with permit(s) issued for the building, and made available to the:enforcement ager cy forall applicable inspections. I understand that a•registeredcopy of tha:Cer41 1cate,of %` O art i.3 Verification is required to be included documeritaUon t'. with the the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On"Th Certifcate'Of Install ationIF "" W Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): SERVICE CHAMPIONS INC Responsible Builder or Installer Name: CSLB License: Kara Brumbaugh 799170 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: Richard Douthit Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006570 2016-06-10 10:34:21 Digitally signed by CaICERTS. 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: 216-A0184267A-M2000002A-M20A Registration Date/Time: 2016-06-10 10:34:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-06-10 09:52:07 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7 ) Project Name: BRIAN & CINDEE QUAN Enforcement Agency: City of Diamond Bar Permit Number: pr161208 Dwelling Address: 2406 CLEAR CREEK LANE City: Diamond Bar Zip Code: 91765 A. General Information 01 Dwelling Unit Name BRIAN & CINDEE QUAN 02 Climate Zone 9 03 Dwelling Unit Total Conditioned Floor 2624 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 09 Dwelling Unit Number of Bedrooms 3 system? MCH -01b Prescriptive Alterations - Space Conditioning Systems Ductsl"and Fans , B. Space Conditioning SCS stem Information� 01 02 03 04 05 06 07 08 09 30 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 refrigerantducted system than 40 feet of entirely new entirely new SC Alteration Type Name Served System (ft) containing components? ducts? duct system? system? system.> component? Extension of System 1 Location 1 2624 Yes No No Yes No No existing duct system Registration Number: 216-A0184267A-M0100002A-0000 Registration Date/Time: 2016-06-10 09:51:34 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-10 09:50:42 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: ��// J. Jacoby, Ian Cacocy Company: Signature Date: i PERMIT E RATERS 2016-06-10 09:51:07 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. 0 ed on this Certificate of Installatn conforms to alliapplicable codes and regulations, and the 3. The constructed or installed features, materials, components or manufactured devices (the installation) identifiio Vs s''# i installation conforms to the requirements given on the plans and specrfications`approved by the enforcemenUagency. pl;: a 4. 1 reviewed a copy of the Certificate of Compliance approved by the'enforcement agency that identifies theuspecific requirements forthe scope of constrnfuction 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. 5. 1 will ensure that a registered copy of this Certificate of Iriftallation shall -be postted, or made available wrthfthe buifding pefmit(s) issued fort he bull ing and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of 1'6stallation 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: /�� /Y/ Brumbaugh, Kara Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): SERVICE CHAMPIONS INC EMPLOYEE Address: CSLB License: 22911 SAVI RANCH PARKWAY 799170 City/State/Zip: Phone: Date Signed: 12016-06-10 YORBA LINDA CA 92887 714-777-7777 09:51:34 Digitally signed by Ca10ERTS. 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-A0184267A-M0100002A-0000 Registration Date/Time: 2016-06-10 09:51:34 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-10 09:50:42 Schema Version: 2013.1.007