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Home My WebLink AboutPR16-28044 CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES I(, ' - G 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS 3 _� r) L- V r s'y-r- N, APN LOT TRACT OWNER VPI Ri1 N ADDRE � GVrsf^o/� �- CITY ZIP 06 TEL. 2 L APPLICANT utfi �F1t(,NSoN TEL. D-04.1 CONTRACTO - 1 (.e V � P1bo ADDRESS O ,� ��Sr CITY ` F� L ! ZIP dt2';a TEL. V0) 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 1, 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): gate: Sign:_ 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 Zpplicable 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. 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 y license is in full once and effect. Cl0 C 711 5 7 LICENSE CLASS: 7V LIC.I-. . EXP. DATE: /'L000NTRACTOR: WORKER'S COMPENSA 10 DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE F LLOWING 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 0 (3(31-T t POLICY NUMBER 5_5 Q AV 5 VD) (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 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: APPLICANT: 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 ($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. Sv - (, N PERMITTEE NAME (PRINT) 1 2 / SIGNATURE OF PERMIT -TEE DATE APPLICATION DATE: IZq I (V PP/C# K%(&7 Z ISSUE DATE: (2 PERMIT# : PK I & r 7/ 6q TYPE CONST. GROUP: �OCC Scope of Work vIL RE tn(jrr' � r ,�-a[ht'wa # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck w rL Pool/Spa ZRe -Roof Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE a U U w J W m nr n. — lorn U CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: I.89 INSPECTION FEE: ISSUANCE: 3(P• (Z. SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: .00 PRE-ALT FEE: BASF: PLOT PLAN: L, ZONING CLEARANCE: 43.34 TOTAL FEES (� • �� COMMENTS: P/C: PAID BY: VALIDATION: RECEIPT 11 32901 PAID BY: V ODS 186 VALIDATION: LL WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD SETBACK/ LETTER FOOTINGS FORMS SLAB-:' UGIPLUMBING� UG: ELECTRICAL UFER:GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR 0 R WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL - ROUGH ELECTRICAL, WO C I GH RIN Rbij ' ' " PLUM" G ' INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE 9 GAS METER RELEASE SPECIAL INSPECTION rimAr Ri m niNr.- I T.C. of I CAL: NG ANCY IJIPAN6:-�� COMMENTS:. TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVEDI" DEMOLITION ROOF DRAINS ROUGH CONDUIT ROUGHTLUMBil\!G Rb0GH,EILECfkICAL.*.;;�,, ROUGH MECHANICAL HANICAL- GAS,TEST'-'. POOL PRE, DECK BONDING'' RAP FENCE L GATE/.ALARM .FINAL POOL.,-t WALLS: WALL FOOTING/STEEL WALL STEEL 1ST( )2 ND( LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FOAMING PLANNING APPROVAL ROPdH,FIRE;APPROVAL FINAL FIRE DEPARTMENT,, FINAL PLANNING I Et FWALANGN RINGi,'OWI"%".'k'�,,",',," FINAL COMMUNITY SERVICES OINALHEALtH DEPT.'r' — FINAL INDUSTRIAL WASTE' 10, CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3 ) Project Name: BONE Date Prepared: 2016-12-09 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR-ALT-02 document for each dwelling unit. 01 Project Name BONE 02 Date Prepared 2016-12-09 03 Project Location 335 GUNSMOKE DR 04 Building Type Single family 05 CA City DIAMOND BAR 06 Dwelling Unit Name HOME 07 Zip Code 91765 08 Dwelling Unit Conditioned 1553 Floor Area (ft2) Number of space conditioning 09 Climate Zone 9 10 (SC) systems in this dwelling 1 unit. 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' r containing system more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space HVAC1 1553 1553 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) ,This section does not apply to this project. Registration Number: 416-AO01079SA-000000000-0000 Registration Date/Time: 2016-12-09 08:27:41 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-09 08:27:51 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-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) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required 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 gas Central split All new Less than or HVAC1 furnace Indoor coil AFUE 0.78 AC cooling SEER 14.00 Setback equal to 40 R-6 components feet Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 5 15%, or 5 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow>_ 300 CFM/ton required when MCH-25 is required. Exceptions: -Duct systems registered 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 verification of Air Flow MCH-23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F) This section does not apply to this -project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) This section does not apply to this project. Registration Number: 416-A0010795A-000000000-0000 Registration Date/Time: 2016-12-09 08:27:41 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-09 08:27:51 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-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: Jim McEligot J'�fvMc -ua Company: Signature Date: Rightime Home Services 2016-12-09 Address: CEA/ HERS Certification Identification (if applicable): 965 Ridge lake Blvd, Suite 201 City/State/Zip: Phone: Memphis TN 38120 951-276-9744 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: Jim McEligot J�fmMcEuti- Company : Date Signed: Rightime Home Services 2016-12-09 Address: License: 965 Ridge lake Blvd, Suite 201 765074 City/State/Zip: Phone: Memphis TN 38120 951-276-9744 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: 416-A0010795A-000000000-0000 Registration Date/Time: 2016-12-09 08:27:41 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-09 08:27:51 Schema Version: 0.555SDD � (3-b 0< e --, CITY Or DIAMOND BAR Planning Division Plan Check Approval Cass, file nuT-c be r: K) D— D_,te: (I... I - j a --- �- The construction documents submitted for plan check Apprc-v--- -•c' L v: and/or subsequent development shall be in substantial WiVI Cony.,.,.; ` �s 4s compliance with the architectural plans approved by the 1. This a ,i ;� , ,-: S ion/Administrative pp�ov — ' (Planning CommissionlPI— e�`e�o� �_—�J`c---- Hearing officer/City Coun�onjlNe'with the Planning_�� Division, as modified pursuant to the conditions poted, and 2. No otner approvai is irnp;ied by this one. thereafter maintained in conformance with such approval. 4. Thi,;, pro al is �'c! f,, ---year(s). Y a n1u Zoning, Engineering, and Bldg. & Saftty requirements. 4 P"\ RIGH IMEo HOME SERVICES Call today and help is on the way! November 14, 2016 1I, Randy Quantarrow, here by give my authorization tion to: David Ferguson and any other representatives of RighTime Home Services on my b building permits, business licenses or other related documents for u alf to submit, pick up and pay for Services. I ensure my full consent for this authorization. our company, RighTime Home If you should have any questions, please contact me or my staff at 800-660-0675 Thank you, MghTime Home Services, Inc. (Randy Quantarrow) RighTime Home Services 3030 Myers Street Riverside, California 92503 (800) 660-0675 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of V- \-\) k Cps k On►)dV \y 101 before me, GS-i`20W N � Lti 131_\ (insert name and title of the officer) personally appeared k-RNpy r,?,-r3 who proved to me on the basis of satisfactory evidence to be the person(&) whose name (s�/are subscribed to the within instrument and acknowledged to me that Jig/she/they executed the same in his/her/their authorized capacity(ies), and that by bis/her/their signature(&) on the instrument the personts), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. J..BERGSTROM WITNESS my hand and official seal. ._� Commission No.2067304 1 41 NOTARY PUBLIC-CALIFORNIA .. RIVERSIDE COUNTY µMy Comm. Expires JUNE 4, 2018 Signature -� n .�rii�., (Seal)