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Home My WebLink About11-013 CITY OF DIAMOND BAR (`�j;{�� .�-` � ""--��` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE �`�� , �, 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909) -7027 �� ''M'� BUILDING PERMTT APPLICATION ��...• � JOBSITE � „ /� �� ' Q ADDRESS�� /�L--�j(�--��A- APPLICATION PERMIT / /C o ' DATE NUMBER /"�� APN LOT TRACT DA EE �/�D �''��_CONST. 7 GROUP p OWNER �� jLL� ' p ADDRESS �/?7L ZONING SETBACKS � w FRONT � CITY ZIP TEL. RW ❑ APPLICANT TEL. SID SIDE STREET qyy p � CONTRACTOR � ' SIDE � � ADDRESS � O . � CITY ZIP TEL.�—q'4�-t�3s PROPOSEDUSE C 2 t. o ARC ENG/ ` z DESIGNER a ADDRESS NO.DWEL. NO. NO. cn UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION p SFR/ADD/REM p I HEREBV AFFlHIA UNDER PENALTV OF PERIURV THAT I AM EXEMPT FROM THE CANTRACTORS LI� G0f8 B/C0 R W CENSEIAWFORTHEFOLLOWINOREA50N($EC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCITVOR (n g � � ZCIXINTVNTIICHRE�UIRESAPERMITTOCANSTRUCT,ALTEH,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC- W Patio/Deck w 7URE.PRqR TO ITS ISSUANCE,AL50 RE�UIRES 7HE APPLICANT FOR SUCH PERMIT TO FIIE A SIONED w � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF TFIE CONTqACTORS U� � CENSE UW(GiAPTER Y(COMMENCINO WITH SECTION 700a)pF DIVISION 3 OF THE BUSINESS AND PR0. LL POOUSPB FESSIONS CODE�OR THAT HE OR SHE IS E%EMPT TMEREFROM AND THE BA515 FOH THE ALLEGED E7(EM7- (� TION.ANY VIOLATION OF SECTION 7031.5 BV ANV APPLICANT FOR A PERMIT SU&IECTS 7HE APPLICANT TO Z Re-Foof A CML PENALTV OF NOT MORE THAN FIVE HUNDRED DOLURS(f500).): � ❑4ASOWNEROFTHEPROPEHTV,ORMVEMPLOVEESWITHWAOESASTHEIRSOLECAMPENSATION, 0 COrt1rtIBfC18I Z WILL DO?HE WORIC,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7Wa,BUSI- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT AFPLV TO AN OWNER OF � PqOPERTV W/10 BUILDS OR IMPROVES THEREON,AND NMO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER ONM EMPLOVEES,PROVIDED THAT SUp1 W PROVEMENTS ARE NOT INTENDED OH m Q OFFEREDFORSALEIF,IIOWEVER711EBUIlAINGORIMPROVEMENTIS50lDWITHINONEVEAROFCAMPLE- • Z TION.THE OWNEF�BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR 7}iE PURPOSE OF SAL�. ❑I,AS OWNER OF THE PROPEHTV,AM E%ClUSNEIY COMRACTINO WRH LICENSED CON7RACTORS � TO CONSTRUCT THE PRQIECT(SEC.70U,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI- V81U8t1Of1 ADJ.AREA W CENSE UW DOES NOTAPPLV TOAN ONMER OFA PROPERTV WHO BUILDS OP IMPROVES THEREON,AND � NMOCONTRACTSFORSUCHPR0.IECTSWITHACONTMCiOR(5)LICENSEDPURSUANTTOTHECANTRAG QUANTITY DESCRIPTION FEE Y TORS LICENSE UW.). � � ❑1 AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U � DATE OWNER U Cl% � r � LICENSED CONTRACTORS DECIARATION w "~ `�� I HEREBY AFFIRM UNDER PENALTV OF PERJURV THAT I AM UCENSEO UNDER PROVISIONS OF CHAPTER � � Y(COMMENGMO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS ANO PROFESSIONS CODE,AND Z ' �� MY LICENSE IS IN FULL FORCE AND EFFECL m � UCENSE CLASS �� Z l � LIC.NO. � J �O ��`�" � V DATE � ' �I' CONTRACTOR�l�_��e��( d _�w �I� WORKERS'COMPENSATION DECLARATION Q � I HEREBY AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECURATIONS: U � Z /�p a �v� � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSEM TO SELF-INSURE FOR WORKERS' _ � COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOH CODE,FOR TME PERFORMANCE U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � � � _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q 3700 OF THE LABOR CADE,FOR THE PERFORMANCE OF THE WORK FOq WHICH THIS PERAl1T IS ISSUED.MV WOFKERS'CAMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION � CARRIER PLlW REVIEW � POLICY NUMBER Z Q 0 (ROSSEC�qNNE�NOTBE00A1PLETIDOFhEPEW.TrISFOqONEM�DREDDIX.lARS(tlop)OqLFSS} �91NG W � Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I CH IC � C� SHALL NOT EMPLOV ANV PERSON IN ANV MANNER SO AS TO BECOME SU&IECT TO THE [n WORKERS'COMFENSATION LAWS OF CALIFORNIA,AND AaREE THAT IF I SHOULD BECOME INSPECTI EE � SU&IECTTOTHEWORNERS'COMPENSATIONPROVISIONSOFSECTION3 OOFTHE � CODE.I SHALL FORTHWITH COMPLV WITH THO PRO S NCE � • p DATE:I�S�I� APPLICA �SMIP W � WARNINO:FAILUFiE TO SECURE WOi1KERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHAIL BE ENERGILP/C � � SU&IECTMIEMPLOVEPTOCRIMINALPENALTIESANDCNILFINESUPTOONEHUNDREDTHOU$AND ENERGYPERMIT DOLLARS(S10o,o00),IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 37oe OF THE LA00R CODE,INTEREST.AND ATTORNEVS FEES. OQ RETENTION FEE: r'c C CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFGIRM UNDER 7ENALTV OF PERJURV THAT THEFE IS A CONSTFUCTION LENDING AOENCV ' � FOR THE PERFORMANCE OF 7HE WOflN FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). Z W � LENDER'S NAME F— LENDER'SADDRE55 w 1 CERTIFV THAT I HAVE FEAD THIS APPUCATION AND STATE THAT THE ABOVE INFORMATqN IS CARRECT. TOTAL F E ES /.� ` �' � I AOREE TO COMPLV WITH ALL CI7'Y AND CAUNTV ORDWANCES AND STATE LAWS PEUTING TO BUILDINO � � CANSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATNES OF THIS CWNTV TO ENTER UPON THE Z ABOVE�MENTIONED PROFER7V FOR INSPECTION PURPOSES. COMMENTS ' � ,�,°L L.- f�4r2h/�C� m PERMITTEE PRINT � � ^�� SIGNANREOF EE DATE � RECPT.NO. - PAID BV VALIDATION WHITE—Department Copy,YELLOW—Finer�ce Copy,PINK—Assessor Copy,(iOLDENROD—File Copy,GREEN—Applicant's Copy � �:,;�;��' C; � r�. �"'� ��3 �t.r`��j �� CiTV O� DIAi1�OND �,4R . , �',-� -�,n� If�S�(�CT90f� RECORD "i ��,,�� i�,, ' , ._ .�a�p�c�ooa .;a� = - � - � . w. . . �� .. �.- ��o��c�� z �'��aa�p��ooa ,;��r�. ��J �. o, � o . , : �. _� . SET BACK FLO�R JOIST' ` FTGS/FORMS/STEEL . FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT . GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MiD HT. BOND BEAM ROOF SHEATHING • 8 FT: BOND BEAM � FRAMINGNENTILATION � FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIG ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION PQOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAiLING DEDICATIONS SEWER ' FINAL ENG. SEPTIC TANK LANDSCAPE/1RRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY C��o . COMMENTS SEPTIC TANK SIZE � SEEP PIT/U SIZE � :�:�� :�� r 7�� '� �'��(� �� , �; ° ,�.� - �-�,�z,��- ,_�- �. - .�, . - . � Simplified Prescriptive Certificate of Compliance: 2008 Residentia/HVAC CF-iR-ALT-HVAC Alterations Climate Zones 2,9 Site Address: Enforcement Agency: Date: Permit#: 1302 S. DIAMOND BAR Diamond Bar, CA 91765 City of Diamond Bar ]an 4, 2011 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit 0 Furnace 0 AFUE 80% i.�COP Served by system 0 Setback p�Indoor Coil 0 SEER 14.0 ❑HSPF ❑R 6(CZ 2 and 9) 820 sf If not al�eady present, 0 Condensing Unit ❑EER ❑Resistance must be installed) �Other 1.Equlpment Type:Choose the equipment being installed;if more than one system,use another CF-IR-ALT-HVAC for each system. 2.M/nlmum Equlpment Effle/eneles:13 SEER, 78%AFUE, 7.7HSPF for typica/residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final,the inspector verifies that the work listed on this form was in fact the work completed by the installer.The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010,a registered copy of the CF-iR and CF-6R shall also be on site for final inspection. � i. HVAC Changeout Required Forms: .All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 .Condenser Coil and/or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS .Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25 .Furnace For Split Systems: Duct leakage^;�;15 percent; RC, CCA z 300 CFM/ton,TMAH For Packaged Units: Duct leakage;;:<"15 percent , Exempted;from duct,leagage testing::;ifi. ❑1. DucYsystem was documented to have been previously sealed and confirmed through HERS verification, or 0.2. Duct systems with less than';;40.linear feet in unconditioned space,or �, � ❑3. Existing'due�t�systems are constructed'�'in ulated or sealed with�as6estos �,�� .�✓^� � � .,�, ..�5�... �f?'._ . �,�..�. ❑2 NeW��IVA,C' -��'`�� Require�Forms: �'' �^�� ""�- k'�� s,� �,��:� �s�`�,�.:°t � �" �. , � Sy5teI17�j.� d?�a�� '�� ;£„� � ..�k�..�'` � �'�' ,�.'�a. , a,w. • .. .Cut in�or�Changeout - �`� '��;� �'�';`�a,�: ��m. ,* < .; � �- . with new:ducts (all CF�6 forms SMECH-04, MECH�2I=HERS a�nd�(forsplit s,ystems)MECM 25`HERS • � � "�� ` � , � t � � � � :� . k r��'s � �� new d'uc��t�ng,�p,�,�ali Y CF-4R forms MECH 2Q and{for spli sy_stems)�M�CH 25 � r� new equipmeni}.� .�` �a�.�"�i�.;^ t'�: _��;-� ,.��,��Fk��.: .� ��'. �.�. � ��:.: �,�?'��.. .s,: �� For Split Systems:'Duct leakage<:k6;percerit;'RC, CCA >_300 CFM/ton;'TMAH ' For Packaged.Units; Duct leakage:_<6 percent ❑3. New'�Ducts witti�Replacement Required Forms: � .Includes replacing or installing all; ,, new ducting and/or outdoor j -'; CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS condensing unit and/or indoor,coil. . CF-4R forms: MECH 21 and (for spiit systems) MECH 25 and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton,TMAH For Packaged Units: Duct leakage < 6 percent ❑4. New Ducting over 40 feet Required Forms: .Includes adding or replacing more CF-6R forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF-4R forms: MECH-21 unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) .I certify that this Certificate of Compliance documentation is accurate and complete. .I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. •I certify that the energy features and pertormance specifications for[he design identlfied on this CertiFlcate of Compliance conform to the requirements of Tltle 24,Parts 1 and 6 of the California Code of Regulations. .The design features identified on this Certificate of Compliance are consistent with the informatlon documented on other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit application. � Name: WILLIAM FARNELL Signature: yyI�AM FARNEIL Company: AIR CONTROLLED ENVIRONMENTS Date: Jan 4, 2011 Address: P O BOX 249 License: 623782 City/State/Zip: RANCHO CUCAMONGA/CA/91729-0249 Phone: (909)941-0354- Reg: 211-A0000450A-00000000-0000 Registration Date/Time: 2011/Ol/04 20:17:43 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF-IR-ALT-HVAC Alterations Climate Zones 2,9 Site Address: Enforcement Agency: Date: Permit#: 1302 5. DIAMOND BAR Diamond Bar, CA 91765 City of Diamond Bar Jan 4, 2011 Duct insulation Conditioned Floor Equipment Typel List Minimum EfficiencyZ requirement Area } Thermostat ❑Package Unit ` p Furnace �AFUE 80% ❑COP Served by system 0 Setback 0 Indoor Coil �SEER 14.0 ❑HSPF ❑R 6(CZ 2 and 9) 820 sp If not already present, �Condensing Unit p EER ❑Resistance must be installed) p Other 1.Equipment rype:Choose the equipment being lnstalled;If more than one system,use anothe�CF-1 R-ALT-HVAC for each system. 2.Minimum Equ/pment Efflclencles:13 SEER, 78%AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final,the inspector verifies that the work listed on this form was in fact the work completed by the installer.The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filied CF-4Rs allowed)are filled out and signed.Begi�ning October 1, 2010,a registered copy of the CF-iR and CF-6R shall also be on site for final inspectlo�. � 0 1. HVAC Changeout Required Forms: .All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 .Condenser Coil and/or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS .Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25 .Furnace For Split Systems: Duct leakage.'<;15 percent; RC, CCA z 300 CFM/ton,TMAH For Packaged Units: Duct leakage;-<,:i5 percent Exempted from-duct leagage testing;ifi ❑1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or 0 2. Duct systems with less tha;n'40 linear feet in unconditioned space, or ❑3:Exist„��„ng�tluct�systems are�c"non'struct�ed,a'ingu�lated�o�seal,�ed,_with�asbes,H,�tos ��--�� - , �. ❑2 New MVAC �i��;'. Requireil�Forins��" �,t�, a , r -, ° ��,�' � �;� �~ �,, + .a, a��.:, System�.�'i�'��,� �. .�kx ��,�' .i�...�.� '�' �°�� ' ��uk, � ,k. � .Cut in�or�Chan eout o �� ,^,=;': d , �� ». ��:� a ��,r-,:. g �' t� °��i� ° ��``�""��'� .. �t� � with ne�w�!tlucts (all � FCF 6R�forms�MECH-04, MECH,�21-HERS and (far s lit s stems �MECH 25 HERS � , � � new ductin �'all C�F�`4�forms MECH 20�'and for's I� "'�`��" "� �� '�� " � � �,9�.,�, � �� ( � P t�systems)�M�C 25 ��s�� h�' new e ui ment "�'�iLsf{� 3� �xgc s�.. 3, �'�� .�'S,� a� 7�1._�.� , � e.i� i�'�.i,+,:'�. � �d; ��: 4 .P,,, .7.�;�;G' �x.� ^L i��-.fi�.="7. ..'.�,�,.,u�'.�;z��? 31�3?�r.".. .4�✓!s'.�t�.a,.z'�`.�.�. �r1 ,:�.�5': . ��`:.' . For Split Systems: Duct leakage.=c6'percent;RC,.CCA z 300 CFM/ton,TMAH For Packaged Units: Duct leakagex<6 percent L 3 New`Ductsfwith�Replacement` Required Forms: .Includes replacing or instal[ing,alli" ' new ducting and/or outdoor °�'` condensing unit and/or indoor.coil,,: CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS and/or furnace. Not all equipment CF-4R forms: MECH 21 and (for split systems) MECH 25 changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton,TMAH For Packaged Units: Duct leakage < 6 percent ❑4. New Ducting over 40 feet Required Forms: .Includes adding or replacing more CF-6R forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF-4R forms: MECH-21 unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) •I certify that this Cer[ificate of Compliance documentation is accurate and complete. •I am ellgible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. .I certify that the energy features and performance speciFlcations for the design identifled on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations. .The design features identiFled on this Certificate of Compliance are consistent with the Information documented on other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit appiicatlon. Name: WI�LIAM FARNELL Signature: yy�AM FARNELL Company: AIR CONTROLLED ENVIRONMENTS Date: ]an 4, 2011 � Address: P O BOX 249 License: 623782 City/State/Zip: RANCHO CUCAMONGA/CA/91729-0249 Phone: (909)941-0354 Reg: 211-A0000450A-00000000-0000 Registration Date/Time: 2011/O1/04 20:17:43 HERS Provider: Ca10ERT5, Inc. 2008 Residential Compliance Forms July 2010