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Home My WebLink About14-5149 9 __. �...__,,., '�T`-�� .......,,...._, CITY OF DIAMOND BAR � ` �W Til 0 DEPARTMENT OF COMMU1vITY&DEVELUPMENT SERVICES .. " Y 21810 Copley Drive,Diamond Bar,CA 91765 a, '��5' PRESS I �,; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�"� BUILDING PERMIT APPLICATION .�/ � APPLICATION DATE: P/C# s JOB SITE ADDRESS '� 4 � /�/_A r,! q i ISSUE DATE: II��-Il ��•I! �f PERMIT# � I��IY'7 � z APN LOT TRACT LOWNER��•�1d K J'�__� � TYPE CONST. OCC GROUP: n ADDRESS � 1 `� J CITY � l3 ZIP��TEL.�I Z�NING F ONT KS RW ❑ z APPLICANT �R l�t�J'�/✓�ti(/ TEL � REAR ❑ ;� � SIDE/SIDE STREET RW ❑ Q CONTRACTOR ,��/+t/1G2 , GI�l�/��'l�i��C�t SIDE ❑ � ADDREfS,S�,.�.,��, �C�✓1,T_ L(,�si/.J h � �r�y pROPOSEDUSE = CITY�Y�r�,�j�,�j.�ZIP��JFEL. ~I/y �� tN,�S -] � ARCH/ENG/DESIGNER � � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS I a CITY ZIP TEL. I � OWNEN-BUILOEN OECLANATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION = I hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport I �-' Professions Code:My city or county that requires a permit to construct,alter,imprave,demolish,or repair,any z struclure,priar to its issuance,also requires U�e applicant for the pertnit to file a signed sTatement tt�at he or she � Patio/Deck I i is licensed pursuant to the provisions of the Contractar's Sfate License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Pro}essions Codej or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof s of not more than five hundred dollars($500). � I � �]I,as owner af the property,or my employees with wages as iheir sole compensation,will do(�all of or(,portions � Commercial � � y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The m i Z Contractors'State License Law does not apply to an owner of pmperty 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 I � or improved for the purpose of sale.�. I � I,as owner oi the ro e (� p p rty,am exclusively contrading with licensed ContracTnrs W construct the project(Section Valuation: Adj.A�ea: I Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheConVactors'State QUANTITY DESCRIPTION FEE I License Law.). I � (�I am exempt from licensure under the Contractor's State License law for the tollowing reason(s): � I � ¢ 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been consVucted in its entirety by licensed contractors.I undersTand that a copy of the applicable � law,Section 7044 of the Business and Prafessions Code is available upon reques[when this application is submitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. z I = DATE: SIGN: � I LICENSED CONTHACTOH'S DECLAHATION � ' a �y I hereby aftirm 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. � / � C . I � LJCENSE CLASS: �� 1/ LJC.ANO.: �"1"1 r 7!� z I Z DATE: G�� (T_ CONTRACTOR Gr � I ¢ WOHI�H'S COM ENSA ION DECLAHATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: L � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the performance of The work for which this permit is issued. p�,qN REVIEW: > �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 ELECTRIC: z ¢ PolicyNumberare,.� � �, PLUMBING: L ,�, CARRIER X�G/ �f�, MECHANICAL: L�D•• 7 7 z POLICY NUMBER �/��/�7�� />/� � -o-� INSPECTION FEE: +� � (THIS SECTION NEFD NOT BE CAMPLEfED IFhIE PERMR IS F9R ONE HUNDR�DOLLPRS($100)OR LESS�. ISSUANCE: p.I�� I certlfy that in the perfortnance of the work for which this permit is issued,I shall nM employ any person in any manncr so as to � become subject to the Worker's Compensation Laws of Califomia.Md ag2e that if I should become subject m the Workers SMI P: J Compensation�rov�isio�n�s,of�Section 3700 of the L;abyor Code,I shall forthwith comp!y with mose provisions. ENERGY P/C: J DATE:��t�✓,J�//�'/APPLICANT: 'h � 1 �—7—F r ENERGY PERMIT: � WARNING:Failure to secure Worker's Compen ion c erage is unlawful,and shall subject an employer to criminal RETENTION FEE: (� y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the wst of the compensation, 1--�-�— '1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTRUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: r LENDER'SADDRESS: i I certity that I have read this application and state that the above information is correc[I agree to comply with all city and TOTAL FEES 1�/� �� I =� county ordinances and sTate laws relating to building construction,and hereby authorize representatives of this county to �(�� enter upon the above-mentioned property for inspection purposes. COMMENTS: I J � I b a PERMI EE NA E PRIt� n r � 1 = SIGNA OF P MITfEE DA E RECEIPT# o�� PAID BY:�� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy I � CITY OF DIAMOND BAR ' IiVSPE�I`IC1(v �t�CORD t: ;- ' . � � , . �, . . e � , . � , ,SETBACKi LE,fTER� `�,`� ,��a--�� ,� �� _ �, � TRACTAND LEDGER �FOOTINGS,FORMS�,�: ' m e� ; ,�: � 4 SWITCH GEAR ,• ;� �._ �� ,��. � � �;. „ , ;� ; ;SLAB, m,�� _� _,�; ' � � � � COMMERCIAL HOOD � �s._ UG.:F'L'UMBINC�� . �, � y� �� T-BAR ,UG:`;ELEC'tRlGAL�� ° ""' �` �:° � INTERCEPTER U�ER=GR011ND� „ °��,� w. ` '' � � .��. �, �«;� �; HOT MOP/SHOWERPAN SEWER LATERAI SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SHEAR.UUALLS EXTERIQR ��,t,;�, ,� ��. � POOL/SPA _ _ - � _ r � ,� _ _ — SHEARtiNALLS INTERIQR 4, � ,� , ROUGN PLUMBfNG � ` � FRAl1�It1V, E'htl�t� � �"� f+�a r.,� i�� -� ,� _ �, ROUGH ELECTRICAL _ , s �: .� r � � .� � � �� .�� ROI�tf:M�FtANI�AL='� �+'�'� -��` `�� `� � � ` ' ROUGH MECHANICAL ° � ROfJ�H�€G%TRICtIL` �141� �G`(x''1. .3 4� �' � . GAS TEST �� ;ROUGH�P,LUM1tI81h�G��s%��* „w:F�,�,.�� ,�. :$ r � ,� PREGUNITE � INSULATION WALL POOL PRE DECK BONDING INSl1LATI0N CEIIING P-TRAP DRYWALL FENCE/GATE/ALARM r LATH(PRE) fINAL PQOL IATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1s'( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL _„ �,.. . SPECIAL INSPECTION R0.FFiAAMING PIANNINGAPPROVi�1 �FINAL BUILUING'�°� _ � �� ,� . . _,�_ _ _ '� ROUGH FIRE APPROVAL � � � � `` FIN11L MECF#ANICAL .� �� =1�� V�+ �� "' � 'FINAL FIRE DEPAR?IVIENT � °�� : _� ��IN1lL ELECTRICAL ''� �� „� � °� ��°` ��° FINAI PLANNING ,.. ;FINt1L PLUMBING� ��,�� `� F •� , � FINAL ENGINEERING/PW �T.�,2otUCCUPANGY � �., �� u. � ° . _ .FINAL COMMUNITY SERVtCES �� ;r.x �. � .;� ;. ,�. ; FINAL HEALTH DEPT. GERT.of OtxUFANCY °`� � � 'FINAL INDUSTRIAL WASTE � -� COMMENTS: STATE OF CALIFORNIA �; n� ' �1LTERATIONS - HVAC � '� - -� � � CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION ' CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: � Enforcement Agency: Uate Prepared: Permit#: � � � Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Con itioned Thermostat Required R-value Floor Area(sq ft) ❑Packaged System Evaporator Coil ❑R-6 (CZ 2,8-13)Ducting Served by system O Setback ❑Split System ❑Condensing Unit AFUE COP �R-8' (CZ 11,14,15J Ducting !�4�sqft (�f not already ❑Mini Split ❑Compressor SEER HSPF ❑R-6(all CZ's)Plenums present,must 1�1 Furnace ❑Lineset �` �EER ❑R-5 or R7.5)Lineset° be installed) ❑TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to.be filled 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 Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-Ol,MECH-20-HERS,MECH-(23 or 24)Z-HERS,MECH-25-HERSZ Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERSZ Air Handler/Furnace2(Can include new ducting) Installer Requirement:Duct leakage(<154'0,or<10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: i � ❑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 r ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building� ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CF1R-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERSZ,MECH-25-HERSZ CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERSz,MECH-25-HERSZ Mini Splits require CF1R-ALT-02-E,CF2R-MECH-Ol,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<69'0,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 Ducts3 and one or more of the following CF1R-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-Ol,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,Lineset,FurnaceZ 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 Ducts3 CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<15%or,<109'a 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. 2 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-25/e",2.5-3T-2'/<",3.5 to 4T-2%",5T-4%" Contractor(Documentation 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. I 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). 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. 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 agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date Signed: License: �� 4 Company: Ad s: Cit/State/Zip: Phone: z `� ' '" C � �/.1'� l2 8' For assistance or que tions regarding the Energy Standards,conta the Energy Hotline at:1-800-772-3300 - � � r , • , CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: DIANE KIM Enforcement Agency: City of Permit Number: 14 5149 , Diamond Bar Dwelling Address: 22933 ESTORIL DRIVE UNIT City: Diamond Bar 2ip Code: 91765 1 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 3 OS Condenser Speed Type Single Speed �: �. 06 Cooling System Zonal Control Type Not Zonal �;; � ��= � � � '� � k� �"`�, a'; ��' 07 Central Fan Integr�tad(CFI�)Ventilation System�Status � Not°a CFI System �r�� _,�. � �e.-s:�; <, � �`� ,�,...;;. ��`:a ��' �� ' �� . �9�� x� �a�� 08 System Bypass�uct Status,= �� .� �:� No Bypass Duct� � �,;� � a� � .f°":�,�_ '��-�`_��s ��': � . ,'��. ��.:a:, ,',".:��,.r,. ' ^`;�;�,..�>�� ' ��:€: ��s�� ,� � ��°s� r - n f� ��€ � �,� �*+�bS`�,"_ " ,�g,r^�t�.�`,�� t��:� 09 Date of System Air�low�Rate Measurement� ��'��. �. ,=� r70L4 12-1fi� �, ,_ =��°` �,� _ . . _ -�.:. � ,: _.. __..."�_ � 10 .Airflow Rate P.r,atocol"utilized , �: RA3.3 procedures for airflow rate 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. Ol Method used to demonstrate compliance with the 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 RA33.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 A�rflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification. RA333.1.4 02 Manufacturer of Airflow Measurement Apparatus TSI 03 Model number of Airflow Measurement Apparatus T51 04 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at : Acwracy http://www.energy.ca.gov/(tbd) Registration Number:214-A0144026A-M2300002A-M23A Registration Date/Time: 2015-01-20 10:32:53 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-20 1031:31 2013 Residential Compliance Schema Version:0.515DD . � . , CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 4) MCH-23a Forced Air System AirFlow Rate Measurement-Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate(cfm/ton) 300 02 Required Minimum System Airflow Target(cfm) 900 03 Actual System AirFlow Rate Measurement(cfm) 972 04 Compliance Statement: System airflow rate complies E.Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150 0(m)13 were properly installed in �R��,n�. � � �� the system dunog syste air flow rate meagurement idenfified�on `��s Certif+cate a#�Installaiion��, �. ��,��. �� a:' ' � � � e_., ��i«� � The airflow rate measurement�apparatus�used to perform the air,flow rate measurement ideniified on this Certificate of � �u � � � ��a �� . 02 Installation was calibrated�in�acco ance wrth the apparatus manufacturer's speeifications and conforms�to�the `� W - .� .. instrumentation spec�ifica�tions gi en�in�RA3:3 1��`a� ��^��:� � � °� "fifi �'��' � � �. ;,; ti.t � ,�: n�,,�� w ; F; ..,.. ,.. . ��a� _ . �._�- ---.� u,:�. .... , � - � � � A visual inspectioo!shall;eonfirm that bypass ducts that deliver conditioned supply air directly to the space conditioning �>::, system return duct airflow`are not used on new or replacement zonally controlled systems unless the Performance 03 Certificate of Compliance indicatessa"allowance for use of a bypass duct.When a bypass duct is accounted for on the , Performance Certificate of Complia ce;the airFlow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan O8 efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status Pass-all applicable requirements are met SO Correction Notes The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. Registration Number:,214A0144026A-M2300002A-M23A Registration Date/Time: 2015-01-20 1032:53 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-20 10:31:31 2013 Residential Compliance Schema Version:0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 4) F.Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies:All specified verification protocol requirements on this document are met. ��:. �s. � �� n� � �� ,jj., N� �j ;t:" .,1 �_::�� . F ., F � . p. �' .�"��` � + � �.; _,� �� ' �"�'� ,� ,� ��.T � � � �, xt � ��^.3�r�*' �+� � _ �x'"� 'i"{, ,s t a,�:+ . � � � � � � � .. � � �4��# '� '�u.�� +!R�r,�'�� '�--d''. ' ,F=�� A �� .. . ;;�-, , . . ... �, ._ .. . _ . ?y, �=" P�; Registration Number:214-A0144026A-M2300002A-M23A Registration Date/Time: 2015-01-20 1032:53 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-20 10:31:31 2013 Residential Compliance Schema Version:0.515DD - - . . ` < . . CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4) Documentation Author's Declaration Statement Il. I certify that this Certificate of Verification documentation is accurete and complete. Documentation Author Name: Documentation Author Signature: n � lan Jacoby cYan�acobJc Company: Date Signed: Stratz Permit Service 2015-01-20 10:32:40 Address: CEA/HERS Certification Identification(if applicable): 5858 Dovetail Drive City/State/Zip: Phone: Agoura Hills CA 91301 818-735-7876 Responsible Person's Declaration statement � I certify the following under penalry of perjury,under the laws of the State of Califomia: 1. The information provided onxhis Certificate of Verification is true and correct. 2. I 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 reqwrements in Reference Appendices RA2 RA3,and the requirements s ecified on the Gertrfic te�'of Com liance for the�bwldin a' roved§b�the enforc�errixent a en� _ P P � g�pp Y B �Y � �o� �,�, 4. The informatiQn�r�eported onapplic�a�ble�ction�f,Yhe Certificate(s)of Installation(CF�2R)signed�and submrtted by the person(s)responsible for the construction or installation conforrns to:the reqmiements speafied ofl the Certificate(s),of Comp[ia�ce(CFSR�pproved-.hy the enforcement agency. t :� E - �°'�� '��'.�,; ��. E � 5. I will ensure}�that a registered'copybf,tftts Certificate of Verifitation shall be posYed or made avadatil;e with ihe building perm�t(5)ssued fo[the �s i*k. � ��'t�`.� — � ,��::. .. ��^ building,and made-available,to the�enfiorcement=agency�forrali applic�ble�nspections�f understand,that a registered copyaf this Certificate of ��_�. � . ��: .: �; ,�, .��°��*°� Verification is required to be ncluded.wtth the��o u"m ntation the:butlder prowdes to the��building"owner-aY occupancy. . - . - r.y . _ - . :.: . r€� Builder Or InstallerLJnforiiiation As Shown On The Certificate Of Installation �: Company Name(Installing Subcontractor,Generel Contractor,or Builder/Owner): SERVICE CHAMPIONS INC x" 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: r Stratz Permit Service nyL'G0� ` Responsible Rater Name: Responsible Rater Signature: Ryan Faris 2015-01-20 10:32:53 ' Responsible Rater Certification Number w/this HERS Provider: Date Signed: CC2006345 � Digitally signed by Ca10ERTS. 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:214-A0144026A-M2300002A-M23A Registration Date/Time: 2015-01-20 10:32:53 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-20 10:31:31 2013 Residential Compliance Schema Version:0.51SDD