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HomeMy WebLinkAbout12-312 CTTY OF DIAMOND BAR ����� ����� I %' .� --�� DEPARTMENT OF COMMUNI'i'Y&DEVELOPMENT SERVICES �_. 21810 Copley Drive,Diamond Bar,CA 91765 �. � �������S � '� (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(409)839-70 '���'�W BUILDING PERMIT APPLICATION LY o DDRESS (J , �/yj � /� S �� APPLICATION� Z � NUMBER/���� �i� � DATE � APN LOT TRACT DA EE � �� ONST.��1Y� GROUP °C OWNER � ZONING SEBACKS o ADDRESS FRONT RW ❑ ' � CITY ZIP TEL. REAR � APPLICANT TEL. SIDE/SIOE STREET RW ❑ � CONTRACTOR �'- r� SIDE O ADDRE . PROPOSED USE � CITY . ZIP .�E S z'' w AACWENG/ w I/j� S'7}'3 • z DESIGNEfl /�� ft � � NO.DWEL NO. NO. a ADDRESS -T� UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION cr� � � �OWNER-BUILDER DECLARATION - SFR/ADD/REM O 1 HEREBV AFFlRM UNOEH PEW�LT'OF PERRIRY THAT 1 AM E%FJdPT FROY THE CONTMCTORS LY Garage/Csrport W CENSEUWFORTHEFOILOWWf3AEAuON(SEC.70.11.6BUSWESSANDPROFESSIONSCOOE:ANYGTYOR (n . U COUNTYWHIp1HE0UWE5�PEfIMR7000NSTNUC�.ALTEfLIMVROVE.OEMOUSH,ORREPAIRANV9TRUG IW P8110/DBd( .. . ZNRE,PR10R TO RS ISSUANCE.AL50 REWiNES THE MPLfCANT WN SUCH PERMIT To FlLE A SK3NEU � STATEYEM THAT HE OH SHE IS UCENSED VURSUANT TO iHE PRONSIONS OF THE CANiMCTOfiS LL � CENSE UW(CNMTER G(COAINENCUX3 vlI7H SECTION 7000)OF DMSION�OF 7NE BUSWE55 AND�RO- � POOUSpB O iESSqNSCOD�ORTHATHEOR3ME�ISE%EMPT7HERFFROMANDTHEBASISFORTHEALLE6EDE%EMP- V 7qN.AM1'.VqLATIpJOFSECTION7031.6BVANYMPLICMR�f-0NAPER/AITSUBIECTSTHEMPLICANTTO . Z Rg-qool � ACML VEIULiY OF NOT MORE 7HAN FNE HUNDRED DOlUAS(tboo)J: - _ � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOYEESWIiNIVAGE3ASIHEIRSOLECOMPENSATION, Q COR1R16fC18I I Z N7LL W THE WORKµ0 THE 97RS1CTURE IS NOT IMEHDED OR oFfEREO FOR 9ALE(sEC.�7a�,BUSF ,...1 � NESS AND VRDFESS'ONS CODE:TME CANTRACTORS LICENSE LAW DUES NO7 A7PLY 70 AN OWNER OF ? . PROPERiYW1�OBUR.D30NIMPROVESTHEREON,ANDWNODOESSUCHNOFKW4/SELFORHERSELFOR m [L tYRmUGH W S OR HER OYM EN7lOYEES,PiiOVIDED lHAT SUCH DiPROVEMENTS ME NOT WTENDED OR QOFFEREDFOR3ALEIF,HOVJEVER'MEBUILDPI�ORMPROVEMENTi550lDW�THINONEVEAROFCOMFLE- . Z TqN,THE OWNER-BUILDER WILL NAVE THE BURDEN OF PROVYN3 TFIAT HE OR SHE DID 1�T BUILD OR � VAPROVE FOR TNE PURPOSE OF SAL�. W �4�ONRlEROF7NEPpDPEHTY.MIEXCLUSNELYCON7RACTINONTfHUC�NSEDCOHTMCTORS Q Tp CO/tSTRUCT THE VR0.IECT(SEC,70N.BVSINE55/iN0 PROFESSIONS CODE THE CONTMCTOR9 U- VBIUHtf0f1 ADJ.AREA � CENSE UW DOES NOTAVVIYTOAN O4VNER OFA PROPEPT'WHO BURDS OR W PROVE9 7HERfON.AND . , W1pCONTAACTSiOR3UCHPRWECfSWfTHACONTRACTOP(5)LICEHSEDCURSUAM70THECONTMG pUANTITY DESCRIPTION FEE � TORS UCENSb UW.). ,�.j O -�I AM E%E�IPT UNDE�C. U � B.a P.C.FOR 7HIS REASON Q � � � U LL DATE . �� oVtNER . . . �. Z W � UCENSEO CONTRACTORS DECLARATION � �j � � I HEREB�AFFlN�4 UNDER PENALTY OF VERJUAY TMAT I AM'IICENSW UNDEfl PROVISION9 OF CHAPTER � � � v(COMlAENCBIO VATM SECTION 7000)OF DMSION 70F THE BUSINESS M1D PROFESSIONS CODE,ANp Z Ary LICEN9E IS IN FULL FORCE AND EFFECT. /� m � UCENSE CLASS ✓ LIC.NO.: v ' � 7 - , . U pp7E CONTRACTOR a . W � WORKERS'COMPENSATION DECLARATION . � � � V N 1 HEHEBY AFFIPM UNDER PENALTY OF.PERNflY ONE OF 1HE FOLLOWPIO OECIAfiA710NS: Z � _I HAVE AND WILL I.WMAIN A CEFiT�FICATE OF CONSEM TD SELF-INSURE FOR NOPo(EHS' � COMPBISATION.AS PROVIDED BV SECTION 37000FTHE UBOR CODE,FOR TNE PERFORMANCE W. OF THF WORK FOR WHKYI THIS PERMfT IS ISSUEO. � � I HAVE AND MlIU.WJNTAIN WORKEHS'�COMPENSATIOFI M9URANCE:AS REWIRED BY SECTION Q 37oa OF THE U�BOR COOE.FOR THE PERFO{U/ANCE Of THE WOR)C FOR MAtlCM TH�S 7ERMR IS ISSUEp.L1'/Wpql(ERS'COYPENSA710N INSURANCE CARRIER AND POL�CY NUMBER AAE: �CONSTRUC�ON � �qqq�ER . . . PLAN REVIEW �Z POLICV NUMeER ELECTRIC . Q (n+ssEcrior+r+�r+o'reEcor.s�FFrFuuoFtrEa�Mrswaa�M�+Enoa�R+alloa�. PLUMBING � . . . . W MECHANICAL �' Z I CERTIFYTMAT IN iNE PERFORMMIGE OF THE WORK FOR WHICN 7HI3 PERMIT IS ISSUEO.I � � � � (,�} SHA11.NOT EM7LOY ANV PERSON W ANV MNNNER SOAS TO BECOIAE�SU&IECr TO THE' INSPECTIQN FEE � WORKERS'CO\IPFNSJ�TION LAWS Of ChIiFORNI/�AND AGREE 111AT IF I SIiOtILD BECOiAE . SUBJECT TO THE WDRI(ER5 COM7ENSATION PROV15qNS OF SEC7ION 370o OF THE LABOR 3 ,, �D � CODE.I S1iALL FOHTNWIIH CW�PLY WITITHOSE PROv�S10NS. ISSUANCE . . f-'- O SMIP p DATE: APPLICANT: . . . � w ENER6Y P/C --� WMNWU:FAILURE TO SECURE�RKERS COMPENSATION CAVEMGE IS UNLAWFUL,AND SHALI BE � - J �y SUB1ECfANEMPLOYERTOCRIMWALPENPLTIESANDCMLFlNESUPTOONEHIAi�REDTMWSAND E(yERGY�PERMIT . pOLURS(S10o,000),W ADD�TION TO7HE CQST OF COMPENSATION,DAMAOES AS PROVIDED FOR IN ' �OD J SECTION 37oE OF THE LABOft CODE.�NTEREST,AND ATfORNEV'S FEES. ' RETENTION FEE: . 2 �� , CONSTRUCTIONLENDINGAGENCY � �PRE- T � . . . � � 1 HEREBV AFFlRM UNDER GENALTV OF PERIURY THAT 7NERE IS ACONSTRUCTION IENDMO AOR7CY �D �Z� FOR iHE PERFORAIANCE OFhIE VlORK FOR NMICN I ERMR IS ISSUFD(SEC:70a7.C�V.C.} . W ��. LQ�DERS NAME .. . . .. . . . . F_- �ENDEHSADDRESS . � � -� ��J � i csrrriFr rw�T i w�ve a�nn n+is�cnn«+u+n sr�re nur nie�eove u+wa�uTaa is coi�aecr: TOTAL FEES � / / w 1 A(iREE TO COMPLY WI7H ALL GY1Y ANb COIRliY ORDwANCES AND STATE UWS NEU71NC1 TO BUY.WN6 � CONSTRUCTION,ANDHEREBYAUTNORREiiEPiiE5EN7ATIVE5OF7H�SCWNTY70EHTERU70NTiE ZABOVE-MEMIONED VROPERTY FOR INSPECTION PURPOSES. COMMENTS �� 0 J � m PERMITfEE NAME(PRI1fn � . . . . . . . . . Q C!� � SIONANRE OF PERtdtTTEE OA7E RECPT.NO. PAID BY VALIDATION � WHITE-Department Copy.YELLOW—Finence CoPY.PINK—Assessor Copy�GOLDENROD—File Copy�OREEN—ApplicanYs Gopy . - , ,�_�: :• uu �> .. , ' °�� .- A,� ":.�.: � CITY OF DIAMOND BA►R ,• •, � •` � y � INSPECTIOP� RECC3RD _ ,. .. . , . _ . �: , � . .- . . x i . � ; B . � � ` . a • � p � ' ..fr., : r9,_ � - _ � �. , .� ��� , , - �. „ � �� .� . �; �:-� . < s,� . _ . � . SET BACK �F� LOOR JOIST FTGS/FORMS/STEEL j FHA REQMTS ELECTRIC GROUND I UNDER FIOOR OUCT GROUND PLUMBING �UNDER FLOOR CONDUIT SLAB GRADE i FIREPLACE FOUNOATION TEMP POWER FIREP�ACE BOND BEAM WATER SERVICE MID HT.BOND BEAM " ROOF SHEATHING i 8 FT.BOND BEAM FRAMING/VENTILATION �FINAL BOND BEAM ROOF COVER �PRE-GRADING ROUGH HEATING __ �BENCHING _ ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUBTEST �POOL ELECTRIC EXT.LATH/SIDING �POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTICTANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT.FINAL FINAL HEATING HEAITH DEPT.FINAL FINAL ELECTRI� QEV.FEES PAID FINAL PLUMBING EIdERGY FINAL PLANING FINAL ENGIPIEERING • � COMMENTS �� �-l'-� 3 ���� « � ����.�� � � r�. - � SEPTIC TANK 51ZE SEEP PIT/U SIZE � Ir� � � S CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test— Existing Duct System (Page 1 of 2) Site Address: • Enforcement Agency: Permit Number: 940 Gotden Springs Dr., Unit E, Diamond Bar CA 91765 City of Diamond ear PR2012-312 (System 1) Enter the Duct System Name or ldentification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certi�cate for each duct system that must demonstrate compliance in the dwelling. This installation certi�cate is required fo�compliance for alterations and addrtions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the origina/duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sea/ed. For a completely new or replacement duct system installed in an existing dwelling, _ use the Installation Certificate titled "Duct Leakage Test- Completely New or Replacement Duct System." Duct Leakage Diagnostic Test-existing duct system Select one compliance method from the following four choices. ^ 0 1. Measured leakage less than 15%of fan flow �2. Measured leakage to outside less than 10%of Fan Flow �3. Reduce leakage by 60%and conduct smoke and fix all leaks �4. Fix all accessible leaks'using smoke and HERS rater verify Noter(One of Options 1, 2, or 3 must be attempted before utilizfng Optlon 4.) Determine�nominal Fan Flow using one of the following three calculation methods. ��Cooling system method: Size of condenser in Tons : 2.5 ,x 400 = 1000 CFM �❑Heating system method: 21.7 x_Output Capacity in Thousands of Btu/hr=_CFM . ✓O Measured system airflow using RA3.3 airtlow test procedures: CFM Option 1 used then: 1 Allowed leakage = Fan Flow 1000 x 0.15 = 150 CFM Actual Leakage = 149 CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: z Allowed leakage = Fan Flow_x 0.10 = CFM Actual Leakage to outside =_CFM Pass if Leakage Actual is less than Allowed Pass Fail ' Option 3 used then: Initial leakage prlor to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage_-Flnal leakage_= Leakage reductlon CFM ((Leakage reduction_/Initial leakage� x 100% _ %Reduction Pass if% Reductio� > 60a/o Pass Fail Option 4 used then: 4 All accessible leaks repalred using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including ducts, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke Pass Fail . f Reg: 212-A0013921B-M2100001A-M21A Registration Date/Time: 2012/03/20 �18:36:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 r � . . e CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test- Existing Duct System (Page 2 of 2) Slte Address: Enforcement Ayency: Permit Number: 940 Golden Springs Dr., Unit E, Diamond Bar CA 91765 City of Dlamond Bar PR2012-312 (System 1) �Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct I.eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. �All supply and return register boots'must be seated to the drywall if smoke test is utilized for compliance - applies to duct leakage compliance option 3 (leakage reduction by 60%) and option 4 (fix all accessible leaks) described above. � 0 New iiuct installations cannot utilize building cavities as plenums.or platform returns in lieu of ducts. � Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections DECLARATION STATEMENT . I certify under penalty of perjury,under the laws of the State of Califomia,the information provided on this form is true and correct. . I am the certified HERS rater who performed the verificatlon services identified and reported on this certiFcate(responsible rater). . The installed feature,material,component,or manufactured device requiring HERS verification that is identified on this certificate(the installation)complies with the applicable requirements in Reference Residential Appendlces RA2 and RA3 and the requirements specified on the CertfFlcate(s)of Compllance(CF-1R)approved by the local e�forcement agency. . The information reported on applicable sectlons of the Installation Certificate(s)(CF-6R),slgned and submitted by the person(s) responsible for the installation conforms to the requirements spedfied on the Certificate(s)of Compliance(CF-1R)approved by the enforcement agency. Builder or Installer information as shown on the Installation Certlficate(CF-6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADVANCED AIR CONDITIONING AND HEATING COMPANY Responsible Person's Name: CSLB License: Craig Frisc 763456 , HERS Provider Data Registry Information , Sample Group # (if applicable): N/A Q tested/verified dwelling �not-tested/verifled dwelling In a HERS sample group HERS Rater Information Ca10ERTS Certificate#CC1-1798640832 HERS Rater Company Name: Chris Dworak . Responslble Rater's Name: Responslble Rater's Slgnature: Chrls Dworek Chrts Oworak Responsible Rater's Certification Number w/this HERS Provider: Date Signed: 3/20/2012 CC2005955 Reg: 212-A0013921B-M2100001A-M21A Registration Date/Time: 2012/03/20 18:36:36 HERS Provider: Ca10ERTS, Inc. 2008 Reaidential Compliance Forma . March 2010