HomeMy WebLinkAbout11-980 �� CITY OF DIAMOND BAR �p
DEPARTMENT OF COMMUNITY&DEVELOPMENT SER ���� ����f�
" 21825 Copley Drive,Diamond Bar,CA 91765 (� W�
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7 t���� $
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� I HAVEAND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOF WHICH THIS PERMR IS
ISSUED.MV WOPKERS'COMPENSATION I URAN E CAARIER AND POII V NUMBERARE: CONSTRUCTION
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C,�} SHALL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE
(n WORKERS'CAMPENSATION LAWS OF CALIFORN10.NdD AOREE THAT IF I SHOULD BECOME INSPECTION FEE �
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� SUBJECTMIEMPLOVERTOCRIMINALPENALTIESANDCIVIL NE PTOONEHUNDREDTHWSAND ENERGYPERMIT
DOLLAAS(5100,000J,IN�DDITION TO THE COST OF COMPENS ,�AMAGES AS PROVIDED FOR IN
J SECTION 37oe OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES.
w RETENTION FEE:
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� I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDINO AOENCY
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oe7,CIV.C.�.
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� LENDER'S NAME
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� I AOREE TO COMPLV N7TH ALL CITY AND COUNTV ORDINANCES AND STATE UWS PELATING TO BUILDINO
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FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UPIDER FLOOR GONDUIT
SLAB GRADE FIREPLAGE FOUNbATION �
TEMP POWER FIREPLACE BOfdD BEAM .
WATER SERVICE MID HT. BOND BEAM .
ROOF SHEATHING 8 FT. SOND BEAM �
FRAMINGNENTILATION FINAL BOND BE,4M
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
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
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Simplified Prescriptive Cert�cate of Compliance: 2008 Residentla/HVAC A/teratlons CF-iR-ALT-HVAC
CHmate Zones 10- 15 '
Site Address: Entorcement Agency: Date: Permit#:
1438 MAPLE HILL RD Diamond Bar, CA 91765 City of Diamond Bar Jul 18, 2011
Duct insulation Conditioned Floor
Equlpment Typel List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit
pl Furnace rJi AFUE 80% r COP �R 6�CZ 10-13) Served by system �Setback
Fri Indoor Coil I�I SEER 14.0 r HSPF If not already present, must
�Condensing Unit ❑EER C Resistance n R 8��14-15� 3��� be installed)
p�Other > 40'Ducts
1.Equ/pment rype:Choose the equlpment being lnstalled;!f more than one system,use another CF-Y R-ALT-HVAC for each system.
2.Mlnlmum Equlpment EHIclencies:13 SEER,78%AFUE, 7.7HSPF for typlca/resldentia/systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteretion Options.The installer decides what work is being done
and picks one of the appropriate Options. Each Option Iists the HERS measures that must be conducted.A copy of the forms shall
be left on site for flnal Inspection and a copy given to the homeowner. At flnal,the inspector verifles 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 fllled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010,a registered copy of the CF-1R
and CF-6R shall also be on site for final inspecNon.
❑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-Zl 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 Coll and/or CF-4R forms: MECH-21 and (for split systems) MECH-25
.Furnace
For Spl}t Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement),TMAH
For Padcaged Units: Duct leakage � 15 percent
Exempted from duct leakage testing if:
❑1. Duct system was documented to have been previously sealed and confirmed through HERS veriflcation,or
p 2. Duct systems with less than 40 linear feet in unconditioned space,or
❑3. Existing duct systems are constructed, insulated or sealed with asbestos
❑4.The system.will not be Ducted (ie. Ductless Mini-Sptit System) (Also Exempt from Refrigerant;Charge)
G 2.New HVAC System Required Forms: i
,
.Cut in�or Changeout with' ' ' ` " ,��'
new ducts: (all new l% , CF-6R forms: MECH-04, MECH-20-HER5�and (for split sy_stems) MECH=22-HERS,�and MECH-25-HERS
ducting�,all new�'` � CF-4R forms: MECH 20, and (for split systems) MECH-22; and MECH 25 y
equ(pment) 1:� 7
For Split Systems: Duct leakage < 6 percent; RC,CCA z 350 CFM/ton, FWD,TMAH,STMS, and either HSPP or PSPP.
❑3. New Ducts with/or without Requlred Forms:
Replacement
.Includes replacing or installing ali new ducting
and/or outdoor condensing unit and/or indoor CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
coil and/or furnace. No or some equipment CF-4R forms: MECH-20 and (for split systems) MECH-25
changed.
For Spllt Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton,TMAH
For Padcaged Units: Duct leaka9e < 6 percent
❑4. New Ducting over 40 feet Requlred Forms:
.Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space. CF-4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
C EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor(Documentatfon Author's/Responsible Designer's Declaratlon Statement)
•I certify that this CertiFlcate of CompUance documentation is accurete and complete.
•I am etigible under Divisfon 3 of the Califomfa Business and ProfeSsions Code to accept responsibilfty for the design identifled on this CertlFlcate of
Complia�ce.
.I certify that the energy features and performance specificatlons for the design idendfied on this Certiflcate of Compliance conform to the
requfrements of Tide 24,Parts 1 and 6 of the Califomia Code of Regulatlons.
.The design features identifled on this Cerdfiwte of Compliance are consistent with the informallon documented on other applicable compllance
forms,worksheets,calculatlons,plans and specifications submitted to the enforcement agency for approval with the permit applicatlon.
Name: ]IM MCELIGOT Signature: � MCELI6pT
Company: VENVEST BALLARD INC Date: ]ul 18,2011
Address: 2712 EAST LA CADENA DRNE License: 878533
City/State/Zip: RIVERSIDE/CA/92507 Phone: (951) 276-9744
Reg: 211-A0035720A-00000000-0000 Registration Date/Time: 2011/07/18 19:57:51 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010