HomeMy WebLinkAbout14-4499 __�.:':�,-+'`-':�"�_�_ C1TY OF DIAMOND BAR �; !` I I i ' � DEPARTMENT OF COiV1MUNITY&DLVELOPMGNT S�RVICES ���Ill��i - '' 21810 Copley Drive,Diamond 13ar,CA 91765 PRESS ' '�� ���� 909 839-?020 I'ax: 909 86'1-3177 Buildin�Ins �c,hon Hotline 909 839-702? �'� I .,...> c � � c > � p�• ' � � FIRMLY ,��'y"°-" BUILDING PERMIT APPLICATION � ' �� wJOB SITE ADDRESS APPLICATION DATE: P/C# � ISSUE DATE: 6 1�`�' aQ14 PERMIT# ��—'7yQ� z APN LOT TRACT o OWNER TYPE CONST. OCC GROUP: y ADDRESS � N CITY ZIP TEL. � ZONING F ONTCKS RW ❑ � APPLICANT TEL. REqR p I 0 \ T Q CONTRACTOR �� 1 V SIDE/SIDE STREET RW ❑ I SIDE ❑ o� ADDRESS � ` � �' A , PROPOSED USE ¢ CITY �� ZIP �D TEL. o _ o ARCH/ENG/DESIGNER o ADDRESS #DWEL.UNITS #STORIES #BEDROOMS II z CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDEfl DECLAIfATION ¢ 1 hereby amrm under penalty oi perjury Nat I am exempt irom the Contractor's Siate License Law for the reason(s) SFR/ADD/REM * 0 p indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport o Professions Code:Any city or county that requires a permlt to consVuct,alter,improve,demolish,or repair,any A . � �� -� ��'� ' ' w strucNre,prior W its issuance,also requires the aDP��cant for[he permit to file a signed statement Mat he or she � Patio/Deck � a is licensed pursuant to the Orovisions of lhe CoMractor's State License Ww(Chapler 9)Commencing with Section W = 70D0 of Division 3 of the Business and Professions Code]or that he or she is exempt trom licensure and the basis tor LL Pool/Spa � the alleged exempfian.Any violation ol Section 7031.5 by any applicant tor a Dermit subjecis the aDP�icant to a civil penalty Z Re-Roof � of not more than tive huntlred doliars($500). � � (�I,as owner of the property,or my employees with wages as their sole compensation,will tlo(]all ot or(,portions � Commerciai � oi the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m Z ConVactors'State License Law does not apply to an ovmer of property who,through employees'or personal eflort,builds � or improves ihe property,provided that the improvements are nM intended or ottered tor sale.If however,the building or � improvement is sold within one year of complelion,Ne Owner-Buitder will have the burden o1 proving that it was not built p or improved for the purpose oi sale.J. � I,as owner o1 lhe ro e ZU p p rry,am exclusively conVac6ng wiN licensed ConVactors to construct ihe project(Section Valuation: Ad� Area: 7044,Business and Professions Code:The Contractors'Shate License Law does not aDD�Y to an owner of property who �� � buildsorimprovesinereon,andwhocontractsfortheprojeciswithalicensetlContractorpursuamtotheConhactors'State QUANTITY DESCRIPTION `' FEE License Law:). � o (_]I am exempt from ticensure under the ConUactor's State License law lor the lollowing reason(s): � 'S ¢ LL' By my signature be�ow I acknowledge that,ezcept tor my personal residence in which I must have resided for at least one w ' o year prior to completion of the improvemenfs covered by this permit,l cannot legally sell a sWcture that I have built as an w a owner-builder if it has not been constructed in its entirety by licensed contractors.I undersfand mat a copy of ihe applica0�e � law,Section 7044 o1 the Business and Professions Code is available upon request when[his application is submitletl or at e X the following Web sile:httpNnvw.leginto.ca.gov/calaw.html. �' z � DATE: SIGN: � � LICENSED CONTRACTOfl'S�ECLAHATION � w I hereby aNirm untler penalty ot perjury ihat I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Profes ons Code,and my license is in Full force and ettect. � LICENSE S:i� �""� LIC.N : �d'� C101� z (�V C.x� 1 �t a o DATE: CONTRACTOR: V� 1 �+ � _ � Z w ¢ WORNEH'S COMPENSATION OECLAflATION � � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARAl10NS: oI have and will maintain a CertRqte of Consent to Self-Insure lor Worker's Compensation,as pmvided by CONSTRUCTION: � Seclion 3700 of the Labor Code,for the pertormance of the work for whicli this perinit is issued. p�qN REVIEW: > I have and will maintain Worker's Compensation Insurance,as required by Sedion 3700 of the Labor Code,tor o ,. ELECTRIC: _��•� Z the peAormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ Po�icyNumberar `1�p� /�p PLUMBWG: G.�d" � CARRIEA �� .�� �+Y�t�,il� �r� MECHANICAL: )�.QQ � PouCVNurneER � INSPECTION FEE: � (iHIS SEC�ON NEED NDT BE COMPLEfED IF THE PERMIT IS F-0R ONE Hl1NDRED DOL.LMS(5100)OR IESS�. � ISSUANCE: / 6.�r 0 I cedify�hat in the pertormance oi ihe work for which Ihis permit is issued,I shall not employ any person in any manner so as to � bemme subject to Ihe Worker's Compensation Lavrs ot Califomia.Md agree ihat if I shoultl become su6ject to the Worker's SMIP: � Compensation pmvisions of Section 37IX1 of Ihe Labor Code,I shall forltiwith comply with those provisions. EN ERGY P/C: ,J—1 DATE: APPIICANL ENERGY PERMIT: /� � WARNING:Failure to secure Worker's Campensation cove�age is unlawlul,and shall subject an employer to criminal RETENTION FEE: e�L• V w penatties and civil tines up to one hundred Nousand dollars($100,000),in atltli6on to the cost o1 the compensation, a damages as provided tor in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: w I hereby amrm under penalty oi perjury that there is a Constmction Lending Agency for t�e pedormance of ihe work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME � IENDER'S ADDRESS: � ��� a I certi that I have read this a lication and state ihat the above intormation is correcf.I a ree to com TOTAL FEES 1Y pp g pty vnth all city and county ortlinances and state laws reiating to building consWction,and hereby authorize representatives of ihis county to z COMMENTS: p enter upon the above,- ntioned pro fo�i�urpos¢s. � ` m V \ a PEHMITTEE NAME(P � � = SIGNATURE OF PERM �ATE RECEIPT p :�D 71 J'` PAID BY: f yJ VALIDATION: � WHITE—Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOIVD BAR IIVSPECTI0IV RECORD .. . � � , . s . . o � , . � . SETBQCK/LETCER ' TRACTAND LEDGER FOOTINGS FORMS • _' SWITCH GEAR g�qg;� _ - - - COMMERCIAL HOOD UG:PLUMBfNG ;., : .,:; <`. T-BAR UG.'EIECTRICAL � INTERCEPTER UFER GROUND:' - .' HOT MOP/SHOWERPAN � _.. .. _ ._ , SEWER LATERAL SEPTIC/GESSPOOL MAIN WATER LINE � HERS REPQRT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOL"JSPA=; ` '` `�' � '�+ SHEP,R WALLS.l�1�TEPo�fi�';+�„u, . ..� �P�?;�e .�. ;:.- •; .„ . .;,:� ROUGH PLUMBING ',; r • • . , : , , �'�, ��. .'+, q, , ;x FRAMINGNENT�fN6 a-".:�T+�,�: �... ;� �.�'•�� �.�-,�',3� - ROUGH ELECTRICAL'. , � ' :`' — � :i ROUGH MECHANIG L�3 x�s� �' .r:� +,�, r}a:i.�,,< : � - ROLfGH MEGHANICAL: � � �; f ' ' ROUGHELECTRICA �(';�,�(��'; y �'•' � � '` " GASTEST -�, , .�; ` Y�� S'� F ..., .� r , ..,� " 'ROU�H PLUMBING . ��� ��� � ,. �:�° . '' ' � � PRE GUNITE : ��: . �, <; ... .� � INSULATION WALL P_OOL;PRE;DECK`BONDING ;,, - ' � ` r � .. . ... . . INSULATION CEILING P-TRRP ', � '` ` � DRYtiVALL FENCE'/GATEl ALARM �` " � ` LATH(PRE) FINAL POOL- �'� _ - LATH EXTERIOR {NAL�S: LATH INTERIOR WALL FOOTING/STEEL GAS TEST S' WALL STEEL 1�( )2N0( )LIFf SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL . SPECIAL INSPECTION ,RO.FRAMING PLANNINGAPPROVAL ' ' _._ , - , :� FINAL.BUILDING .;`� : ' � `'' ' �� '- ��= -= �; ' � - ` ' '` , � �ROUGH FIRE APPRQVAL � ` �, _` FINAL FIRE DEPARTMENT�:'�, : � `� ; ;- , � fINAL MECHANiCAL .`- . �L' ' �s � �. - FINAL'ELECTRICAL , FINAL"PLANNING` '. � "- x - fINAL PLUMBING - � . _ FINALENGlNEERtNG/PW " "' t .` ' , " ' T,C..of OCCURANCY �r -. EINAL COMMUNITY SERVICES _ - CERT.of OCCUPANCY ��°, ."' FINAL HEALTH DEPt , - � : , ,. n. - , FINACINDUSTRIAL>WASTE�.:� , . ° , ' ' ` y ' � �� , � , COMMENTS: CERTIFICATE OF VERIfICATION CF3R-MCH-20-H '� I Pa elof3 Duct Leakage Diagnostic Test ( g ) Project Name: Pak,Greg Enforcem nt Agency: City of Permit Number: 14-4499 Walnut Dwelling Address: 20660 E Climer Dr City: Walnut Zip Code: 91789 A.System Information 01 Space Conditioning System Identification or Name Pak 02 Space Conditioning System Location or Area Served Whole House 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken ' (VLLDCS)Credit from CF1R? 05 Verified Low Leakage Air Handling lJnit Credit from No,credit is not taken CF1R? 06 Duct System Compliance Category „� � Alteration „ 3 , #.; i :imt,lr� ��_ •�,� ,�er�. 3�a.'�9, ,6wS� � ,<: ._, ,,; ,.. t.- ... x . .. ;;,� , ����, , . :: �. � . „ � � m�,� „ �,.� �13�',U�,�,� �� 'iL �;,p€ 3��v��. i:' MCH-20d-Complete.Replacement or Altered Duct Syste �� � �� � � ��,tr �, ��� � � ��� e�' , �, . .:, � : _,r �� �� � � � �, �,. �. ,, ,,.;y. � , �,� � z �: _ , , _ , , �i� _ : �., i�f:. _ k �,,I 133 �i r�-�,,, = � u:� >i ,.. . . _ � . �- " ' �,. _ :,_., _-,..:. , ...� ...�.. . ,._. . ..�,: . . ..... . ,,. B.Duct Leakage Diagn.ostic Test . O1 Condenser Nominal Cooling Capacity(ton) 5 02 Heating Capacity(kBtu/h) 70 03 Conditioned Floor Area served by this HVAC system(ft2) 2813 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 �� Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate(cfm) 300 10 Actual duct leakage rate from leakage test measurement 180 (cfm) 11 Compliance Statement:System passes leakage test 12 Notes: Registration Number:214-A0092567A-M2000002A-M20A Registrati n Date/Time: 2014-09-11 13:10:19 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Ve sion:2014-OS-O8 Report Generated:2014-09-11 13:06:01 2013 Residential Compliance Schema rsian:0.515D0 CERTIFICATE OF VERIFICATION Cf3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) C.Additional Requirements for Compliance O1 System was tested in its normal operation condition.No t mporary taping allowed. Outside air(OA)ducts for Central Fan Integrated(CFI)ve ilation systems,shall not be sealed/taped off during duct leakage ' �Z testing.CFI OA ducts that utilize controlled motorized da pers,that open only when OA ventilation is required to meet ASHRAE Standard 62.2,and close when OA ventilation is ot required,may be configured to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the d wall. 04 Building cavities were not used as plenums or platform r�turns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic nd draw bands. 06 All connection points between the'air handler and the su ply and return pienums are completely sealed. If the system complies using the Smoke Test method,the moke test was conducted in accordance with the requirements 07 of Reference Residential Appendix RA3.1.4.3.6.Systems t at comply using smoke test shall not be inc�uded in sample groups for HERS verification compliance ; � = 3 � ,- ~° �: 3 ,,.;:.. ��� ��� ���- � . ,, 08 Verification Stat r, �� �� �� , , �x :: y us: � ; Pass ,all�applicable requirements are met " , , � : ' � '' ��j' :�' '!: ,f ...7� 3 �:. � a: � " 1..� �:� ,.4�«a- � :, � -� �i t, 09 Correction Notes;for this table % °� � _, �� E; � �����; �, _�� . . ., �.:� ' � ...; 3 ' _< � 'e t�; .. ' .. - ���: -� i � . ..:: ..... :::i�.i.... . ......... ......... .... ...._.. The responsible person's signature on this compliance docum nt affirms that all applicable requirements in this table have been met unless otherwise nofed in the Verification Status an the Corrections Notes in this table. ; ,. �:::-. ;�_:::: D.Determination of HERS Verification Compliance All applicable sections of this document shall indicate co I pliance with the specified verification protocoi requirements in order for this Certificate of Ve�ification as a whole to be determined to be in compliance. Ol Complies:All specified verification protocol requirements on this document are met. Registration Number:214-A0092567A-M2000002A-M20A Registrati n Date/Time: 2014-09-11 13:10:19 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Ve sion:2014-05-OS Report Generated:2014-09-11 13:06:01 2013 Residential Compliance Schema V rsion:O.S15DD , ' CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement I 1. I certify that this Certificate of Verification documenta ion is accurate and complete. Documentation Author Name: Documentation Author Signature: --..._....... -� Krikor Karamanoukian �--��'� Company: Date Signed: Rapid Duct Testing&Air ealancing 2014-09-11 13:10:19 Address: CEA/HERS Certification Identification(if applicable): 539 N Glenoaks Blvd Suite 301C 8657 City/State/Zip: Phone: Burbank CA 91502 818 468 5744 Responsible Person's Declaration statement ' I certify the following under penalty of pery'ury,under;the laws of the State of C lifomia: 1. The information provided on this Certificate of Verification is true a d correct. ' 2. I am the certified HER$Rater who performed the verification identi ed and reported on this Certificate of Verification(responsible rater). 3. The installed features,materials,components,manufactured devic ,or system performance diagnostic results that require HERS verification identified'on this Certificate of Verification comply wrth the applica le regwrements m Reference Appendices RA2 RA3 and the requirements � specified on the Certrficate of Compliance for the�building`appr'oved fiy the enforcementagen y�� = � � �'� '� � .� �.;�- ..� -�. _� i, R�_ d �;rx 4. The information reported on applicable sectionsof the Cert�ficate(s of Installa,fion(CF2R)signed and submitted by the person(s)responsible for the , `a r construction�or installation confo�ms to the requirements spetifled n the Certificate(s)Ro Compliance(CFiR��approved by the enforcement-agency. 5. I will ensure thata registered copy of,this Certific"ate of Verification fiall be posted or made available with,the bwlding permrt(s)issued fo�.the building,and made available to the.enforcement�agency for all appl able inspections I understand.that a registered copy of this Certificate of >., � . � ��;,..,�.a�. _�. ,.,_ Verification is required fo be included wtth the documentafion the wlder provides to the:building'owner;atoccupancy.'' - Builder Or Installerinformation As Shown On The Certifi ate Of Installation _ _. ...:..__....... Company Name(Installing Subcontractor,General Conf�actor,or Builder/Owner: AIR TRO INCORPORATED Responsible Buiider or Installer Name: CSLB License: AIR TRO INCORPORATED 258228 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: Rapid Duct Testing&Air Balancing Responsible Rater Name: Responsible Rater Signature: Krikor Karamanoukian - �� ��' Responsible Rater Certification Number w/this HERS Provider: Oate Signed: CC2006121 2014-09-11 13:10:19 Digitally signed by Ca10ERTS. This digital signature is provided in order to ecure the content of this registered document and in no way implies Registration Provider responsibility fo the accuracy of the information. Registration Number:214-A0092567A-M2000002A-M20A Registrati n Date/Time: 2014-09-11 13:10:19 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Ve sion:2014-OS-08 Report Generated:2014-09-11 13:06:01 2013 Residential Compliance Schema V rsion:0.51SDD