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Home My WebLink About10-1031 �`_ CITY OF DIAMOND BAR — �/�.,,�-� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �`�'�, 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-7027 PRESS """" BUILDING PERMIT APPLICATION FIRMLY oN JOBSITE �G��1�, ��Y ��. ADDRESS � V �� J� DATE CATION O /� NUMB R Q' 03 #/C `r APN LOT T ACT D TEE Q N CONST. e� OCC GROUP p OWNER " ADDRESS ' ZONING SETBACKS Z CITYO�'1h�� ?/�R ZIP I TEL FRONT qyy p � APPLICANT TEL. REAR p 0 a SIDE/SIDE STREET RW O � CONTRACT O � ��K�) SIDE p ADDRESS � � � CITY ZIP TEL. - L' PROPOSED USE w ARCWENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS u� cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O � I HEREBV AFFIHM UNDER PENPLTV OF PERJURV THAT I AM EXEMPT FROM THE CONTRACTORS LI� G8f8QB/CBfpOfl W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANVCIT'OR (n U CAUMVWHICHREDUIRESAPEFMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORFiEPAIRANYSTRUG ' W TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT 70 FILE A SIGNED w Patio/Deck � STATEMENT 7HA7 HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CONTMCTORS LI- � � CENSE LAW(CHAVTER B(CAMMENCING WI7H SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOUSPB , � FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALIEGEDEXEMP� (� V TION.ANYVIOLA710NOFSECTION7o31.58VANYAPPLICANTFORAPERMITSU&lECTSTHEAPPLICANTTO Z Re-Roof � A CIVIL 7ENALTV OF NO7 MORE 7HAN FIVE HUNDRED DOLLARS(S50o).J: Z ❑I,ASOVMEROFTHEPROPER7Y,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSATION, � COrtIRIBfCIeI WILL DO THE WORK,AND 7HE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70aI,BUSI� J � NESS AND VROFESSIONS CO�E:7HE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTY NhiO BUILDS OR IMPROVES THEFEON,AND NM1iO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED TNAT SUCH IMPROVEMENTS ARE NO7 IN7ENDED OR m 0 OFFEREDFORSALEIF,HOWEVER7NEBUILDINGORIMPROVEMENTISSOLDWI7HINONEVEAROFCAMPLE- Z TION,7HE OWNER-BUILDER WILL HAVE THE BURDEN OF PNOVING 7HA7 HE OR SHE DID NO7 BUILD OR � IMPqOVE FOR THE PURPOSE OF SALE�. w ❑I,AS ONRJER OF THE PROPER7V,AM EXCLUSIVELY CANTRACTING WITH LICENSED CONTRACTORS � TO CANS7RUCT THE PR0.IECT(SEC.7oI1,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS ll- V81U2t1Of1 ADJ.AREA W CENSELAWDOESNO7APPLV70ANONMEROFAPROPER7VWHOBUILDSORIMPROVESTHEREON,AND � WHOCANTRACTSFORSUCHPRQIECTSWITHACONTRACTOR(S)LICENSED7URSUANTTOTHECANTRAC- QUANTITY DESCRIPTION FEE � Y TORS LICENSE UW.). � ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOq THIS REASON Q � U tL � DATE OWNER F- Q W � LICENSED CONTRACTORS DECLARATION W � I HEfiEBY AFFIRM UNDER PEN/�I.TV OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � 8(COMMENCING WITH SECTION 7000)OF DIVISION 30F THE BUSINESSAN�PROFESSIONS CODE,AND Z �� MY LICENSE IS IN FULL FORCE AND EFFECT. /�� m � LICENSE CLAS �VV LIC.NO. � •v � , V DATE CONTRACTOR� d W . � WORKERS'COMPENSATION DECLARATION Q /'_ p V � I HEREBV AFFIRM UNDER PENALTY OF PERJURV ONE OF THE FOLLOWING DECURATIONS: Z 'I1 1� r.pl�A/'I. Q v 1� rNi/"�-nvG � _IHAVEANDWILLMAINTAINACEFTIFICATEOFCANSE LF�INSUREFORWORKERS' _ Q CAMPENSATION,AS PROVIDED BY SECTION 3 HE LABOR CODE,FOR THE PERFORMANCE W Q OFTHE WORK FOR WHICH THIS GERM SUED. � w _I HAVE AND WILL MAINT RKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q 3700 OF THE LAB DE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MV KERS'CAMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION J j c ER PLAN REVIEW 0 -- POLICV NUMBER Z ELECTRIC ¢ � (iHISSECiIONNE�NOTBENMR.EfEDOFTHEPEWMISPoRONEHUMREDOq1AfLS(i100)ORLESS). PLUMBING Z 1 CEFiTIFY THAT M THE PERFORMANCE OF TH ORK FOR W ICH THIS PERMIT IS ISSUED,I A IC �j � C7 SHALL NOT EMPLOY ANV PERSON IN ANV MAN R 50 AS TO EC ME SUBJECT TO TNE � WORKERS'COMPENSATIONLAWSOFCALIFOR A,ANDAGR 7 71FISHOULDBECOME INSPECTIONFEE = SUBJECT TO THE VlORKERS'CAMPENSATION P OVISIONS S TION 3700 0F THE LABOR �-,(� CODE,I HA FORTHWITHCOMPLVWITHTHO P ISSU CE ��V V p DATE:� APPLICANT: SMIP J WARNING:FAILURE TO SECURE WORKERS'COMPEN N VERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � SU&IECT AN EMPLOYEii TO CRIMINAL PENALTIES AN VIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(5100.000�,IN ADDITION TO THE COST OF ENSATION,DAMAGES AS PROVIDED FOR IN l � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ORNEY'S FEES. NTION EE: r[7 V OCONSTRUCTION LENDING AGENCY pR - EE: � I HEREBV AFFIRM UNDER PENALTV OF PERJURY THATTHEHE IS ACONSTRUC710N LENDING AGENCV � FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). . I Z W � LENDER'S NAME F— IENDER'SADDRESS � TOTAL FEES �¢ 7v � I CERTIFY THAT I HAVE FEAD THIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CORRECT. w 1 AGREE TO COMPLY WITH ALL CI7Y AND COUNTV ORDINANCES AND STATE LAWS flELATING TO BUILDING � CONSTRUCTION,AND HEREBY AUTHORRE REPRESENTATIVES OF 7HI5 COUN7Y TO ENTER U70N THE � ABOVE�MENTIONED PROPERTV FOR INSPECTION 7URPOSES. Z (_ � COMMENTS � �� m PE{iMI7TEE N E(PRI � ¢ �� D 1 b � � SIGNATUREOF ITT DAT � y� ^n = RECPT.N0. — PAID BYl1(L I ow 3 VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy co�v �� u�� , .; '�s��uo� �� Oa�pI�G400a DGJ4C (}a�3p[�C�QOG3 Oa�pCC�400a, ' DG�J�iL�' OGrJ�� `�":> SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT ,��) GROUND PLUMBING UNDER F�OOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BQND BEAM ROOF SHEATHING 8 FT. BOND BEAM ' FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELEGTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POQL 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 FINAI HEATING HEALTH DEPT_FINAL ___ FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY C�OG o � ' ;+ COMMEfVTS ` SEPTIC TANK SIZE SEEP PIT/U SIZE a � � � . , � h Simplified Prescriptive Certificate of Compliance: 2008 Residentia/HVAC � CF�iR-ALT-HVAC �• � Alterations • � Cfimate Zones 2,9 Site Address: Enforcement Agency: Date: Permit#: 24210 PEAK CT Diamond Bar, CA 91765 City of Diamond Bar Oct 12, 2010 Duct insulation Conditioned Floor Equipment Typel List Minimum EfficiencyZ requirement Area Thermostat G Package Unit Over 40 ft of ducts 0 Setback �Furnace 0 AFUE 0°/ ❑COP added or replaced in Served by system If n�t already �Indoor Coil 0 SEER 17,p ❑HSPF unconditioned space 2755 sf prese�t, must be [�J Condensing Unit j]EER ❑Resistance �R 6(CZ 2 and 9) installed) �Other > 40' Ducts �I 1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-IR-ALT-NVAC fo�each system. 2.Minimum Equipment Efficiencies:13 SEER, 78%AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The inskaller 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 teft on site for finai 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 ailowed) 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 inspection. Li 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 system5) 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>_ 300 CFM/ton,TMAH • For Packaged Units: Duct leakage`;< 15 percent Exempted from duct lea9age testing;'if: ❑1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑2. Duct systems with less than 40 linear feet in unconditioned space, or []3. Exist��ng�d�act�systems are constructed�in.sulated�or��sealed w�th�asbestos �,� :��,s; ��'�p- r..x,r Ci 2. Neuv�HVAC � Reqwred Forms:.- � � �� y�� ` ti � � � '�� Systemer�� ' �. �,..� Y� ,a� w,. 4<�:,�... � I F X 1.- 'tM '�. X : 1 ;.�,, p y "�+ . £ � :-}�Y .Cut m�o'rsChangeout,� t 4 � ,r,,�, � • � � �. , �, �� with new��'ducts: �all��".��:,CF 6R�formsa�MECH 0� MECH z21 HERS and�(for�split systems)�MECH 25-HER5'� new ducting an �»a{I��C�F 4R fo�rms aM�ECH�2�i�and (for split sy.ste�ms) MECH�25"�c. � ,� �� ;� � � � .� �r�,� ?!�, �� r,�a _� � - —new�quipriienf�.;,,. a... .� . , , For Split Systems: Duct leakage <,6,percent;'RC,CCA > 300 CFM/ton,TMAH For Packaged,Units; Duct leakage< 6 percent L 3. New Ducts with'Replacement Required Forms: .Includes repla�ing or installing aff. new ducting and/or outdoor s;- . 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 split systems) MECH 25 and/or furnace. Not all equipment 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, MECN-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 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. .The design features identified 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 application. Name: WILLIAM FARNELL Signature:WILLIAM FARNELL Company: AIR CONTROLLED ENVIRONMENTS Date: Oct 12, 2010 Address: P O BOX 249 License: 623782 City/State/Zip: RANCHO CUCAMONGA/CA/91729-0249 Phone: (909) 941-0354 Reg: 210-A0019611A-00000000-00�0 Registration Date/Time: 2010/1�/12 19:35:51 HERS Provider: Ca10ERT5, Inc. 200B Residential Compliance Forms March 2010