HomeMy WebLinkAbout11-1485 - ` _�` CITY OF DIAMOND BAR �� ���
DEPARTMENT OF COMMUNITY&DEVELOPMENT SE
21825 Copley Drive,Diamond Bar,CA 91765 '�� ���
(909)839-7020 Fax(909)861-3ll7 Building Inspection o line(909)839 $$
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� _I HAVE AND WILL MAINTAIN A CERTIFICATE OF fANSENT TO SELF�INSURE FOR WORNERS' _
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w I HAVEAND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE,AS REOUIRED BV SECTION
Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMR IS '
ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 45155UED.I MECHANICAL
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[/J WORKERS'COMPENSATION IAWS OF CALIFORNIA,AND AOREE THAT IF I SHOULD BECOME INSPECTION FEE
SU&lECT TO THE WORNERS'COMFENSATION PROVISKKJS Of SECTION 37a0 0F THE LABOR /
s CODE.I SHALL FORTHWITN COMPLV WITH TIiOSE PROVISIONS. ISSUANCE __ ( � � O
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w SECTION 3708 OF THE LABOR CODE,MTEREST,AND ATTORNEV'S FEES. RETENTION FEE: �
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� 1 HEREBV AFFIRM UNDEF PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDINO AOENCV
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� 1 AOREE TO COMPLV WITH ALL CRV AND COUNTV ORDINANCES ANO STATE UWS PELATING TO BUILDINO
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GROUND PLUMBING - UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID H'T. BOND 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 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 ELECTR�C DEV. FEES PAID
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Simplified Prescriptive Certificate of Compliance: 2008 Residentia/HVAC A/terations CF-IR-ALT-HVAC
Climate 2ones 2,9
Site Address: Enforcement Agency: Date: Permit#:
1409 VALEVIEW DR Diamond Bar, CA 91765 City of Diamond Bar Oct 26, 2011
Duct insulation Conditioned Floor
Equipment Typel List Minimum Efficiencyz requirement Area Thermostat
❑Package Unit
B Furnace p AFUE 80% ❑COP Served by system 0 Setback
0 Indoor Coil 0 SEER 13.0 ❑HSPF ❑R 6(�Z and 9) 2500 sp If not already present, must be
0 Condensing Unit p EER ❑Resistance installed)
� ❑Other
1.Equlpment 7ype:Choose the equipment being insta//ed;if more than one system,use another CF-IR-ALT-HVAC for each system.
2.M/n/mum Equipment Efflclencles:13 SEER, 78%AFUE, 7.7HSPF fo�typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The installer 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 left on site for final 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 allowed) are filled out and signed.Beginning October 1, 2010,a registered copy of the CF-iR
and CF-6R shall also be on site for flnal inspedfan.
0 1.FIVAC 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 systems) MECH-25-HERS
.Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25
.Furnace
For Spllt Systems: Duct leakage < 15 percent; RC, CCA z 300 CFM/ton,TMAH
C����..L�....J ��w:F... 1'1...-4 I..�L-..... i 1 C .. ..L �
Exempted from duct leakage 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. Existing duct systems are constructed, insulated or sealed with asbestos
❑4.The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑2.New FIVAC System Required Forms: i
.Cut im or Changeout with
new ducts: (all new CF-6R forms: MECH-04, MECH-20-HERS'and (for split systems) MECH-25-HERS
ducting�all new.� ' CF-4R forrns: MECH 20 and (for split systems) MECH-25
equipment) /=
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton,TMAH
For Packaged Units: Duct leakage < 6 percent
❑3.New Ducts with Replacement Required Forms:
.Includes replacing or installing all new ducting
and/or outdoor condensing unit and/or indoor CF-6R fortns: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
coil and/or fumace. Not all equipment CF-4R forms: MECH 21 and (for split systems) MECH-25
changed.
For Sp1it Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton,TMAH
For Packaged Units: Dud leakage < 6 percent
❑4. New Ducting over 40 feet Required 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
❑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 eliglble under Division 3 of the Californla Business and Professions Code to accept responsibility for the design identified on this Certlficate of
Compliance.
.I certify that the energy features and performance specifications for the deslgn identlfled on thls Certificate of Compliance conform to the
requirements of Title 24,Parts 1 and 6 of the California Code of Regulations.
.The deslgn features identlFled 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:yyillinm Farnell
Company: TRADEWINDS AIR CONDITIONING&HEATING Date: Oct 26, 2011
Address: 7349 CARTILLA AVENUE License: 960569
City/State/Zip: RANCHO CUCAMONGA/ CA/91730 Phone: (909) 721-3236
Reg: 211-A0055675A-00000000-0000 Registration Date/Time: 2011/10/26 15:00:54 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010