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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 $$ �'TM', BUILDING PERMIT APPLICATION FIRMLY � JOBSITE �L � ,/� APPLICATION ��/ PERMIT (��` p/C I o ADDRESS /0� �G�IP V ie� �1�' DATE I �� " � � NUMBER ��� � / w # � ISSUE 7yPE �C APN LOT TRACT DATE O � CONST.�� p OWNER U p GROUP o ADDRESSJ UG� G�IC'U�L ZONING SETBACKS Z CITY �� ZIPC(76 TEL �L) "7U _D FRONT qyy � � APPLICANT TEL. REAR p �� SIDE/SIDE STREET RW ❑ CONTRACTOR � w� G1 SIDE p ADDRESS r � U ' � CITY TZ- C . ZIP � ! V TEL PROPOSED USE w ARCWENG/ �� DESIGNER ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER VENAL7Y OF PERIURV THAT I AM E7(EMPT FROM TFIE CONiRACTORS LI- GHfBgB/CefPOR W CENSEUWFORTHEFOILOWINqREASON(SEC.7031.6BUSINESSANDPROFESSION9CODE:ANVCITVOR (n � V CIXINTVWHIp1RE0UIRE5APEHMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,OFREPAIRANYSTRUG W � w NRE,PRpR TO ITS ISSUANCE.ALSO REOUIRES THE APPLICANT FOR SUpi PERMIT TO FILE A SIONED w Patio/Dedc � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTORS LI- � CENSE LAW(CHAPTER Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF T1E BUSINESS AND PRO- � POOUSPB � FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDE%EMP- � TION.ANV VIOLATION OF SECTION 7031.5 BV ANV APPLICANT FOR A PERMIT SU&lECTS THE APPLICANT T0 Z Re-Roof A CML PENALTV OF NOT MORE THAN FIVE HUNDRED DOLURS(i500�.): 0 ❑I,ASOWNEROFTHEPROPERTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COR1RIBfCtBI Z YALL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70a1,BUSI- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF ? PROPERTV NM1iO BURDS Ofi IMPROVES THEREON,AND WHO DOES SUqi WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HEF ONTI EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDWRSALEIF,HOWEVER,THEBUILDINOORIMPROVEMENTISSOLDWRHINONEVEAROFCOMPLE- Z TIDN,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PqOVINO THAT HE OR SHE DID NOT BUIID OR � IMVROVE FOR THE PURPOSE OF SALE). �yJ ❑4��N�NER OF THE PROPEHTY,AM EXCLUSIVELV CONTRACTINO WffN LICENSED COHTFACTORS � TO CONSTRUCT THE Pq0.1ECT(SEC.70�/,BUSINESS AND PqOFE5910N5 CADE:THE CONTRACTORS LI- V8IU8IlOf1 V V ADJ,qREA W CENSELAWDOESNOTAPPLVTOANOWNEHOFAPROPERTVWHOBUILDSORIMPROVESTHERC-0N,MID � WNOCONTRACTSFORSUCMPROJECTSWITHACONTRACTOR(S)UCENSEDPURSUMITTOTHECONTRAG QUANTI DESCRIPTION Y TORS LICENSE LAWJ. FEE O ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q ?� U � DATE OWNER � Z U �Q LICENSED CONTRACTORS DECLARATION w 2 I HEi7EBY AFFIRM UNDER PENALTV OF PERJUFV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTEH � � Y(COMMENCIN�WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z �� MV UCENSE IS W FULL FORCE AND EFFECT. ///���/ '� /� m � UCENSE CLASS D LIG.NO. /_s.�" � 1 � wDATE � �" CONTRACTOR���_��./I'7 Q� d , � WORKEFiS'COMPENSATION DECLARATION Q l� , ✓ � J c U � � � I HEREBV AFFIRM UNDER VENALTV OF PERIURV ONE OFTHE FOLLOWING DECURATIONS: Z v,J ?I.� Q v1 � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF fANSENT TO SELF�INSURE FOR WORNERS' _ Q COMPENSATION,AS PqOVIDED BY SECTION 370o OF TME LABOR CODE,FOR THE PERFORMANCE U ��. OF THE WORN FOR WHICH THIS 7ERMIT IS ISSUED. w � � 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 � CARRIER PLAN REVIEW � POLICY NUMBER aZ ELECTRIC � (fHISSECiKXJNE�NDTOECp.REfEDOFhEPER�T(ISFORONEM.N%iFlDpplV�iLS(t�pp�pqLESS�, PLUMBING �� w o Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 45155UED.I MECHANICAL C} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER SO AS TO BECOME SU&IECT TO THE [/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 � p DATE: APPLICAN7: SMIP W J WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNIAWFUL,AND SHALL BE ENERGY P/C J �y SU&IECTANEMPLOVERTOCRIMWALPENALTIESANOCIVILFINESUPTOONEHUNDREDTHOUS�VlD ENERGYPERMIT DOLURS(floo.oao),IN/�DDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN w SECTION 3708 OF THE LABOR CODE,MTEREST,AND ATTORNEV'S FEES. RETENTION FEE: � O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBV AFFIRM UNDEF PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDINO AOENCV FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3ae�,CIV.C.). W � LENDER'S NAME � F- LENDER'SADDRESS � I CERTIFV TNAT 1 HAVE READ THIS APPLICATION AND STATE TMAT 7HE ABOVE MFORMATION IS CARRECT. TOTAL F E ES � 1 AOREE TO COMPLV WITH ALL CRV AND COUNTV ORDINANCES ANO STATE UWS PELATING TO BUILDINO � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTEH UPON 7HE ' Z ABOVE-MENTqNED PROPERTY FOR INSPECTION PURPoSES. COMMENTS ' � ��� �� � ��h'► i� .�• ���n�� I m PERMITTEE�NAM `� ' � a // _,�� �U — �(���� � N GNAR7� RGO�fTTEE DATE L VALIDATION � � RECPT.NO. PAID BY WHITE—Depertment Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy ��1�-c�..�,i� ". � ��E�} ,��j,� CI�V CD� D@Ai1fiO�ID �,�Fi . � �� .r�.�-.,� �.�43�� �����C�� . `� , • IftlS��C�'90� �i(�COF$D -. , oa�p�c�4aoa o�a4� oa�p�c��p aa�p�c�4aoa a Dca� - �� o���t�c��� �`� SET BACK FLOOR JOIST - FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT • 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 FINAL PLUMBING ENERGY ��.o � " COIVIMEfVTS �V�C '5���,` ���z���a— � SEPTIC TANK SIZE SEEP PIT/U SIZE a e� a ��� ,� � � � , 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