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Home My WebLink About14-4751 • .............�''�--..... _ CITY OF DIAMOND BAR � r n DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��''= =�'- 21810 Copley Drive,Diamond Bar,CA 91765 PRESS (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �~,"R"4� BUILDING PERMIT APPLICATION s JOB SITE ADDRESS ✓�� —�OEC�D C�'��IL Yi�- APPLICATION DATE: �/ �9� �d'V ��7 P/C# i ISSUE DATE: �/ cT"7� �'� PERMIT# � L� �� z APN LOT TRACT � OWNER G��j��C� TYPE CONST. OCC GROUP: � ADDRESS�03 L2�OI��D G�c�{L D'�'` n CITY �D1L41�lfO,�l�fl B�k`� ZIP 91-1�5 TEL.�T✓t C�I�I O�'o60 ZONING F ONTCKS RW ❑ = APPLICANT V��YS'tl�� CL•\RD��c� TEL.��o C�`IZ SZ7� REAR ❑ Q CONTRACTOR ��—��OIZN�� DEL--TA M�IlLWlCAL SIDE/SIDESTREEf RW ❑ � ADDRESS 6056 �-.BAS�i...)uE�. �'F� 'JrJ SIDE ❑ A � � �� PROPOSED USE = CITY M�=SA� I�Z—. ZIP TEL.��O�i d � ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. I � OWNEH-BUILDEfl UECUINATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ SFR/ADD/REM � r I hereby attirm under penalty of perjury that I am exempt from the Contrador's STate License Law for the reason(s) I � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport I ProTesslons Code:Any city or county that requires a permit tu construct,alter,improve,demolish,or repair,any I � structure,prior to ifs issuance,also requlres tlie applicant for the pertnit to file a signed statement that he or she � Patio/Deck i Is licensed pursuaM to the provisions af the Contractor's State License Law(Chapter 9)Commencing with Section w � 7W0 of Division 3 of the Busineu and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty � ,�—s of not more than five hundred dollars($500). ZQ Re-Roof I � �I,as owner of the property,or my employees with wages as iheir sole compensation,will tlo(,all of or(J portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'SEa�License Law does not apply to an owner of property who,through employees'or personal ettort,builds �, or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built � � or improved for the purpose of sale.). I J �I,as owner of the property,am exclusively contracting with licensed Cont2cturs to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who V81u8tion: Adj.Area: I n buildsorimprovesthereon,andwhocontraclsforiheprojeciswithalicensedContrac[orpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). Y �,J I am exempt from licensure under the Contractor's State License law for the following reason(s): � � I 3 ¢ 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I = year pnor to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I i owner-builderifithasnotbeenconstructedinitsentirerybylicensedcontradors.lunderstandthatacopyoftheapplicable � � law,Section 7044 of the Business and Professions Code is available upon request when this application is su6mitted or at � � I i the following Web site:http/www.leginfo.ca.gov/calaw.html. Z ' � DATE: SIGN: m � A`�_ I — LICENSED CONTHACTOH'S DECLAHATION � �—�1� Li I a � y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I , � of Division 3 of the Business and Professions Code,and my license is in full force and effect. � I � LICENSE CLASS: �J K7 LIC.NO.: V(� �� a ( i Z DATE: � — CONTRACTOR:CAL�'�OfLbLL!- C�'f_Ti't �CN/V�i w I a WORKER'S COMPENSATION DECLAMTION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 7HE FOLLOWING DECLARATIONS: y ? �I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as pmvided by CONSTRUCTION: � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVI EW: � V I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insu2nce Carrier and ¢ PoIi�yNumberare: q PLUMBING: � �Qa, � CARRIER W�G�O L�SVl�NGE CAKPf4NY MECHANICAL: � POLICYNUMBER Q 2°S� 8?SCJ� INSPECTION FEE: n (THIS SEC110N NEED NOT BE CAMPLEfED IFiHE PFAMIT IS FOR ONE HUNDRED DOLLARS($100)OR LESS�. ISSUANCE: ��7 = I cer6y that in the peAortnance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to � become subject m the Worker's Compensation Laws f Califomia.Md agree that rf I should become subject to the Worker� SMIP: � Compensation provisions o�Section 3700 of the r de,I shall forthwith comply with those provisions. ENERGY P/C: J 1L� i DATE:�—�9 wWPPUCaNT: ENERGY PERMIT: � WARNING FaiWre to secure Worker's Co sation co ge i unlawful,and shall subject an employer to criminal RETENTION FEE: � /�/1 y penalties and civil fines up to one hundred thousand dollars( 00,000�,in addition to the cost of the compensation, �— � damages as provided for in section 3708 of the labor code,inter t,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.�. 3 LENDER'S NAME: � � LENDER'SADDRESS: �' � i I certify that I have read this application and state that ihe above information is correct.I agree to comply with all city and TOTAL FEES � county ordinances and sTate laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: z � enter up n the above-mentioned pro e tor inspection purposes. �. � \ ��V n PERMITTEE NAME(P �� — i� � 1 = SIGNATURE OF P fITEE DAT RECEIPT# Z�31 O PAID BY: CAS� VALIDATION:� '. WHITE—De artment Co YELLOW—Finance Co PINK—Assessor Co GOLDENROD—File Co GAEEN—A licant's Co P PY. PY, PY� PY� PP PY CITY OF DIAMOND BAR � � INSPECTIQN FtEC�RD � • s � • s - • � � 1 . � . ;SETBACIU LE7TER,��'� '�', „�� ,. ';', � s:t = T(3ACTAND LEDGER �FOOT NGS FORMS., � �" ' '';� ,��;��,��' ��. <,-„_ � .SWITCH GEAR - -- ?SLAB, �� a��' .�, ``�°� .,r��=- ��i.,,. ,��>3.��` COMMERCIAL HOOD ,UG�PLUMBING:` � P>� �� .. ;�� :-�, � �3�'„� T-BAR �- ` - � � � .�, -,�� ,UG.ELEC7RICAL�°. _:. ; ,� :, „ � `': .'� ; `�. Y � _a, INTERCEPTER �..� -�� UEER��G,ROUND.� ,��, ��, ��":;� �� `� �� `"` " HOT MOPISHOWERPAN ��,�� SEWER LATERAL SEPTIC;CESSPOOL MAIN 4'VATER LINE HERS REPORT RECEIUE� _ _ _. _.... _._._—.... _ _...._. ------ SEWER CLEANQUT DEMOLITION ROOF SHEATHING ' ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �.., ,s ___ . ,_ _ _.. .� :�_. _ .: � . _ - ..3'' .. _ . . 't,ue �,y < , _ : .y �,� ,� ;SHFAE?"WALLS EXTERIOR�.,.. _�. - _ � ROOEISPA ��`��_ ,� � �, . ,�� : ��,� _ fSHEAR WALLS INTERIOR�� :';�� ^„„'�� ;f30tJGH PLU,MBING � ;p.�`�',��- �� ti,��''�'�` -� �`; �r„ z�. �: x. :s'� f� ,°�,' r„ ,FRANIIN�ENTING' b ��`�� :� �" ' F a 'r �"�� ,E ,• '' ,�OUGN EI�EC7RICAL � A�; .:. �� ',�', ��, s; r � ��_.. �� r� __.�. �_ ;�. ,�—� � , � _ , �� x�s�,� _ v ,� , _ - =.g --�` �� ; �ROUGH MECHA�IIGAL " �. ,.,,.,�, � _ � 'ROUGH MEGHANICAL E__�� ' � � ��,�,t M� „�.: -: ,� �ROUGH'�E�LECtRiCAL W �t�G� � ` � GA5�7EST �-''��' �`�"�� °�i�� rs. � . _ . .z . _, (�: ( 'J , �� ;,, �s : �,, ,.Eh:� ,„ �.� �,�� ..: . ,,.. �: �� y� z.3u. �� ; � �.�� , , ..,� , . . ROUGH�PI:UMBING y:rrt�` �. �, ` atg��°�"„ �PRE�GUNIT€ �,��;w �'�;,�� ,��, ,�,� �. , 3.. :� ,�r_ � _ �_ , _ _. _ q.,. �" ' �.�� : INSULATION WAL� �POOL PRE DECK BQNDING, _��' - . ;i��, ., ��Ek � , ` �;A. tNSULATION CEIUNG °P TRAP" "'� Q _��;�. :.,,,, ,,.r,�'' �B,': �� DRYWALL FENCE,/G,4T,FJ�ALAHM� ". ��,.;; ,��, . ,.,;.�,�� , � "�� , �� LATH(PRE) ; �FINAL POOL� �^ � � ��,,,. �„ `� ��_ °'�' �_ LATH EXTERIOR ' WALLS: LATH INTERIOR WALL FOOTINGr'STEEL GAS TEST � WALL STEEL 1 S`t )2N°( j LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL DRAIN/SEAL GAS METER RElEASE � WALL FINAL SPECIAL INSPECTION � RO.FP,AMINGP1Ah1NINGAI�RDUAL ��'� h� '��, �'"' ` ¢ �� , .FINAL�BUILDING� '� ;� "�'' ROUGH,FIREAPPFtOUAL 3�°�w' '��, -,�`�£". ,FINAL MECNANICAL ' �>g �. g$ `;`w tl �� " �.. ; . r3',:�; -f� FINAL�FIRE�DEF'ARTMENT , � �� , uP t�; �:�>�;� _ , ��_� �:� �.. �,� �FINAL.ELEGTRICAL ,��,�' ��,,.�$� � '3� �� z', d��E �, FINA��LANNING..��i�..� ;� �_��,�� _�. �• ,��' �� 3FINAL�PLUMBIIVG' < ` _�� , f e^ �' '� ��, ' � FINAL ENGINEERINGI PW_ ��'��` '��'; � ;��';"�;� , ,.. = ` .�-� _ � 4-�� . ,e �__ �, _ a�,�.�� ._�. __. . ..�..�_ .�� .,�._-- `` � � �� -, ��" �,� � �Y�SERYICES� � �� _ =- �T.C.of,,O,,CCUPANCY •,�; . _ :,��... ,��, ,i a,,;. " � "s;� ,° FINAl�C01V1Ntl{hll `��"� ��..��,�,:�� GERT.'of f}CCUPANCY'' '� �°` 5� :� FINAL=�HEALTH DEPT.,� �`'�� ,:�,r � ', �� `� ��: � ., x ,: - �FINAL INDUSTRlAL WAST€..� �;�� ,. �'�� _ , _ � . �_ e COMMENTS: � W �� ' �� d��a�� dt, � !v7 � ��'��— r u� f� — -- --- — Krystai Cardenas Mon, Sep 29 8:42 AM to hristota@gmail.com cc Gary Kolev Diamond Bar 1 file attached � U� SKMBT_C3601409290... .pdf 34.1 KB lobsite Address:3403 Crooked Creek Dr Owner: Charies Wang Address:3403 Crooked Creek Dr Diamond Bar CA 91765 Telephone#: 714.618.0660 Applicant: Krystal Cardenas Telephone:866.692.5273 Contractor:California Delta mechanical Address: 6056 E Baseline Rd � Mesa AZ 85206 The Description: Repiacing 50 gal gas what heater like for like Valuation$1,400.00 License class:C36 License#:81114 Workers comp: Carrier:Wesco Insurance Company �6/C� /�� Policy Number:Q2588307 � � This is all the information you will need to pull the permit in diamond bar Attached is the letter of authority make sure to take to the city. If you have any questions please call me you have my cell phone number Thank You, Krystal Cardenas Delta Mechanical Inc. krystalc@deltamechanical.com 866-692-5273 866-692-5275 fax i �� "if water runs through it, Delta can do ifl» Affidavit that Power of Attorney js in Full Force , ; ; I i ) � I Todor ICitchukov President of Delta Mechanical Inc. bein duly sworn, depose and i � � g € say: � � The principal within did, in wri�ing, appoint me as the Principal's true � .And lawful Attorney-In-Fact in the written Power of Attorney. � � I I make this affidavit far the pnrpose of including the foltowing individual(s): � � ! I�rista Tassev to aull and�process fhe permits and/or business license in the State � of California . j ! � i ( a -E''1� ! Sworn before me thfs 2 I day of ( 1 � 20�_ € Susan Kitchukove ) f Notary Pubtic � ! �Maricopa County,Arizor►a � � Expires:June 25,�17 ) _��`�9' �ZLG�-�" � } � ( t ry Pu c) Toalor K�itchukov -President i , � i � E � , $ I k 6Q56 Baseline Rd, Suite 155 Mesa AZ 85206 1-888-DELTA-iNC www.deitamechanical.com i � �