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Home My WebLink AboutPR24-0624PERMIT#: PR20240000624 ~'~ CITY OF DIAMOND BAR -~A"-COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 CHlOI' DIAMO!'I P,, ~:°'.'! BUILDING PERMIT APPLICATION www.cit~ofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 128 ROCK RIVER DR N, DIAMOND BAR, CA 91765 APN: 8718009003 LOT#: TRACT#: OWNER NAME: WOLFRAM EMIL & LORRAINE ADDRESS: 7472 MATTERHORN AVE CITY: RANCHO CUCAMONGA ZIP: 91730 TEL: APPLICANT NAME: TEL: CONTRACTOR NAME: Reyes Single Ply Roofing ADDRESS: 516 W Rialto Ave CITY: Rialto STATE: CA ZIP: 92376 TEL: (909) 258-2857 ARCH/ENG/DES. NAME: ADDRESS: CITY: STATE: CA ZIP: TEL: P/C DATE: P/C#: ISSUE DATE: PR#: TYPE CONSTRUCTION: OCCGROUP: SCOPE OF WORK: Tear off and replace comp shingles and underlayment (30 sqrs) #DWELL UNITS: 0 #STORIES: #BEDROOMS: BUILDING FEES DESCRIPTION SQ. FT. FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE-ROOF 3,000.00 $14,880.00 COMMERCIAL TOTAL VALUATION: TOTAL: $14,880.0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION: $474.29 PLAN REVIEW: ELECTRICAL: PLUMBING MECHANICAL: INSPECTION FEE: ISSUANCE: $54.20 SMIP: $1.93 ENERGY: RETENTION FEE: $23.72 PRE/ALT FEE: BASF: $1.00 PLOT PLAN: ZONING CLEARANCE: RECYCLING AND WASTE DEPOSIT: $250.00 EROSION CONTROL PLAN CHECK FEE: BUILDING ADMIN SPECIAL REVOLVING FUND: $18.98 PERMIT SYSTEM REPLACMENT FEE: TOTAL FEES: $824.12 COMMENTS: P/C RECEIPT#: PAY METHOD: VALIDATION: PERMIT RECEIPT#: PAY METHOD: VALIDATION: 5/31/24 6500 CC AV CITY OF DIAMOND BAR INSPECTION RECORD PERMIT#: PR20240000624 INSPECTION DATE: INSPECTOR: INSPECTION DATE: INSPECTOR: . T-BAR POOL DEMOLITION UG. l'UJM81f11G ROOF DRAINS UG. El.ECTRICAL UfERGROUNO GAS TUT, £1., PL, ME SEWER LATERAL PllEGUNITE .· '>· ; •... • SEWER CLEANOUT MAIN WATER LINE ROOF SHEATHING FENCE/GATE/ Al.ARM FLOOR SHEATHING FINAi.POOL SHEARWAUS EXTERIOR WALLS: SHEAR WAUS IHT£RIOR WALL FOOTING/STEEL RO. MECMAHICAI. WALL DRAIN/ SEAL WALL FINAL RO. Pl.UM8IHG · .. ~·· .... ·· INSULATION WALL .. .. INSULATION CEILING HOT MOP/SHOWERPAN DRYWALL LATH EXTERIOR LATH INTERIOR •'. GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION • >;•:; •• . ··· ~:)). .. ·.ii•;;' ' ''? T.C. oii'OCCUPANCY COMMENTS: 5.8.24 F.S. 5.13.24 F.S. 6.6.24 F.S. 6.3.24 F.S. 6.3.24 F.S. 4.18.24 F.S. 6.6.24 6.6.24 F.S. F.S. 6.3.24 F.S. 11.26.24 F.S. PERMIT#: PR20240000624 OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) [Section 7031.S, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($SOO).]: U I as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or 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.) U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project. (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.) U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: http/www.leginfo.ca.gov/calaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: 9 LICENSE NUMBER: 908008 IXPtMTION DATE: CON1'MCTOR StGMATUIE: ,.__---,=----------t1 WORKERS' COMPENSATION DECLARATIO WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), JN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a certificate of consent to self-Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CARRIER: <Enter Workers Comp> POLICY#: EXPIRATION DATE: _____ ..., NAME OF AGENT: WCS81864609 PHONE#: I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. SIGNATURE OF APPLICANT: DATE: DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 8172, Civil Code). LENDER'S NAME: LENDER'S ADDRESS: By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of the City of Diamond Bar to enter the abo srGNATUIE F= P R R ,. WNER ORAUTHORfZIOAGENT: -u,i~~---------------1 DATE: &..