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' ����'`; .� OF LOS ANGELES COUNTY
1955 Workman Mill Road,Wf�ittier, CA 90601-1400
Mailing Address: P.Q. Box d99�, Whittier,CA 90607-4�98 JAMES F. STAH�
Telephor+e: (Sb2)b4�-741 1, FAX (5b2)644-SA22 Chief Engrneer and General Manager
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Account N�.: U40+715
D'tstrict No.: 21
S�WEI2AGE SYSTEM C4NNECTI01�� F'CC � � � � � � � �
Date: March 18, 2002
Property Owncr: DIAMOND [3AR W�ST LLC (CRYSTAL RIDG� LSTATI�S)
Addrecti oi 1'roperty: �17850 TRAC'(', LOTS 1, 27, 2$ �f,?��f � ,�.�L � f ����„�
DtnMOND I3AR, CA {f" `-� }'(�� l.�'�- C.�
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'1"homas Gui�lc P�igc:
Cc�mact: JON C,�1MERt?N
Phone: 90�a-39G-5381
hdailine Ad�Iress: 34g0 TOItRANCE QLVU 5TE 300
` T412RANC�, Cr1 945Q1
Counry Assessor Map Book, Page,anci Parcci Numl�cr: 873 3-020-OI3
Struclurc is Proposcil.
L1�er Catrbory ancl Clnits ol Usa�,c:
Category: Qf A
Number of Units: 3
Syuarc l�uotagc:
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CC)PiN1:C"['IC)N �I,T; CALCULA'1'IO�'
3.0(l� X $1,29Q.OQ � _ $3,$74.40
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Number ol'Units+�i'Usage Connecti��n t=ce Per Unit c�#Usage Com�ectian Fce
COMMT;NTS:
O INCLUDGS PARCEL 8713-051-01 l &5713-(1�1-012 � $3,870.OQ
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Pee Payment Rrceived I�rom: �ocess� : LL �:; �' ,�`,r.'; � $ ,. .
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May 30 0� 12; 06p Cit� of Diamond Har 909-861 -3117 p, i
1 WAL'�T1T YALt.EY UM�'J�D SCHC!(>L DISTR[C�' ^�`�� - �
' 880 SOU'rH LEMQN AVEN�[7�W ALNUT C�.� 91789 �` ��
t
CER'�'TFi(:ATF:nF C�MPLIANCE
With Fee?ro�isipns of •
Gavernment Codia , 6,3�96
D�VEL4PERt0'wNER Diamond B�ar West_. _ _ �"" ��'
ADDRESS 3+�80 Ta�rance 1Nest, �LG Sigaanue o icanc
CITYIZIP 1'orranc� 90503 `The person <igaing represenrs thac he/she is �uchurized
TELEPHQNE_31Q:_54Q,3990 ._. to sign on behalf of th�owner/developer and tha� ih�
information pravidcd is true and accura[c�o�he ho�c or
h,is/Iaer 3cx�owl�dge. .
NEW LOT ADpRF.�S�,� ,;�,��_ USE dF BUiLDtNG fiOfiAL SQ, FT.
2809 Crystal` Ridge Rd NS�R _ 7588
'°' ltesiae�.tial/Coma�cciai�Indusaiat
City .�"� ;�v� .
HCIME Ii�iPROVEMENT OR REMODELING PROXECT
ADDRESS DF,St;RtP'TiON TOTAL SQ, FT,
Diamond Bar Watnuc (Bedroom, Famiiy Rm., Kitchen>etc.}
� � ����
Signature oX Superintendent of Buildin�s �� ' p��e `�!
�_�.
TO BE COMPLETED B'Y SCHOOL DI.STRICT
FEE SCHEDUL� "t�,e dev�lapmcat fees levied by the Walaut Valley Uuifi�tl. TO'T`AL FEES I3tTE
�..r.
SGhOOI I}fStI�[L UT]�TOv'!��>i1 Of GDYCidtIICIlt COd@��S�S S_.`.L . �
arc_ (EFF. $ii?t'98) Rcai+ientia2l�cvciopmcnc $�.93/sq. h. ReceiPclt • „�„�
Coaunercia]ll�dustria! $0.31/sq. fc. Date ' -�/ p�Y -
Fees a�e asstssecl 4ri'TOTAL square footage "living space" of ALL new or temodeling constructioa projeccs OVER SOQ sq. feet
(elirninatiag gazag;e or uncovered patio).
`�` ... 'This is ta�
c�tify that alt fees due to the Wal.nut Valley Unified School Dist�i4c under provision of Government Code Secaon
65995 have`#3�een rccrived and a buitding pexmit may be issued.
I` 'I�is is te�ce�cify dsat che abave cieccril�ed develapment has been decermined ta be EKE11riP'P from the deveiogmeut fees of
Governmenx"Codt'Section 65995 and a building permit may be issued.
�xcmp[ic�n Justiflcauon: PI2.OJECT IS 500 OA LESS SQUARE FEE'Y`
�°_' OTHER
�;':
���� �����
ASS�SKanc sup�rino�n�
Fiscal and Faciliciws'Managen►enc
:?::;
1l87 Rev. 2/88;61$8;8/8�}: 2/90; 8140; 10190; 8192; bt93; 11193: &194;bJ9b; 1J97. 3198
pX,FA;'E SEE NOTTCE OF 90-DAY PERIOD FQR PRQTEST!'�F FEES OlY REVERSE Sll�� p
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CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21825 E.Copley Drive
(909)860-3195 Fax(909)861-3117
BUILDING PERMIT APPLICATION
JOBSITE
ADDRESS 102 CIYSML I1 VDD
APN LOT 27 TRACT 47133
OWNER
ADDRESS Torvause Blvd,Sts,IN
CITY ZIP20301 TEL.
APPLICANT('aQ it TEL Sao*
CONTRACTOR- 'JC CalBat P4jM
ADDRESS f 91111111111145
CITY ZIP TEL.
ARCH/ENG/
DESIGNER It,amid i "am,
ADDRESS IE>illft!a tllBlt"
CITY ZIP TEL.
OWNER-BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI.
CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESSAND PROFESSIONS CODE: ANY CITY OR
COUNTYWMICH REQUIRES A PERMITTOCONSTRUCT,ALTER..IMPROVE, DEMOLISH,OR REPAIR ANYSTRUC-
TURE. PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED
STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI-
CENSE LAW(CHAPTER 5(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO.
FESSIONS CODE)OR THATHE OR SHE IS EXEMPTTHEREFROMAND THE BASIS FOR THEALLEGED EXEMP.
TION.ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FORA PERMIT SUBJECTS THE APPLICANT TO
A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS($500).):
^ I.AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,
WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC. 7044,BUSI-
NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF
PROPERTY WHO BUILDS OPi IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDEDOR
OFFERED FOR SALE. IF. HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE-
TION.THE OWNER-BUILDEFR WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR
IMPROVE FOR THE PURPOSE OF SALE).
^I,AS OWNER OF THE PROPERTY.AM EXCLUSIVELY CONTRACTlNG WITH LICENSED CONTRACTORS
TO CONSTRUCT THE PROJECT(SEC. 7044, BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI-
CENSE LAW DOES NOTAPPI.Y TOAN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON.AND
WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S)LICENSED PURSUANT TO THE CONTRAC-
TORS LICENSE LAW.).
0 I AM EXEMPT UNDEFI SEC. B. 5 P.C. FOR THIS REASON
DATE OWNER
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER
3(COMMENCING WITH SECTION 7000)OF DMSION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND
MY LICENSE IS IN FULL FORCE AND EFFECT.
LICENSE CLASS UC. N0.
DATE CONTRACTOR a q1Y
WORKERS'COMPENSATION DECLARATION
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.AS PROVIDED BY SECTlON 3700 OF THE LABOR CODE. FOR THE PERFORMANCE
OF THE WORK FOH 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
E CARRIER AND POLICY NUMBER ARE.
ISSUED. MY WORRKEERS'COMPENSATION INSURAN
C
CARRIER sMlg
is I"j�
J
POLICY NUMBER •i�"�'�+�
(NB SECTICNNEED HOT BE COMPLETED OF THE PERABT IS FOR ONE HUNDRED DOLLARS(5100)OR LESS}
I CERTIFY THAT IN THIS PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I
SHALL NOT EMPLOY PJIY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THA14F I SHOULD BECOME
SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR
CODE.I Sr FORTHWITH COMPLY WITH THOSE PROVISIONS.
APPLICANT�.
DATE:
WARNING: FAILURE TO SECUPE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL BE
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS(5100,000),INADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3703 OF THE LABOR CODE. INTEREST,AND ATTORNEY'S FEES.
CONSTRUCTlON LENDING AGENCY
I HERESY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY
FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC. 3097,CIV.C.).
LENDERS NAME
LENDERS ADDRESS
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT.
I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING
CONSTRUCTION.AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE
ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES.
PERMETfEE NAME(PRINT)
SIGNATURE OF PERMITTEE DATE
APPLICATION t,.,, 1> PERMIT P/Cj;.,�' 1
DATE'/NUMBER M V 6
ISSUEs TYPE OCC
DATE CONST.GROUP
ZONING SETBACKS
FRONT RW
REAR^
SIDE/SIDE STREET RW^
SIDE^ -'
PROPOSED USE
N0. DWEL. N0. N0.
UNITS Z STORIES 2 BEDROOMS 6_
DESCRIPTION SQ. FT. FACTOR PSF ADJ.AREA/VALUATION
FR/ADD/REM 7 63" "?Li 4)
U) Garage/Carport Ift - +�
PatiG/gaE*. 20.1 .j
LI- PooVSpa
Z Re-Roof
Commercial
M 4"m
Valuation ADJ.AREA
QUANTITY t1ESCRtIPTION FEE
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CONSTRUCTION
PLAN REVIEW.!t
ELECTRIC
PLUMBING
4
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IF
MECHANICAL
IV
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE:
PRE-ALT FEE:
TOTAL FEES
COMMENTS Ci a'I :y
1 des
IC-
1
RECPT. N0. PI
PAID BY VALIDATION
WHITE-Department Copy,YELLOW-Finance Copy,PINK-Assessor Copy,GOLDENROD--File Copy. GREEN-Applicant's Copy
.11Ge+r!.�1.614SHTC
SET SACK I_F=w(s.. ,
FTCS J-MSi'STwEL i�t,c?C
CLEC RIC GROUND,_.._3D R FI B !�;
.GROUND PLUMBING UNDER cL00R CONDUIT
^ rIsPfA-E,stns?T
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ON
SLAP GRADE
f EMP POWER-t t t'F f AE;Ai r BO +7,7 BEAM
?WATER SERVICE Ma,-)r r'eat-�P AM
ROOF SHEATHING}g T.V
RAMIN aNENTi ATI N FINAL
ROOF COVER FRz �P
ROUGH HEATING ROUGH I ELFCTRIC POUCH
ROUGH PLUIJIFiIIIa Ft�dIN �r��ra
SIiC3WEI I Ui #TES"t- i POOL EL-C RIC
EXT. !ATNISIQING POOH "ENC;N-
6
1=INALw
WALL INSULATION I'C
CEILING INSULATION-�-}OFF SITE IMPS•
DRYWALL NAILING SEDICATION
SEPTIC TANK CAP-JIRRIG.
T
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SEEP PITrLL. ON SI
E IMP
I IAL 0 NG
OAS All TEST
FI
NAL CONS' FIRE DEPT PINA
FINAL HIwTII+IG I I-EALT APT FINAL
FINAL ELECTRIC V. PEES PA! D
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FINAL PLUMBING{
EN. RG ?
COMMENTS
G
SEPTIC TANK SIZE
SEEP PIT/U SIZE _-
COUNTY SANITATION DISTRICTS
OF LOS ANGELES COUNTY
1955 Workman Mill Road,Whittier,CA 90601-1400
Mailing Address: P.O. Box 4998,Whittier,CA 90607-4998
Telephone: (562)699-741 1,FAX: (562)699-5422
www.la d.or9
Counter h ours. 7:00 a.m. -4:00 p.m. Mon.-Thurs.
7:00 a.m.- 3:00 p.m. Fri.
SEWERAGE SYSTEM CONNECTION FEE
JAMES F. STAHL
Chief Engineer and General Manager
Account No.: 0405715
District No.: 21
Date:
March 18, 2002
Property Owner: DIAMOND BAR WEST LLC(CRYSTAL RIDGE ESTATES)
Thomas Guide Page:
Contact:JON CAMERON
Phone: 909-396-5381
Mailing Address: 3480 TORRANCE BLVD STE 300
TORRANCE,CA 90501
County Assessor Map Book, Page,and Parcel Number: 8713-020-013
Structure is Proposed.
User Category and Units of Usage:
Category: 0 I A
Number of Units: 3
Square Footage:
CONNECTION FEE CALCULATION
3.00
X
$1,290.00
Number of Units of Usage Connection Fee Per Unit of Usage
COMMENTS:
INCLUDES PARCEL 8713-051-011&8713-051-012
$3,870.00
Connection Fee Due
Pee Payment Received From:
DIAMOND BAR WEST
Amount: $3,870.00 Ck. No.: 01277
1).C.:
Address of Property: 47850 TRACT,LOTS 1,27,28 2e��K1�
DIAMOND BAR,CA
///
Daty/March 18,2002
$3,870.00
Connection Fee
APr
---^ LIC,1V'I'COPY---VALID ONLYWHEN STAMPED
�y Ilr c yr:Ir?d r npr'r
May 30 02 12:06p City of Diamond Har
909-861-3117
WAL'YU'T VALLEY TIMF�D SCHOOL D[STR[CT
880 SOUTH LEMON AVENZ7E WALNUT C,.4 91789
CERTTFi('ATF.OF CnMPLIANCE
With Fee Provisi<ms of
Government Code 6596
DEVELOPER/O�wNE:R Diamond Bar West_
ADDRESS 3480 Torrance west, LLC
CITY/ZIP Torrance 90503
TELEPHONE 310:.50.3990 .
Signature o
p. i
�-sr�
The person signing represenrs that he/she is�uchorized
to sign on behalf of the owner/developer and that the
information provided is true and accurate�o the best of
his/her knowledge.
b.
NEW LOT ADDRRES§;,,,v.�. USE OF BUILDING TOTAL SQ. FT.
2809 Crystal 'Ridge Rd NSFR_7588
Residential/CommerciallIndustrial
Ciry
HOME IMPROVEMENT OR REMODELING PROJECT
ADDRESS DESCRIPTION
Diatnoad Bar�_Walnut� (Bedroom,Family Rm., Kitchen,etc.)
Sigtature oP Superintendent of Buildings
TOTAL SQ. Ff.
��rnc'�C��G,�1.,�-�Date J- ...1�' �U
TO BE COMPLETED BY SCHOOL DISTRICT
FEE SCHEDULE::Tie development fees levied by the Walnut Valley Unified TOTAL FEES DUE
���•�
Schoo(District undi-ovii�ititt of Government Code§65995 S;
arc: (EFF. 8/1'1/'98).. Residential Dcvclopmcnt$1.93/sq.ft. Receipt>y
Commercial/Industrial $0.31/sq. ft. Date-�/p oY
Fees are assessed Qa'�?OTAL squaze footage"living space"of ALL new or remodeling eonstructioo projects OVER 500 sq. feet
(eliminating garage or uncovered patio).
This is to citify that all fees due to the Walnut Valley Utufied School District under provision of Government Code Section
65995 have��feen received and a building permit may be issued.
This is to certify that the alxwe riescrihed development has been determined to be E1�CEiIZP'P from the development fees of
Goverttment'Code'5ection 65995 and a building permit may be issued.
Excmptioa Jastiflcation: PRO.YECT IS 500 OA LESS SQUARE FEET
OTHER
,�-��ri-�
PILEASE SEE NOTICE OF 90-DAY PERIOD FOR PROTEST?"F FEES ON REVERSE SIDE