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Home My Public Portal About5318 ARDEN DR_Sewer__ 6420 `j 76AE-663 �iQ75 5 4 APPLICATION' ,-FOR' PERMIT q[g� &E-66 � 19 .DIVISION OF BUILDING AND SAFETY SEWER®S E WAGE D I S POS L Department of County Engineer ` County of Los Angeles J'AD UILDING WM.J. FOX, COUNTY ENGINEERDRESS CASSATT'D.-GRIFFIN, SUPT OF BuILDING OCALITY XOR:APPLICANT .TO FILL IN NEAREST % U CROSS ST. LEGAL . DESCRIPTION LOT NO. - OWNER r•� 1 -- U' �-�✓�S BLOCK• TRACT MAIL - - _ ADDRESS N0. OF BLDGS. Bzr r SIZE OF LOT• NOW ON LOT r CITY TEL. NO. USE OF' - BUILDINGSDISTRICT O. I. GROUPI MAP rte. BK PG B CONTRACTOR,. - 44 ADDRESS CONNECTION DATA - O CITY V. TEL'.:N0.' - STATION, - DEPTH ❑ STATE MANHOLE REFERENCE REGISTRATION NO. ❑ COUNTY - UPPER - 'LOWER TYPE OF-CONNECTION. LENGTH FROM NO. DESCRIPTION OF WORK'. FEE Y. • CURB - P.L. M.L.TO P.L. ' HOUSE SEWER CONNECTING TOtk PUBLIC SEW - �5 $ ,3.50 , ! , HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM. - . 1.00 CONNECT ADDITIONAL BLDG. OR _ CO, IMP. N0, JOB. N0.' • WORK.TO HOUSE SEWER 1.00 *.ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 TRUNK PERMIT NO. ROAD.PERMIT NO. DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT _ AND/OR DISPOSAL SYSTEM 1.00 PERMIT NO. - SEPTIC TANK, SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 INDUSTRIAL CESSPOOL- DRYY✓ELL - _ .WASTE APPROVAL ..SPECIAL CONDITIONS ONLY - 2.00 - - CHARGES - PERMIT CONNECTION CHARGE,FEE OWNER'S $ 1 00 AUTHORIZATION, TOTAL -F'EE, Q 0 REI MBURSEMENT'FEE I HAVE .THIS DATE CONTRACTED WITH THE HEREIN NAMED CON-a TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DW'ELLI'NG APPROVALS DATE INSPECTOR'S SIGNATURE .TO, THE PUBLIC SEWER NEW HOUSE SEWER -' SIGNED`THIS ' . DAY OF• 19 _ OWNER OR _ - - CONNECT ADDITIONAL •� OWNERS AGENT BUILDING OR WORK Q - .- - .. SEPTIC TANK, SEEP,.PIT(S) - ' ADDRESS - AND/OR'DRAINFIELD - - ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.APPLICATION CESSPOOL❑ DRYWELL'❑ AND STATE -THAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,.REPAIR,SEWER OR PLUMBING .AND SEWERS. - SEWAGE DISPOSAL SYSTEM 1. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR .LICENSED AS REQUIRED BY LOS ANGELES DISCONNECT PLUG AND ' COUNTY AND'STATE OF - CALIFORNIA OR THAT. I AM THE LEGAL OWNER-OF THE*ABOVE ABANDON HOUSESEWER - DESCRIBED.RESIDENTIAL PROPERTY. - BACKFILL SEPTIC TANKS❑ - - SEEP'.'PIT(S)"❑. CESSPOOLS-0- SIGNATURE 'TEE. r �� •. _ WILLIAM J. FOX.COUNTY'ENGINEER' VALIDATION' BY I g o my 2'7 ., 4 . Z.0 0 �. DEPUTY DEP TY BY BY ..® - DEPUTY - DEP Y DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER I ADDRESS3tJfl , jQJ� � FOR APPLICA T TO FILL IN LOCALITY BUILDING (j Q &�� NEARESTyf .ADDRESS CRSS ST LOCALITY /��/I al moi' (R/4� DISTRICT NO. SERIAL N0. �jPERMIT N0. NEAREST •�/ <, A /O S ��J CROSS ST. �' RECEIVED BY Ready for Inspection DATEISSUED a OWNER l/ • A MAIL 5'3/� ,fes d y, ��,� nR USE ZONE I OCCUPANCY I BK MAP PG ADDRESS tel` ,7/�' „C/ A CITY TELAO. ~ CONTRACTOR CO.IMP.N0. T'- ADDRESS JOB.N0. CITY TEL.NO. TRUNK PERMIT NO. STATE i REGISTRATION NO. g COUNTY' ROAD PERMIT NO. LEGAL fi STATE ENCROACHMENT DESCRIPTION LOT NO. nrGr / _PERMIT NO. BLOCK TRACT /„ y� INDUSTRIAL �1 WASTE APPROVAL ,f SIZE OF LOTN0.OF BLDGS. _q O!J NOW ON LOT CHARGES USE OF BUILDINGS IT4 S /Dx ,a A/C, + CONNECTION CHARGE FEEIE <'f NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 3.50 .�� RECEIPT NO. �SI� DATE I BY HOUSE SEWER CONNECTING TO �! PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG:OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING / NO' DATE I"B� SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR �/ PITS AND/OR DRAINFIELD 2.00 STATION ,�. ,9 0 DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 i f A UPPER REFERENCE TYPE OF CONNECTION LENGTH FROM 'Y:r 'CURB eFT) M.L.TO P.L. OWNERS PERMIT $ I 11 00. AUTHORIZATION I TOTAL FEE I Y'IIHAVE CONTRACTOIS DATE R TO CONNECT THTED WITH THE E ABOVE DESCRIBED IEXISTING'ED APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS__-__._.__.__._..DAY OF--------_ NEW HOUSE SEWER ONECT OWNER OR BUILDING ORDWORKAL nk OWNERS AGENT...........- 'I SEPTIC TANK,SEEP.PIT(S) }� ADDRESS_-----------------------•----..................................._--•---_._......_. AND/OR DRAINFIELD r Ol I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL1= CESSPOOL(] DRYWELL I] CA T[ONAND STATE THAT THE ABOVE IS CORRECT AND AGREE _ TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,'REPAIR,SEWER OR (f REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM H .10 -1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AHD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED REBID NTIAL PROPERTY. BACKFILL SEPTIC TANKS v SIGNATURE SEEP.PIT(S)E] CESSPOOLS OF PERMITTEE.__._ __.—._ .__ __..._.�!_w+!.!�5 ...r_....-. 76A642A 663 7/53 DEPARTMENT OF COUNTY ENGWEL6 DIVISION OF BUIY.DIPICD SAFETY SEWER DISPOSAL PERMIT APPLICATION COUNTY OF LOS ANGELES I BUILDING WILLIAM J. FOX, COUNTY ENGINEER I ADDRESS FOR APPLICANT-TO FILL IN LocaurY '. BUILDING . '� NEAREST ADDRESS 3� S /�/�,�. /f/ �I� CROSS ST. LOCALITDISTRICT NO. Ready for Inspection PERMIT NO.- . Y ��"'��/9 �/�pc y - 1 / Q c . CROSS ST "R . S f� f !� ECEIVED BY h DATE ISSUED BY DATE OWNER V YY• MAIL ��/ � —ADDRESS /� �j n USE ZONE WCUPANCY - BK MAP PO CITY L �v iT TEL.NO. 5-,0-4,D [0�� CONTRACTOR CO.IMP.NO. �. ADDRESS r) w JOB N0. CITY TEL.NO. TRUNK PERMIT NO.STATE REGISTRATION NO. g COUNTY ROAD PERMIT NO. LEGAL STATE ENCROACHMENT DESCRIPTION LOT NO. PERMIT NO. BLOCK 19 TRACTINDUSTRIAL WASTE APPROVAL SIZE OF LOT6 N0.OF SLOGS. NOW ON LOT CHARGES USE OF "'� / BUILDINGS Sj��✓ � ', CONNEC CHARGE FEE NO___ DESCRIP_T-ION--OF-WORK--FEE------- T_ - / HOUSE SEWER CONNECTING TO rr�'� �„ REIMBURSEMENT FEE PUBLIC SEWER @ S 3.50 5 S O RECEIPT NO. I DATE HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION E'C6RDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NOrT DATE- I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND,ABANDON SEWER AND/OR DISPOSAL SYSTEM. 1.00 :. CONNECTION DATA SEPTIC TANK, _ PTS AND/OR GRAINFIIELDT OR 2,00 CESSPOOL—DRYWELL STATION 2�J DEPTH SPECIAL CONDITIONS ONLY 2.00 / / MANHOLE+REFERENCE tUPPER TYPE OF CONNECTION__--'✓LENGTH FROM OWNERS PERMIT g I op Y. CURB P.L. M.L.TO P.L. J AUTHORIZATION TOTAL FEE ¢ :�e I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE _ SIGNED THIS._ /__j<_-.DAY 195 NEW HOUSE SEWER OWNER DR �i � CONNECT ADDITIONAL OWNCOQ AIT• '— .. vulf �� ' BUILDING OR WORK SEPTIC TANK,SEEP.PIT(8) ADDRESS............................. -- - -._•.—_..-=-- AND/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. CESSPOOL[:] DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 'ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY .LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED REST NTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGRE SEEP.PIT(S)� CESSPOOLS / J NATU �: �' OP PERMITTEE-- .s--��/--_•. . _ ----•------_-•- 76A642D S&E 663 4/54 l�Y . COUNTY OF LOS ANGELES ; - TEMPLE CITY - # 0508 - SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701•LAS TUNAS • SE 0508 0904270001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: ILEGAL ID: _ ISEWER / SEPTIC: SEWER - .1 BUILDING ADDRESS: ITR: 11699 LT: 2 BL: B IEXIST OCC GRP: - '1 5318 .ARDEN.DR. _ I IBLDGS. NOW ON LOT: - - I TEMP CA 917803319 1 (ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST_ CROSS STREET: ( 18585-020-004 IORIGINATION: - 'THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, CI I ILENGTH ML TO PL.: STATION: DEPTH: . I (TENANT: - IMANHOLE REFERENCE: UPPER/LOWER: 11SSUED ON: PROCESSED BY: EXPIRES ON: 1 104/27/09 SR -10/24/0.9. 1 1 ICOUNTY IMPROVEMENT NUMBER: 1I 10WNER: TEL. NO: IPLAN CHECK NUMBER: . . IFINAL DATE FINAL BY: CODE: 1 ILI, KITTY (626) 318-0569- IJOB NUMBER: I 15318 ARDEN, DR ITRUNK PERMIT NUMBER: ITEMP 917803319 ' IROAD PERMIT NUMBER.: ' ' IDESCRIPTION. 0F WORK 1 1AFFADAVIT: NO ICONNECT 2ND: UNIT TO PUBLIC SEWER 1 1 I WAIVER: NO 1 - (APPLICANT: TEL. NO: (EASEMENT: NO ILAI (626) 288-2651- 1 18748 VALLEY BLVD_#K IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1 IROSEMEAD CA 91770 - IHIGHWAY/STREET WIDENING: I. ISTATE ENCROACHMENT PERMIT NUMBER: 1 I ICONTRACTOR: - - TEL. NO: I - FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1, I.MORLEX" INC. - :(626)- 202-6548- 1515 S. PALM AVENUE #7 LIC. NO IFEE DESCRIPTION: QUANTITY:'UOM: AMOUNT: INEW HOUSE, SEWER 1ALHAMBRA, CA 91803 853153 B I I / 1 1 101 PERMIT ISSUANCE FEE. - 27-.75 ICONNECT ADDITIONAL --r' tj - I I 103 CONN TO' PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK 1 1 1 1ARCHITECT OR ENGINEER: . TEL. NO: I TOTAL FEES 74.70 __1T.AND WCONSULTING ENGINEERS > (626)- 288-0708- '1 - ISEPTIC TANK, SEEPAGE PITI II 11168 N. SAN GABRIEL BLVD. #N LIC. NO: I - IAND/OR DRAIN FIELD IROSEMEAD, CA 91770 35693 1 - 1 1 1 . 1 I DRYWELL SEWER MAP BOOK: PAGE: 1 -, - (ALTER, REPAIR, SEWER OR I I I I ISEWAGE DISPOSAL SYSTEM I 1' 1 IDISCONNECT PLUG AND - - i (_ABANDON HOUSE SEWER 1 1 I IBACKFILL.SEPTIC TANKS -1 1 1 ISEEP. .PIT CESSPOOL 1 1 " 1GRAYWATER SYSTEM 1 1 1 I I I I 1 I I I I I L I I I I I 1 . IREPORT ID: DPR266 ROUTE TO BS0508 1 1 1 1