HomeMy Public PortalAbout9646 CRAIGLEE ST_Sewer__ ,-76A6420
E-663 12.54 f!a'611 tl
aE-66L I G A T I O N FI B U PERMIT..
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DMSION OF BUMDING AND SAFETY 1 SEWER®S E WAGE D 9 S ROSA L
Depm ent of County Engineer
County of Los Angeles nnoREssG }1 °
WM. J. FOX, COUNTY ENGINEER '
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICA�INT TO FILL IN NEAREST sr✓LEGL
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DESCRIPTION 'LOT NO. OWNER
'
BLOCK TRACT MAIL. /°---
ADDRESS Pi �.•'.-
NO.0 BLDGS.
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SIZE OF LOT S NOW ON WT CITY rs)T L. NO.
USE OF -
BUILDINGS ! +�!¢�'�' DISTRICT N GROUP MAP
BK " �`/d o PG_ ,
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CONTRACTOi/2 /
ADDRESS
�,(,t�,� F CONNECTION DATA
CITY ;WNO. 2 STATION f- , j- DEPTH
❑ STATE AN HOLE REFERENCE ..q +; „•
REGISTRATION NO. / ❑ COUNTY - UrVER p'� v ,i i�SLOWER
_ TYPE OF CONNECTION,-^% LENGTH FR(fm
No, / DESCRIPTION OF WORK FEE Y. CURB iP.L,► M.L.TO P.L.
HOUSE SEWER CONNECTING TO
PUBLIC SEWER @ $ 3:50
HOUSE SEWER,CONNECTING TO >
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL WORK TO HOUSE SEWER* I OR 1 00 CO. IMP. NO. 5 ! JOB. NO. 1
ALTER OR REPAIR EXISTING
SEWER OR DISPOSAL SYSTEM 1.00 TRUNK PERMIT NO. ROAD PERMIT N0.
DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT '
AND/OR DISPOSAL SYSTEM' 1.00 PERMIT NO, t
SEPTIC TANK',-SEEPAGE P,Y`F OR
PITS AND/Op DRAINF1ELD 2.00 INDUSTRIAL
CESSPOOL- DRYW,ELL WASTE APPROVAL
SPECIAL CONDITIONS ONLY 2.00 CHARG f
CONNECTION CHARGE FEE
OWNER'SA PERMIT S 1 00
AUTHORIZATION_ TOTAL FEE REIMBURSEMENT FEE
TRACTORHAVE TTOS CONNECT DATE CO
ONECTONTRTHEA ABOVECTED WDESCR BED ITH THE EXIESTINGIN ADWELL MED 'CONNG APPROVALS/ DATE INSPECTORS SIGNATURE
TO THE PUBLIC SEWER
NEW HOUSE SEWER
SIGNED THIS
OWNER OR OF 19
CONNECT ADDITIONAL
OWNERS AGENT �� '^GCAJL�C4.,� .t: BUILDING OR WORK
SEPTIC TANK, SEEP, PIT(S) - •t
- ADDRESS AND/OR DRAINFIELD
I HEREBY ACKNOWLEDGE THAT IG AVE READ THIS APPLICATION CESSPOOL[IDRYWELL❑
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 .1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER
CALIFORNIA OR"THAT I AM THE LEGAL OWNER OF THE ABOVE _
DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS❑ ��n,,,I ,1(�'[�
SEEP. PIT(S) El CESSPOOLS J
SIGNATURE
OF PERMITTEE
WILLIAM J. COUNTY ENGINEER YAIv ATION i4�, dCJ
..BY ACO e 8 3 4� SERI 2 4 5.50
DEPUTY J� DEPUTY
:.BY - BY -
® DEPUTY DEPUTY
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - SEWER PERMIT
L_ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1103100002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS: 1
ITR: 16867 LT: 25 IEXIST OCC GRP: - 1 9646CRAIGLEE ST 1
I IBLDGS. NOW ON LOT: TEMP CA 917801408 1'
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET:
15383-015-015 (ORIGINATION: - I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: -
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
i - 103/10/11 SR
ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: IPLAN CHECK NUMBER: - 'IFINAL DATE FIN Y:. CODE: 1.
IPATRUNO, ANGIE . - (626) 975-7891- IJOB NUMBER: 1 ��\[/ 1
19646 CRAIGLEE ST .ITRUNK PERMIT NUMBER:
ITEMP 917801408 IROAD PERMIT NUMBER: ID CRI TION OF WORK
I.
1 1AFFADAVIT: NO IREPLACE SEWER LINE TO A.B.S. PIPE 1
I (WAIVER: NO 1 1
(APPLICANT: TEL. NO: (EASEMENT: NO 1 1
ISIMON, MICHAELI (310) 866-5454- 1 1
15632 VAN NUYS #109 IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
IVAN NUYS CA 91401 - 1HIGHWAY/STREET WIDENING: 1 1.
1, ISTATE •ENCROACHMENT PERMIT NUMBER: 1
1CONTRACTOR: TEL. NO: 1 FEES PAID (APPROVALS DATE. INSPECTOR SIGNATURE 1'
IPATRUNO, ANGIE (626)"975-7891- I .I
19646 CRAIGLEE STREET LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER I I1,
ITEMPLE CITY, CA 91780 - NONE
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I
1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.40 IBUILDING OR WORK
1ARCHITECT OR ENGINEER: - TEL. NO: I TOTAL FEES 58.20 1. I'
- I ISEPTIC TANK, SEEPAGE PITT' I I
1' LIC. NO: 1 1AND/OR DRAIN FIELD
I I I
i I IDRYWELL
1 SEWER MAP BOOK: PAGE: 1 1ALTER, REPAIR, SEWER OR I I I
1 1 ISEWAGE DISPOSAL SYSTEM I
I I I I I I
IDISCONNECT PLUG AND I I I•
(ABANDON HOUSE SEWER
I I IBACKFILL SEPTIC TANKS -I
I, (SEEP. PIT _ CESSPOOL
1 1GRAYWATER SYSTEM 1 1
I I I
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IREPORT ID: DPR266 ROUTE TO BS0508 I I
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