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Home My Public Portal About10558 DAINES DR_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL _`_,,,pIyISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER I BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY S NEARESTBUILDING PAADDRE.S ST. IV;A LOCALITY TCMrD LOL • DISTRICT NO. SeERIAL NO. PERMIT NO. NEAREST ,YP'�L. �'� • \� A //3 0 1/ � •� 0 ( A s CROSS ST. i'e REPCED BY AReady for Imoaclion `AT/E ISS�EAD� OWNER �Vjy G7� V ADDRESS �I�S /7 ��/, USE 20%E OCCUPANCY BK MAP PG CITY-r G TEL.NO. 14 ISI CONTRACTOR -( ..f.— � � �r•,,.,,,q V•/ CO.IMP.NO. ADDRESS t JOB N0. CITY TEL.NO TRUNK PERMIT NO. REGISTRATIOI N0. i 1,r7` ry\ ` COUNTYSTATE ROAD PERMIT NO. LEGAL yv DESCRIPTION LOT NO. /� �/1,, STATENCROACHMENT PERMITBLOCK 'y�c{TRACTIf 7410' /41 0 • INDUSTRIAL /!X AFF.��S N0.SF eLDGS. A4 WASTE APPROVAL SIZE OF LOT f� NOW ON LOT l� CHARGES USOF BUE OI NGS (kAj_4fi_& 4 CONNECTION CHA FEE NO. I DESCRIPTION OF WO C FE H OUSE SEWER CONNECTING TO REIMBURSEMEAr IEEE PUBLICSEWER 0 $ 3.50 REC TNO. DATE Y HOUSE SEWER CONNECTING TO PRIVATE DISPOSALSYSTEM1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWE R 1.00 ALTER OR REPAI R EXISTING NO. DATE IBY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT DISPOSAL AND D ABANDON SEWER ANDCONNECTION DATA AND/O SYSTEM 1.00 SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 O STATION CESSPOOL—DRYWELL /> F DEPTH SPECIAL CONDITIONS ONLY 2.00 ♦ MANHAL 4 EFERENCE LOWEB TYPE OF CONNECTIONrr� �!.ENGTH FROM qq00 OWNERS PERMIT $ I 00 Y. CURB P.L. M.L.TO P.L. Q , ' AUTHORIZATION TOTAL FEE n(� I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO TH BLIC SEWER SIGNED THIS___ AY OF.._..."`".- _ 195_ NEW HOUSE SEWER , OWNER OR /` I,,,�,��/ CONNECT ADDITIONAL OWNERS AGENT 'r?'IfE"��",.�,�yy...._............ ...... _..._......_. ' BUIl04NGDRWORKn..✓ ADD KESS.....I{/ - .-�.` N...A..S-- �.. SEPTIC TANK.SEEP.PI7(S) ,AND/OR GRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THA.T^I: AM THE LEGAL OWN- ABANDON HOUSE SEWER SI OF THEA P'Y DESCRf$ED RESIDENTIAL PROPERTY. BACKFILL SEPTIC CESSPOOLS SIGNATURE 11 qq ��.I/'//1^ SEEP.PIT(S)[] CESSPOOLS[] OF PERMIT TE .............( ?'!.�. ..... .1...._. 76A643D 663 11,5e ✓ DEPARTM= OF COUNTY" ENGINEER � , SEWER—SEWAGE DISPOSAL 11 Q 3`¶ ` piVISION OF BUILDING AND SAFETY ) PERMIT APPLICATION g COUNTY OF LOS ANGELES 1 WILLIAM J. FOX, COUNTY ENGINEER ,I BUILDING ADDRESS ` LOCALITY FF�OR APPLICANT 1TO/f/FILL IN 1 n /7 (/ G-� EAREST ADDRESS BUILDING I!/,,; //I g.i/4 i' I //W/1 CROSS ST. PmQ �VV� LOCALITY `(J�_' pn�^��Q� C /''}� DISTRICT NO. SERIAL NO. (/PER/MIIT,N O. NEARESTCROSS ST. [I L�C• X ili{/I/•�^/ / A / C� �T`Y' /''// / y/,�I RECEIVED BY Reedy for Inspection DAT(E/ISSU EO OWNER/ O✓/ . ..l lilA /S� 11 tMT mjm � �� ` S3 ADDRAl LESS ,4-0 ^^A O • USE ZONE OCCUPANCY MAP SIC CITY TELAO. A — / FI,JC/J• m IP I CONTRACTOIealifornia Sewer Cnngt� Co CO.IMP.NO. ADDRESS 1317 COlegroye AYR_ JOB.NO. CITYMontebello TEL-TNion T_f 048 TRUNK PERMIT NO. Cl STATE REGISTRATION N0104445 St.a13,&0UNTY ROAD PERMIT NO. LEGAL „ STATE ENCROACHMENT LOT NO./6,.tKrn) YPERMIT / N0. BLOCK TRACT �D9b •� Mtl I��—( �• INDUSTRIAL ��• �'y c WASTE APPROVAL NO.OF SIZE OF LOT /C2_x /$b NOW ON LOTS CHARGES J USE OF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION DF WORK FEE. / REIMBURSEMENT FEE, HOUSE SEWER CONNECTING TO _-}� PUBLIC SEWER 4D $ 3.50 .'4 // RECEIPT N0. DATE IBY HOUSE SEWER CONNECTING TO J PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR /EXCEPTION RECORDED WORK TO HOUSE SEWER ' ' - 1.00 / ALTER OR REPAIR EXISTING N�' i DATE BY 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 GRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL M ., SPECIAL CONDITIONS ONLY 2.00 Z/ L 07'pNHO ENC UPIE ERREFERLBtYE& TYPE OF CONNE TIOj1--1 LENGTH FROM OWNERS PERMIT S I 00 eNee C P.L. M.L.TO P.L. �S AUTHORIZATION I TOTAL FEE /l," - 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED , t HAVE TO CONN CT THE ABOVE DESCRIBED EXISTING .APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE P IC SEWER ( SIGNED THI$'3oT... DAY 0;-7— _.._ .___. __.. .. 19.S<3 NEW HOUSE SEWER SGA Y0GK OWNER OR' CONNECT ADDITIONAL OWNERS AGE .._. _ _...... ..._..a_..._..._. BUILDING OR WORK A rr SEPTIC TANK,SEEP.PIT(S) AfJDRESS..__ .. _l..0✓...'f�._... `...........:............. .... AND/OR GRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLI. CESSPOOL DRYWELL CAT El IONAND 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 IAM PROPERLY REGISTERED AND/OR LICENSED AS REQUI REO 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 RESIDENTIAL PROPERTY. BACKFI LL SEPTIC TAN KS E3 X�J '/ n ' SEEP.PIT(S) : CESSPOOLS SIGNATURE r))t _KI I DF PERMITTEE_......,.....__......... :._ 4GA642D 003 1/53 0/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0212050003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: SEWER / 9EPTIC: Y BUILDING ADDRESS: TR: 7690 LT: 16 UN: .002 EXIST OCC GRP: 10558 DAINES DR BLDGS. NOW ON LOT: TEMP CA 917802812 ASSESSOR INF0 M ON NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: PAL MAL 8586-029-024 ORIGINATION: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON: 12/05/02 JK 06/03/03 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. N0: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE: SHELBURNE CHARLES F;BROWN GEORGIA E (626) 448-8545- JOB NUMBER: n J 10558 DAINES DR TRUNK PERMIT NUMBER: Ll - TEMP 917802812 ROAD PERMIT NUMBER: DESCRIPTION OF W0 AFFADAVIT: NO CONNECT GUEST HOUSE TO SEWER LINE WAIVER: NO APPLICANT: TEL. N(57- EASEMENT: NO SAME AS OWNER - RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS: HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER f Q 2 6'7 ,(s R• 01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL 19 CONN ADDTNL BLDG(S) 1.00 EAC 30.45 BUILDING OR WORK ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20 - SEPTIC TANK, LIC. NO: AND/OR DRAIN FIELD DRYWELL _ SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS _ SEEP. PIT CESSPOOL GRAYWATER SYSTEM REPORT ID: DPR266 ROUTE TO BS0508