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Home My Public Portal About9421 DAINES DR_Sewer__ 76A6420 /rL1PPUCATMN FOR ll ERWT,-; - 3&E-66'3 t1i55 ' DIVISION OF BUILDING AND SAFETY SEWER-S EWW E,.®0 S P®SA L Department of County Engineer : ';D , County of Los Angeles' BUILDING 5 JOHN A. LAMBIE, COUNTY ENGINEER .ADDRESS i-A+*z ® CASSATT D. GRIFFIN, SUPT OF BUILDINGLOCALITY - _ K` _ NEAREST -FOR APPLICANT TO FILL IN CROSS SrLEGAL . DESCRIPTION LOT NO. ♦20,s t� • K+ Fi1! /' ,I) a ER Z Q /�2d. .� e -j MAIL _ BLOCK TRACT f5lba t/F�cdt dt`C1r8 ADDRESS ! - .� i�M'C NO. OF BLDGS. - '-' SIZE OF LOT NOW ON LOT CITY TEL. NO. a - USE OF DISTRICT.NO GROUP - MAP - BUILDINGS C u I BK PG - CONTRACTOR - CONNECTION DATA ADDRESS STATION - DEPTH CITY,,e�,< ®.v� ee✓d,�TEL. NO. � . �iyds° MANHOLE.REFERENCE .. UPPER / l G 1 �. (❑_.S` TATE LOWER COUNTY REGISTRATION N0. ❑ / r� , No. DESCRIPTION OF WORT FEE �1. 9 y 1 0 .HOUSE SEWER CONNECTING TO TYPE OF CONNECTION LENGTH FROM _ �q Y. CURB P.L.- M.L.TO P.L. Z` PUBLIC SEWER @ $3.50 SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3.00' - OVERFLOW SEEPAGE PIT,DRAINFIELD - P: C. N0. - - EXTN.,CESSPOOL,DRYWELL,MAN HOLE @ $2.00 CO. IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $I.00 TRUNK PERMIT NO. ROAD.,PERMIT N0. CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ $1.00 j 'D PERMIT NO. ALTER,oc^I`"R "�HOUSE INDUSTRIAL - SEWER OR DISPOSAL SYSTEM @ $1.00 ® WASTE APPROVAL CHARGES CONNECTION'CHARGE FEE - OWNER'S PERMIT_ $ 1 00 REIMBURSEMENT FEE AUTHORIZATION. TOTAL FEE 0-0 1 HAVE AT THIS DATE -A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INS�ECTOR;SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. NEW HOUSE SEWER SIGNED THIS /DAY OF 19 CONNECT ADDITIONAL y vN OWNER OR BUILDING OR WORK - - - OWNE E SEPTIC TANK,SEEP, PIT(S) _ ADDRE AND/OR DRAINFIELD - - - I HEREBY ACKNOWLEDGE THAT I 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 I HEREBY CERTIFY THAT I 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 AE LEGAL. OWNER OF THE ABOVE DESCRIBED RESIDENTIALPR RTY. BACKFILL SEPTIC TANKS❑ SEEP. PIT(S) ❑ CESSPOOLS❑ SIGNATURE OF PERMIT x - ` JOHN A. LA BIE, CO Y ENGINEER LIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR ; rCK. H.O. CASH 1�i .O 6 5 0 4 . P IAR 27 4 3 .00 �' APPLICATIONFOR PERMIT 96EY E•663 3. 6 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE D.9 S POSA L Deportment of County Engineer County of Los Angeles BUILDING �91� WM.J. FOX, COUNTY ENGINEER ADDRESS ® CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER eogj�6e- W.1 BLOCK TRACT IV MAIL ADDRESS �•+. -NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. - USE OF BUILDINGS DIS�CT NO. GROUP BK MAP PG CONTRACTOR ADDRESS^y 3/ /_ CONNECTION DATA CITY .` !f/�j�iJ'7 TEL. N /f'?9 STATION DEPTH �q STATE MANHOLE,REFERENCE UPPER REGISTRATION NO. ❑�• `�U�, COUNTY Ai LOWER NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO •TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L. TO P.L. PUBLIC SEWER Q $ 3.50 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG. OR - P. C. N0. WORK TO HOUSE SEWER 1.00 CO. IMP. NO. JOB NO. 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 .00 INDUSTRIAL CESSPOOL-DRYWELL WASTE APPROVAL SPECIAL CONDITIONS ONLY 2.00 CHARGES - CONNECTION CHARGE FEE OWNER'S PERMIT $ V., AUTHORIZATIONTOTAL FEEREIMBURSEMENT FEE TRACTORHAVE TTOS DATE CONNECT THECTED WITH THE ABOVE DESCRIBED EXISTING NAMED DWEL NG APPROVALS DATE INSPECTORS SIGNATURE TO THE PUBLIC SEWER - SIGNED THIS DAY OF 19_ NEW HOUSE SEWER / OWNER OR CONNECT ADDITIONAL I OWNERS AGENT BUILDING OR WORK r SEPTIC TANK, SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL[:I 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 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTIA OPERTY. P BACKFILL SEPTIC TANKS El h SEEP. PIT(S) ❑ CESSPOOLS[:] SIGNATURE "°"% OF PERMITTEE WILLIAM J.FOX.CoUNV ENGINEER VALUATION R.A.-WOOD, CHIEF PLBG. INSPECTOR ,0 / 1. 0 � LST JUN 1. � 2.0 0 �� S&E•869 11.55 DIVW310N.OF BUILDING AND SAFETY S EYW E R-S EWAGI E DISPOSAL Deportment of County Engineer ' County of Los Angeles BUILDING �'• , �� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ® CASSATT D. GRIFFIN, SUPT of BUILDING LOCALITY `E ]3 ,3'FOR APPLICANT T FI• CROSS ST. 0-->,�h !LEGAL - -DESCRIPTION � LOT 0 > , OWNER � " MAILBLOCK TRACT I/�{s/' �/� ,/ ADDRESS.NO. OF BLDGS. CITY TEL. NO. C-Z. �SIZE OF LOT - NOW ON LOTUSE OFDISTRICT NO. GROUPMAP BUILDINGS BK PGfj / CONTRACTOR'. �'. ,,, � iC•f / ADDRESS CONNECTION DATA I �,b Q, •_/f V"L. / 3 ,S STATION DEPTH ' CITY EL:NO.. +� MANHOLE RE ENCE- UPPER -*.-STAT�i, LOWER ' REGISTRATION NO. - ❑ CaUNTY r No. DESCRIPTION.OF WORK FEE , HOUSE SEWER CONNECTING TO TYPE OF CONNECTION N FROM PUBLIC.SEWER @ $3.50 Y. CURB P.L. M 0 P.L. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $.3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C. NO.' EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 CO. IMP. N0. JOB NO. HOUSE SEWER CONNECTING TO - PRIVATE DISPOSAL SYSTEM @ $1.00 TRUNK PER N0. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR STAT CROACHMENT WORK TO HOUSE SEWER ..- @ $1.00 PE IT NO. - - ALTER;R6A#R-Bit-P�ON HOUSE INDUSTRIAL _ SEWER Im @ $1.00 oV - WASTE APPROVAL CHARGES CONNECTION CHARGE'FEE - OWNERS PERMIT 1 00 ® REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE. INSP.ECTOR'S SIGNATURE TRACTOR 'TO CONNECT THE ABOVE DESC BED EXISTING DWELLING �r TO THE PUBLIC SE.WE a-C;6.- " �-'tl, ,p� ,,��1t�� NEW HOUSE SEWER SIGNED THIS DAY OF + 19sLG s CONNECT ADDITIONAL OWNER OR. or � BUILDING OR WORK OWNERS AGENT Z - SEPTIC TANK,SEEP,PIT(S) „ ADDRESS ., AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY n WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR L G AND SEWERS. SEWAGE DISPOSAL SYSTEM EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND v D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA* OR THAT I AM THE LEGAL OWNER OF THE ABOVE ED RESIDENN/T�jjjL PROPERTY. BACSEEKFILL (SEP❑ CESSPOOLS❑ REMITTEE JOHN A. LAMBIE, COUNTY ENGINEER ALIDATION ROBERT A.WOOD;CHIEF PLEIG. INSPECTOR - CK,• M.O. CASH l y'5 1 5 7 FEB 14 4 2.0 0 . �' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9.701 LAS TUNAS SE 0508 0501060004 BUILDING"AND•SAFETY / LAND DEVELOPMENT. TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS: ON FILE EXIST OCC GRP: 9421 DAINES DR' BLDGS. NOW ON LOT:- . . . TEMP CA 917803113 ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: CLOVERLY 8588-027-020 ORIGINATION: THOMAS PAGE: 596 GRID: J4 LOCALITY: TMPLE CITY, CA LENGTH ML TO PL: STATION: DEPTH: TENANT:. MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES,ON: 01/06/05 JK 07/05/05 COUNTY IMPROVEMENT NUMBER: CHIANG, MIKE (626)L533 6262- JOB. PLAN NUMBER: NUMBER: FIN�J QAT� FINAL BY: CODE: 9421 DAINES DR TRUNK PERMIT NUMBER: !{/ TEMP 917803113 ROAD PERMIT NUMBER: DESCRIPTION OF WORK AFFADAVIT: NO CONNECT SEWER. WAIVER: NO APPLICANT: TEL. NO: EASEMENT: NO O'LEARY (626) 287-0927- 5823 AGNES AVE, RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS: TEMPLE CITY CA 91780 HIGHWAY/.STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER:- CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AGNES AVENUE LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER TEMPLE CITY, CA 91780 489354 B-1 01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL 03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70 - - SEPTIC TANK, SEEPAGE PIT 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