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Home My Public Portal About4916 ENCINITA AVE_Sewer__ 0-63 76A642D APPLICATION FOR PERMIT 6A642 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ,r JOHN A LAMBIE, County Engineer ADDRESS j WILLIAM A JENSEN, Sup t o4 Building ` LOCALITY NEAREST FOR APPLIC TO FILL IN `ROSS ST LEGAL DESCRIPITIO`L �L OT NO OWNER 3 ^ MAIL BLOCK TRACT GJY ADDRESS NO OF BLDGS SIZE OF LOT NOW ON LOT CITY TEL NO USE OF DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS r � BK PG CONTRACTOR ADDRESS / CONNECTION DATA CITYTEAL NO �2 ST,ITION DEPTH REGISTRATION NO O COUrA NTY UPPER MANHOL EFERENCE NO DESCRIPTION OF WORK FEE TYPE OF CO TION L ROM HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L PUBLIC SEWER @ $5 00 PC NO a SEPTIC TANK SEEPAGE PIT OR CO IMP NO JOB NO O PITS AND/OR DRAINFIELD @ E10 00 HOUSE SEWER CONNECTING TO TRUNK BERMIT NO ROAD MIT NO PRIVATE DISPOSAL SYSTEM @ $3 00 �� iC CONNECT ADDITIONAL BLDG OR FFIDAVIT I WAW rASEMrNT RECORD INSTR N DATE `O WORK TO HOUSE SEWER 5300 p OVERFLOW SEEPA PI DRAINFIELD W EXTN CESSPOO RYWELL ANHOLE @ ES 00 d a ALTER REPAIR OR ABA N HOUSE HWY OR ST WIDENING h SEWER OR DISPOSAL SYSTEM @ $300 STATE ENCROACHMENT Z PERMIT NO INDUSTRIAL OWNERS PERMIT WASTE APPROVAL CHARGES s z o0 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ^ I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANKSEEP PIT(5) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAT NFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING CESSPOOL ElDRYW ELL ��' PLUMBING AND SEWERS IHEREBY CERTIFY THAT 1 AM PROP Y REGISTER AND/OR ALTER REPAIR SEWER OR (� LICENSED AS REQUIRED A UNTY STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA ORTHAT I T L A ER OF D INTEND TO DISCONNECT PLUG AND RESIDE IN THE ABOV R D ENTIA ROPERTY ABANDON HOUSE SEWER SIGNATURE f BACKFILL SEPTIC TANKS ❑ OF PERMITTE SEEP PIT(S) ❑ CESSPOOLS ❑ /VALIDATION ROBERT A WOOD SUPERVISING MECHANICAL ENGINEER CK M O CASH LI'iL0 9 6 8 5 E OAR 18 1 0 D 7.0 0~ e V �r �1 '0-elel I ,0-69 76A642D APPLICATION FOR PERMIT 6A64 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE County Engineer ADDRESS WILLIAM A JENSEN, Sup t of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN `ROSS ST LEGAL DESCRIPTION "LOT NO � OWNER MAIL BLOCK TRACT VX ADDRESS NO OF SLOGS SIZE OF LOT NOW ON LOT CITY TEL NO USE OF BUILDINGS DISTRICT NO GROUP MAP PROCESSED BY BK PG CONTRACTOR �Z sz ADDRESS CONNECTION DATA CITY TEL NO 5/// y STATION DEPTH REGISTRATION NO STATE COUNTY MANHOLE REFERENCE LOWER NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION NGTH FROM "HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L PUBLIC SEWER @ 55 00 PC NO SEPTIC TANK SEEPAGE PIT OR CO IMP NO JOB NO O PITS AND/OR DRAINFIELD @ $1000 V HOUSE SEWER CONNECTING TO TRUNK P R IT NO ROAD PERMIT NO Im PRIVATE DISPOSAL SYSTEM @ $300 /1 CONNECT ADDITIONAL BLDG OR 0 AFFIDAVIT wAIY E�5lM rNT RECORD INSTR NO DATE WORK TO HOUSE SEWER @ $300 U OVERFLOW SEEPAGE PIT DRAINFIELD d W EXTN CESSPOOL DRYWELL MANHOLE @ $5 00 ALTER REPAIR OR ABANDON HOUSE Y OR ST WIDE ING SEWER OR DISPOSAL SYSTEM @ $3 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL 2 - �� / t WASTE APPROVAL FD J CHARG 5 OWNERS PERMIT $ z o0 AUTHORIZATION TOTAL FEE / CONNECTION CHARGE FEE 1HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR 5 SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER _ OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK SEPTICTANK SEEP PIT(S) d I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS rSEEPAPIRTE(SS) ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OFISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TOCT PLUG AND RESIDE IN THE ABOVE DESCRIBED R IDENTI PROPERTY HOUSE SEWER SIGNATURE , EPTIC TANKS ❑ OF PERMITTEE�l / S) ❑ CESSPOOLS ❑ ALIDATTON ROBERT A WOOD cK M O CASHSUPERVISING MECHANICAL ENGINEER u',%� 9 6 4 2 P�P,R 1 '7 1 0 D 5.00- DFPARTT� T OF COUNTY ENGJNEER SEWER-SEWAGE DISPOSAL 1 DIVISION uFIITBUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY EN13INEER ) BUILDING ADDRESS �Vl�rl iv✓t/ J FOR APPLICANT TO FILL IN LOCALITY �p w BUILDING NEAREST 01 ADDRESS r CROSSST LOCALITY DISTRICT NO SERIAL NO P PERMIT NO D NEAREST A Q CROSS S CEIVED BY Ready for Inspection DATEISSUED OWNER 7_�,� MAIL ADORE USE ZONE OCCUPANCY BK MAP PO / CITY .. TEL.NO. 40 CONTRACTOR vv _ CO.IMP NO ADDRESS a//�) ` JOB.NO f CITY /';�_A7,,,1 TE NO. TRUNK PERMIT NO REGISTRATION NO �V 3 f COUATE NTY ROAD PERMIT NO LEGAL d�� + DESCRIPTION STATE ENCROACHMENT T NO t< PERMIT NO BLOCK TRACT v� WDUSTRIAL ASTE APPROVAL SIZE OF LOT NO OF BLDGS NOW ON LOT CHARGES/ U5E OF BUILDINGS CONNECTION CHARGE FE NO DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ $50 SO RECEIPT NO DATE `I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1 00 WORK CONNECT HOUSE ADDITIONAL BLDG OR 1 00 EXCEPTION RECORDED ALTER OR REPAIR EXISTING NO 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 DRAINFIELD 2.00 STATION 4 7�--5 , eV DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 200 z 44.:2, Y/.�5d'NUPPER EF ERE NCE TYPE 0�OURIC CTIONP L MELNGTH TO PFL OM OWNERS PERMIT $ 1 00 Y ,AUTHORIZATION TOTAL FEE `j Jr,) 1,HAVE DATE CONTRACED WITH THENAED CONTRACTOIR TO CONNECT THE ABOVE D SCRIBEDIEXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS_fff-/AY OF-�r _19`� NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL h OWNERS AG OWNER _ __ BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS IL2 AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] 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 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS I] SIGNATURE _ SEEP PIT(S)❑ CESSPOOLS � �,� OF PERMITTEE 76A642A 663 7/53 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0212160006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: SEWER / SEPTIC: X BUILDING ADDEM TR: 1238 EXIST OCC GRP: 4916 ENCINITA AV BLDGS. NOW ON LOT: TEMP CA 917803705 ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: 'NEAREST CROSS STREET: LOWER AZUSA 8590-030-013 ORIGINATION: THOMAS PAGE. 596 GRID: J5 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: MANHOLE REFERENCE: UPPER/LOWER: . 12/16/02 JK 06/14/03 COUNTY IMPROVEMENT NUMBER: OWNER: L N0: PLAN CHECK NUMBER: FINAL DAT FINAL BY: CODE: QUERCIO;BERNADETTE (626) 285-4566- JOB NUMBER: 4916 ENCINITA AV TRUNK PERMIT NUMBER: — TEMP 917803705 ROAD PERMIT NUMBER: DESCRIPTI51-6F–QbR7 AFFADAVIT: NO CONNECT TO PUBLIC SEWER WAIVER: NO APPLICANT EASEMENT: NO SAME AS OWNER - RECORD INSTRUMENT NBR: RECORD DATE- SPECIAL CONDITIONS: HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER CONTRACTOR. TEL. NO. FEES PAIDAPPROVALS- ATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO FEE DESCRIPTION• QUANTITY• UOM: AMOUNT' NEW HOUSE SEWER 01 PERMIT ISSUANCE FEE 27 75 CONNECT ADDITIONAL 03 CONN TO PUBLIC SEWER 1 00 CON 46.95 BUILDING OR WORK ARCHITECTI TOTAL FEES 74.70 ' S C TANK, SEEPAGE PIT LIC. NO: i AND/OR DRAIN FIELD DRYWELL _ EWER GE: ALTER, REPAIR, ER OR SEWAGE DISPOSAL SYSTEM DISCONNECT ABANDON HOUSE SEWER i BACKF ILL SEPTIC TANKS _ SEEP PIT CESSPOOL GRAYWATFRS M i t I I I t REPORT ID: DPR266 ROUTE TO BS0508 } COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0304070002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: SEWER / SEPTIC X BUILDING ADDRESS TR- 1238 EXIST OCC GRP 4916 ENCINITA AV BLDGS. NOW ON LOT- TEMP CA 917803705 ASSESSOR ON NUMBER CONNECTION TYPE. NEAREST CROSS STREET: LOWER AZUSA 8590-030-013 ORIGINATION THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY LENGTH ML TO PL- STATION: DEPTH: TENANT: MANHOLE REFERENCE- UPPER/LOWER: ISSUED ON: PROCESSED PIR ON 04/07/03 JK 10/04/03 COUNTY IMPROVEMENT NUMBER OWNER- TEL O: PLAN CHECK NUMBER: FINAL DATE FINAL BY- CODE QUERCIO;BERNADETTE (626) 285-4566- JOB NUMBER 4916 ENCINITA AV TRUNK PERMIT NUMBER TEMP 917803705 ROAD PERMIT NUMBER DSTCR7PTION OF WORK AFFADAVIT: NO CONNECT KENNEL RUN DRAIN TO SEWER LINE _ WAIVER• NO PPL TEL. NO EASEMENT: NO SAME AS OWNER - RECORD INSTRUMENT NBR: RECORD DATE SP'_:CIAL CONDITIONS: HIGHWAY/STREET WIDENING- STATE ENCROACHMENT-PERMIT-NUMBER: CONTRACTOR. TEL N0: / /= - -�F� S PAID A�� OVALS DA INSPECTOR SIGNATURE SAME AS OWNER i� �� LIC. NO FEE DESCRIPTION p�,� QUANTITYa'UOM \ AMOUNT NN HQV S ` F- -bRA� 01 PERMIT ISSUANCE FEE °� `�A�� 27.75 CONNECTADDITIONAL 13 WORK TO HOUSE-SEWER 1.00 EAC \ 30.45 BUILDING OR WORK ARCHITECT G TEL. N di _--' ,rteTOTAL FEES 58.20 WI SEEPAGE P LIC NO / �j J 1 _ IT AND/OR DRAIN FIELD DRYWELL SEWER MAP BOOK GE: i LT REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS SEEP. PIT CESSPOOL 41 iYWATER SYSTEM REPORT ID: DPR266 ROUTE TO BS0508