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HomeMy Public PortalAbout9440 GIDLEY ST_Sewer__ DEPARTMENT OF COUNTY F.NGLVEER 4 SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES ' BOLDINGK" WILLIAM J. FOX, COUNTY ENGINEER f ADDRESS FOR APPLICANT-TO FILL IN LOCALITY BUILDING NEAREST ��LC'd �' ADDRESS �' �, CROSS ST. /�• DISTRICT NO. SERIAL NO. PERMIT NO. LOCALITY r 7-�^•• J�/ / /� C NEAREST A / 0^//�l ! --� " J CROSS ST. RECEIVB Ready for Inspection QArE ISSUED OWNER v f A i MAIL ADORES USE ZON OCCUPANCY _' BK PG IVA CITY TEL.NO. `/ d d - L / .21`�� CONTRACTOR CO.IMP.N0. F ADDRESS JOB.N0. CITYzL EL..NO. fTRUNK PERMIT NO. STATE REGISTRATION NO. ° r D g COUNTY �r ROAD PERMIT N0. LEGDESCRIPTION LOT N0. y�� STATE ENCROACHMENT -< PERMIT N0 ------------ . BLOCKT ACT INDUSTRIAL Q WASTE APPROVAL v SIZE OF LOT NO.OF,NrOW ON LOT& CHARGESUSE OF BUILDINGS �,' CONNECTION CHARGE FEE NO. DESEIRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 3.50 _ RECEIPT NO. DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR /Z EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 V ALTER OR REPAIR EXISTING NO- DATE I 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 DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM Y. 6161me 41& M.L.TO P.L. OWNERS PERMIT $ I 1 00 1r✓, }. AUTHORIZATION I TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS...............DAY OF..._......_ 9__._ NEW HOUSE SEWER CONNECT ADDITIONAL } d OWNER OR BUILDING OR WORK OWNERS AGENT...................................................................... SEPTIC TANK,SEEP.PIT(S) ADDRESS........................------........................................................ AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL[] DRYWELL❑ CA TIONAND 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 I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)[:] CESSPOOLS <.: ( . OF PERMITTEE---------- --- --c:� ------- .--------- 76AG42A 663 7/53 CE60e s-ea APPLICATIOr FOR PER IT �eaeazD COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS y yD /,p AD C F WILLIAM A. JENSEN, Sup't o! Building L LOCALITY FOR APPLICANT TO FILL IN CROSe ST. G— r LEGAL DESCRIPTION LOT NO. FJ6�(� Q/✓ / OWNER Cb N N T 1 �1A nl MAIL G.BLOCK TRACT ADDRESS NO. OF BLDGS. L ( {— SIZE OF LOT NOW ON LOT CITY I ��� - �` CI 1 TEL. NO. USE OF BUILDINGS �/17/n E'QGI 1 L. DISTRICT NO. GROUP MAP PROCESSED BY BK PG Y CONTRACTOR m� /y� �[JE Q C(� is ADDRESS "z-9 z.e 5• H'J 1 �1 S I -,Y-7 CO ECTION DATA CITY /� TEL. NO. •s 7/3 STATION `4 Z' DEPTH STATE MANHOLE REFERENCE L PP REGISTRATION NO. / 7 / �s'd LJ COUNTY NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER @ S5.00 / ry SEPTIC TANK,SEEPAGE PIT OR N /4 PO N O PITS AND/OR DRAINFIELD Q 510.00 CO.IMP.NO. [[[JJJ v HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. V PRIVATE DISPOSAL SYSTEM @ $3.00 CONNECT ADDITIONAL BLDG.OR AFFIDAVIT wAlv[R EAE[M[xT RECORD. INSTR.NO. DATE O WORK TO HOUSE SEWER @ 53.00 OVERFLOW SEEPAGE PIT.DRAINFIELD U EI(TN.,CESSPOOL,DRYWELL.MANHOLE $5.00 LLA HWY.OR ST.WIDENING ALTER,REPAIR OR ABANDON HOUSE �. SEWER OR DISPOSAL SYSTEM $3.00 STATE ENCROACHMENT 7 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ z 00 AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE -IHAVE 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 INSPECJrO R'S SIGNATURE SIGNED THIS DAY OF 19_ _ OWNER OR NEW HOUSE SEWER - OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PITS) 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. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED �RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE �L, / BACKFILL SEPTIC TANKS ❑ OF PERMITTEE 1 SEEP.PIT(S) ❑ CESSPOOLS ❑ VALIDATION ROBERT WOOD SUPERVISING MECHANICAL ENGINEER CK. M.O. CASH itLO 14 9 kAy 2 6 1 0 D 7.00-- a Ile CE806 3-E4 76A642D APPLICATION FOR PERMIT 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 � CL NEAREST / `FOR APPLICANT TO FILL IN CROSS 5r. LEGAL DESCRIPTIONLOT NO. OWNER G'G / MAIL BLOCK TRACT I ADDRESS 4 NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY .� eLj TEL. NO. USELDINGS DOF ISTRICT NO. GROUP • MAP PROCESSED BY BK PG C ONTRACTO ADDRESS _) CONNECTION DATA CITY TEL. NO. / 6 �3 f'— STATION DEPTH STAE MANHOLE REFERENCE REGISTRATION NO. i L-- CTE UNTY NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH F OM _ HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P. PUBLIC SEWER $5.00 P.C.NO. } SEPTIC TANK,SEEPAGE PIT OR CO.IMP.NO. JOB NO. a PITS AND/OR DRAINFIELD $10.00 O HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. U PRIVATE DISPOSAL SYSTEM @ $3.00 CONNECT ADDITIONAL BLDG.OR AFFIDAVIT wAIV[R I [AS[M[NT RECORD.INSTR.NO. DATE O (11WORK TO HOUSE SEWER $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD ~ EXTN.,CESSPOOL,DRYWELL,MANHOLE 0 $5.00 V IMMINIPWA13AN—DON HOUSE HWY. OR ST.WIDENING d SEWER' SYSTEM $3.00 STATE ENCROACHMENT • Z PERMIT NO. - f�. INDUSTRIAL /R7 WASTE APPROVAL �� (✓ CHARGES OWNERS PERMIT $ 2 00 AUTHORIZATION TOTAL FEE S Oo CONNECTION CHARGE FEE '1HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC SE E DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY O 19 OWNER OR NEW HOUSE SEWER OWNERS AGEN CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOWLEDGE THATgeHAVIE READ THIS APPLICATION t.ND/OR DRAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL [3DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL O NER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOV DESCRIB D R .TIAL PROPERTY. ABANDON HOUSE SEWER 1� SIGNATURE �� � �� SEEP.EACKFILL SEPTIC TANKS ❑ OF PERMITTEE "ZVV� r SEEP.PIT(5) ❑ CESSPOOLS ❑ VALIDATION ROBERT A. WOOD GK. M.O. CASH SUPERVISING MECHANICAL ENGINEER x,3 6 7 4 8 w ,M4117 1 0 D 5.0 0- COUNTY OF L08 ANGELES TEMPLE CITY 0308 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE D5138 0105300002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: SEWER SEPTIC: X BUILDING ADDRESS: ON FILE. EXIST OCC GRP: 9"0. GIDLEY ST BLDGS. NOW ON LOT: TEMP CA 917804211 CONNECTION TYPE: NEAREST CROSS STREET: TEMPLE CITY 8592-003-049 ORIGINATION: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: MANHOLE REFERENCE: UPPER/LOWER: . VIP APPAREL GROUP 05/30/01 JK 11/26/01 COUNTY IMPROVEMUENT NUMBER: OWNER: TEL. KO: PLAN CHECK WtMER: FINALIDATE/ FINAL BY: UWE: NATTER MANUFACTURING CORP - JOB NLIBER: S 9440 GIDLEY ST TRUNK PERMIT NUIBER: TEMP 917x04211 ROAD PERMIT NUB ER AFFADAVIT: NO INTERCEPTOR LOCATED OUTME OF THE BUILDING WAIVER: NO APPLICANT: TEL. NO: EASEMENT: NO BUENA DIAS CONSTRUCTION ( ) 261-3522- 51M E. BEVERLY RECORD INSTRUMENT MBR: RECORD DATE: SPECIAL COUDITIONS: HIGHWAY/SIRE STATE ENCONTRACTOR: TEL. NO: 1, INSPEUTOR SIGNATOWE-- � I aUlE A DIAS CONSTRUCTION CO. (323) 261-2345- `J 5136 E BEVERLY BLVD LIC. NO F ON: QUANTITY. AMOUfT: LOS ANGELES CA 90022 466104,036 P T I FE 27.75 .00 VAL 46.95 BUILDING OR WORK ARCHITECT OR ENGINEER: TEL. POO: - F Ems/ ` 74.70 SEPTIC TANK, =Wffff LIC. NO III AND/OR DRAIN FIELD DRYWELL r - SEWAGE DIBPOS� SYSTEM U ABANDON HOUISE SEWER RACXFILL SEPTIC TANKS SEEP. PIT_ CESSPOOL ❑ pyo% c 'Service That ADDITIONAL DATA ON FILE REPORT ID: DPR266 ROUTE TO :• BSD508