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
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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
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ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO :• BSD508