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HomeMy Public PortalAbout4810 HALLOWELL AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY EN131NEER I BUILDING ADDRESS !WT NG LOCALITY ADDREBUILDSS !W/� CREAREST OSS ST. f J Oa ����2�4 LOCALITY DISTRICT NO. SERIAL NO. PERMIT N NEAREST _� CROSS ST. REC IVE BY Ready for Inspection D TE ISSUED OWNER Z p / S MAIL ADDRESS USE ZONEV OCCUPANCY .. BK M P PG CITY TEL.N CONTRACTOR ` ! ji.1 CO.IMP.N0. ADDRESS ;' �:_ . JOB.NO. CITY '( `,/ _ TEL:NO:'. G1 l J TRUNK PERMIT N0. REGISTRATION NO �_ COUANTY ROAD PERMIT NO. LEGAL �' �'� / STATE ENCROACHMENT DESCRIPTION 0 0. j / PERMIT NO. BLACK TRACT / ��C/`* _ INDUSTRIAL ygSTE APPROVAL SIZE OF L015-0)(/7j N0.OF BLDGS. NOW ON LOT CHARG S USE OF BUILDINGS CONNECTION CHARGE F NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER Q $ 3.50 4 RECEIPT NO. DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION F4CORDED _ WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING / NO. DAT! 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 I PITS AND/OR DRAINFIELD 2.00 l_ STATION 1742-3 DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE EFERENCE LOWER TYPECTION LENGTH FROM �r 4WDC RB Cot. M.L.TO P.L. OWNERS PERMIT $ 1]ED AUTHORIZATION TOTAL FEE — I HAVE THIS DATE CONTRACTED WITH THE HEREIN N HAVE TO CONNECT THE ABOVE DESCRIBED EXIAPPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWERw- �77 .DAY OF..: �FY_:___ NEW HOUSE SEWER SIGNED THIS.�-.l-........ _.._____._1 . sG '✓n c OWNER OR ��}.-' CONNECT ADDITIONAL OWNERS AGENT. f'L•v- BUILDING OR WORK ADDRESS.---..! � ._.-F .4.:fd s.7 �dt4'G--C.._.._........... .. SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS • CESSPOOL DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND TO COMPLY WITH ALL COUNTY ORDINANCES AND STATES ALTER.REPAIR.SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISAND/OR LICENSED AS REQUIRED BY LOS ANGELES CDISCONNECT PLUG AND AND STATE OF CALfF RNIA OR THAT I AM THE LEGAL • ABANDON HOUSE.SEWER ER OF THE ABOVE SCRIBED RESIDENTIAL PROPERTBACKFILL SEPTIC TANKS SIGNAToOF/ � , /,, SEEP.PIT(S)o CESSPOOLSOF PERMITTEE.------'.1.._6.5 `.e `.=s=- �:.....- 76A642A 663 7/53 fit!' ,. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEW_ER :PERMIT- DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SE 0508_9809030009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS.: TR: 13645 LT: 13 EXIST OCC GRP: 4810 HALLOWELL AV" BLDGS. NOW ON LOT: TEMP CA 917803456 ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LOWER AZUSA 8585-017-017 ORIGINATION: THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRE ON: 09/03/98 UT09/03/ 9 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: BITTER RONALD M;CATANZARO TANYA L (626) 442-8837- JOB NUMBER: 4810 HALLOWELL AV TRUNK PERMIT NUMBER: ,� 91AA TEMP 917803456 ROAD PERMIT NUMBER: DESCRIPTION OF WORK AFFADAVIT: NO EXTEND=SEWER LINE TO REAR OF PROPERTY FO FUTURE WAIVER: NO SECOND--DWELLING APPLICANT: TEL. NO: EASEMENT: NO SAME AS OWNER - RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS: HIGHWAY/STREET WIDENI••NG;F STATE ENCROACHMENT FERMI CONTRACTOR: TEL. NO: \\V ----------FEES�-ID APPROVALS DATE INSPECTOR SIG TURE SAME AS OWNER LIC. NO FEEDESO RIPlIO N: �--OUANT�\\� AMOUNT: NEW HOUSE SEWER 01=P,ERMIv ISSUANCE FEE- 27.75 CONNECT ADDITIONAL za 1,5 ALL%REP HOUSE SEWER 1.00 EAC 30.45 BUILDING OR WORK ARCHITECT OR ENGINEER: TEL. NO: ( =T,OTAL FEES 58.20 SEPTIC TANK, SEEPAGE PIT L � , } AND/OR DRAIN FIELD 4 irk IC. N0: � 4 i I _ - v �,; _ {_ �!J '' _ _i• DRYWELL SEWER MAP BOOK: PAGE: 'rj)li /��. �j� �� // ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM _ r j DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS - �� SEEP. PIT _ CESSPOOL % GRAYWATER SYSTEM V4 REPORT ID: DPR266 ROUTE TO BS0508