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Home My Public Portal About5635 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 ENGINEER �I BUILDING �/ �_ SSV �7�-GL.6t.✓ ADDRESS (q �+ FOR APPLICANT TO FILL IN LOCALITY_ BUILDING NEAREST ADDRESS A lB CROSS ST. t/ LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. c NEAREST A Z S CROSS ST. f a R CEI EV D B_Y Ready for Inspection D1-7—S-3 DATE ISSUED OWNER 2211 /,�A /lj. /)., g)C.— / [T.."7—cl 3 MAIL ADDRESS' USE ZONE OCCUPANCY MAP - I CITY TEL.1%0. s-/ BK PG i CONTRACTOR &4A CO.IMP.NO. ADDRESS r'� eit:9..:�Et �,sa _ ,Bv JOB NO. CITY TEL-NO. /� � T�9 P(�1..y❑� 1 �/ TRUNK PERMIT NO. �y Q�❑ COUNTY REGISTRATIONC. ROAD PERMIT N0. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT PERMIT NO. BLOCK TRACT r (� INDUSTRIAL WASTE APPROVAL CHARGES SIZE OF LOT NOW ON LOT NO.OF BLOGS. � O y 4 USE OF BUILDINGS S CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ $ 3.50 RECEIPT NO. I DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 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 CESSPOOL—DRYWELL STATION DEPTH SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTIONLENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE &_3 L J J 3 it HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED ' CONTRACTGR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROV�CLS,✓� sPEoR' I'r'f'ATu'R€ D"'`—nT�`�' DWELLING TO THE PUBLIC SEWER SIGNED THIS............. .DAY OF.-..-,--- ............C......--..I ........ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT. ). . _-- -- - !....- BUILDING OR WORK i -- ADDRESS..............._--.--._- SEPTIC TANK,SEEP.PIT(S) -----•-•-----•--------------------•-------..-..----••---...-•---• AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL❑ DRYWELL �� CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I 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 RESIDENTI L PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE � SEEP.PIT(S) CESSPOOLS OF PERMITTEE--- - _. yf1-- �-c�, 76A642D 663 1/53 24650 INSERTS -7 6 A 6 4 2 D 6.60 A P P U C A FI M.N FOR P E Il 0 M T. - COUNTY OF LOS ANGELES SEWER-SEWAGE DBSPOSAL DEPARTMENT OF COUNTY ENGINEER T BUILDING AND SAFETY DIVISION BUILDING ADDRESS 70HN A. LAMBIE, County Engineer WILLIAM A. IENSEN, Sup't of Building LOCALITY ,,- NEAREST FOR APPLICANTT� FI _ IN CROSS ST. 11971-10 LEGAL DESCRIPTION LOT N0. - •� OWNER - e BLOCK TRACT MAIL r--- ADDRESS ' d7 O.OFBLDGS. //''__ SIZE OF LOT .{ NOW ON LOT CITY TEL. N0. C141 USE OF BUILDINGSDISTRICT N0. GROUP MAP PR CE .BY _/•DBK PG CONTRACTOR R _ ADDRESS/,/y- 3r DDRESSCO CTIO DATA CITY TEL.N0. U STATION DEPTH IA STATE _ MANHOLE REFERENCE P REGISTRATION N0. // G' D ` "'� 4/2*1COUNTY 2 NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 d TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB CF.L.0 M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL. DRYWELL @ $2.00 § HOUSE SEWER CONNECTING TO - - P.C.NO. - PRIVATE DISPOSAL SYSTEM @ $1.00 - CO.IMP. NO. Y, JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. O WORK TO HOUSE SEWER @ $1.00 0 SEWER OR OR SYSTEM R ABANDON HOUSE @ $1 00 • STATE ENCROACHMENT - a PERMIT NO 0 INDUSTRIAL U . WASTE APPROVAL W� CHARGES - v1 OWNERS PERMIT 00 . CONNECTION CHARGE FEE M } AUTHORIZATION I TOTAL FEE T REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE EREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRI EXISTING DWELLING APPROVALS D TE INSPECTOR'S SIGNATURE TO THE PUBLIC S SIGNED THIS DAY OF NEW HOUSE SEWER *tf�F9 OWNER ORCONNECT ADDITIONAL ...-� OWNERS AGEN - BUILDING OR WORK ADDRESS `.!' SEPTIC TANK,SEEP.PIT(S) 'AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING pLTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM ` I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON DISCONNECT CTPLUG PLUGHOUSE AND -� - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE i DESCRIBED RESIDE IAL PROPERTY. BACKFILL SEPTIC TANKS ❑ �� /'�1 / aA _y g SIGNATURE SEEP.PIT(S) ❑ CESSPOOLS 7 ` a f,�,,,,tY OFPERMITTE f ®F VALIDATION ROBERT A. WOOD . CIL M.o. CASH SUPERVISING MECHANICAL ENGINEER COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0807010001 _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 'SEWER / SEPTIC'. SEWER _ BUILDING ADDRESS: ON FILE - !EXIST OCC GRP: - 5635 HALLOWELL AV 1 IBLDGS. NOW ON LOT: ARCD CA 910078420 1 (ASSESSOR INFORMATION NUMBER: lCONNECTION TYPE: NEAREST CROSS STREET: LIVE OAK 18586-014-025 - ORIGINATION: THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl LENGTH ML TO PL: STATION: DEPTH: (TENANT: !MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 107/01/08 SR 12/28/08 1 1 !COUNTY IMPROVEMENT NUMBER: I (OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FINAL BY: CODE: 1 IGAMBOA JON;.JUDY - (626) 575-6291- IJOB NUMBER: Irq' 15555 HALLOWELL AV !TRUNK PERMIT NUMBER: ! ' V (ARCD 910078420 IROAD PERMIT NUMBER: DESCRIPTION OF WORK - 1 JAFFADAVIT: NO JREPLACE YARD SEWER FROM HOUSE TO PROPERTY LINE 1 1 !WAIVER: NO I 1 APPLICANT: TEL. NO: EASEMENT: NO GOOD DAY PLUMBING INC. (626) 285-8080- - I 19729 E. LIVE OAK AVE IRECORD INSTRUMENT NBR: RECORD. DATE: ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 !.HIGHWAY/STREET WIDENING: !STATE ENCROACHMENT PERMIT NUMBER: I I - !CONTRACTOR: TEL. NO: I FEES PAID •(APPROVALS DATE INSPECTOR SIGNATURE (GOOD DAY PLUMBING INC. (626) 285-8080- 1 1 ! 19729 E. LIVE OAK AVENUE LIC. NO !FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW'HOUSE SEWER / ! ITEMPLE CITY, CA 91780 565485BC36 1 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL 1 ! ! 115 ALT/REP HOUSE SEWER 1.00 EAC 30.45 BUILDING OR WORK ! ! !ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20 1 ! ! - ISEPTIC TANK, SEEPAGE PIT! I ! 1 LIC. NO: !AND/OR DRAIN FIELD ! ! ! DRYA'ELL ! I I ! I ! ! SEWER MAP BOOK: PAGE: (ALTER, REPAIR, SEWER OR ! ! ! SEWAGE DISPOSAL SYSTEM I - ..I . t IDISCONNECT PLUG AND I I. ! (ABANDON HOUSE SEWER I I ! 1;BACFFILL SEPTIC TANKS 1 (SEEP. PIT _ CESSPOOL ! I I ! I ! 1GRAYWATER SYSTEM ! ! I I I ! I ! ! I I ! I I ! I I I ! I ! I ! ! 1 I I I I I ! ! I I I I ! ! ! IREPORT ID: .DPR266 ROUTE TO BS0508 ! ! ! I I I ! !