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HomeMy Public PortalAbout6164 / 6168 HART AVE_Sewer__ 7GA64213 APp��Cff'-1lT�®F]V FOR PERd`�f!�T IS a E-663 11-55 DIVISION OF 'BUILDING ARID SAFETY SEWER-SEWAGE. D O S POSA L Department of County Engineer County of Los Angeles BUILDING'. ..�� JOHN A. LAMBIE, COUNTY ENGINEER z:,_ADDRESS ® CASSATT D. GRIFFIN, SUPT OF BUILDING °' LOCALITY - T NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL ,� - OWNER - _- - �4- ./l_L`�2_.7'l . � DESCRIPTIONS LOT NO. BLOCK TRACT- ^,h - ADDRESS NO. OF BLDGS. C. - SIZE OF LOT NOW ON LOT r CITY -TEL NO.. -. J USE OF ° DISTRICT NO. GROUP MAP BUILDINGS d CONTRACTOR 7 BK PG ADDRESS —7C/ONNECTION DATA �-2 6-71 / 6� S` STATION • DHPTH ' CITY .. hag TEL. N0. MANHOLE RE'FERENCE _ UP FIS 9—SIATE �� OWER REGISTRATION NO. / �• � ❑ COUNTY _ No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOY- B TYPE OFC ION LENGTH FROM PUBLIC SEWER @ $3.5P.L. M.L.TO P.L..0 � © ' SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $.3.00 _ OVERFLOW SEEPAGE PIT,DRAINFIELDP. C. NO. 1 EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $ 2.00 CO. IMP, NO. B 10B NO. HOUSE SEWER CONNECTING TO .4 •' PRIVATE DISPOSAL SYSTEM @ $1.00TRUNK PERMIT NO. ROAD PERMIT NO.`• CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ $1.00 PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE i INDUSTRIAL J a - SEWER OR DISPOSAL SYSTEM @ $1.00 WASTE APPROVAL CHARGES' CONNECTION CHARGE FEE OWNERS PERMIT S 1 00 -`�1 , AUTHORIZATION TOTAL FEE s REIMBURSEMENT FEE , I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS D E INS TORSSf NATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. NEW HOUSE SEWER " SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR J BUILDING OR WORK - OWNERS AGENT ° SEPTIC TANK,SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ 3 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND. LICENSED AS REQUIRED-BY LOS' ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REST DENTI ROPERTY. BACKFILL SEPTIC TANKS❑ { SIGNATURE SEEP. PITS) ❑ CESSPOOLS OF PERMITTEE .F JOHN A. LAMBIE, CO TY E'fVGINEER VALIDATION ROBERT A. WOOD', CHIEF PLBG. INSPECTOR CK. M.0. CASH . 1O V 5 5 AUS 4 t L. 1J . -COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0703190004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917,80 DUPLICATE PHONE: (626) 285-0488 EXT: ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: 1 ITR: 5904 LT: 229 IEXIST OCC GRP: 1 6164 HART AV 1 I 1BLDGS. NOW ON LOT: I TEMP CA 917801628 1 (ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: LONGDEN 1 15384-010-010 (ORIGINATION: - I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I ILENGTH ML TO PL: STATION: DEPTH: I I (TENANT: IMANHOLE REFERENCE: UPPER/LOWER: 11SSUED ON: PROCESSED BY: EXPIRES ON: - I 1 103/19/07 JK 09/15/07 1 ICOUNTY IMPROVEMENT NUMBER: I I (OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FINALBY: CODE: 1 ICHU, MING RONG (626) 446-3586- IJOB NUMBER: I ...yyy��� �2'R 1 11120 S. 3RD. AVE ITRUNK PERMIT NUMBER: 1 '// V 1 1ARCADIA, CA 91006 - IROAD PERMIT NUMBER: ID2SCRIPTION OF WORK I I IAFFADAVIT: NO ICONNECT 2ND: UNIT TO PUBLIC SEWER I IWAIVER: NO I I 1APPLICANT: TEL. NO: (EASEMENT: NO I ICHU .(626) 446-3586- 1 - 1 I 11120 S. 3RD. AVE IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1 IARCADIA, CA 91006 1HIGHWAY/STREET WIDENING: I ISTATE ENCROACHMENT PERMIT NUMBER: 1 ICONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1 IMING RONG CHU (626) 446-3586- 1 I IMING EING CHU LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER I I 11120 S. 3RD AVENUE NONE I I 1ARCADIA, CA 91006 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL 1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK I I I (ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1 I I ICHU, MING RON (626) 446-3586- 1 ISEPTIC TANK, SEEPAGE PITI I "I 11120 S 3RD AVE LIC. NO: I 1AND/OR DRAIN FIELD I 1ARCADIA, CA 91006 52926 I I _ IDRYWELL 1 SEWER MAP BOOK: PAGE: 1 1ALTER, REPAIR, SEWER OR I I (SEWAGE DISPOSAL SYSTEM I I IDISCONNECT PLUG AND I I �I (ABANDON HOUSE SEWER I I I I IBACKFILL SEPTIC TANKS I I _ ISEEP. PIT _ CESSPOOL _ I I I I I I I I 1GRAYWATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR266 ROUTE TO BS0508 I I I I I I I I I