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Home My Public Portal About6211 KAUFFMAN AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS II rr GIELEB FOX. U I BUILDING /� J WILLIAM J. CDNENGINEER ! ADDRESS FOR APPLICANT,19 FILL IN LOCALITY I/ BUILDING /� NEAREST r ADDRESS (.) �l/ CROSSST. V LOCALITY DISTRICT AS AL�� PE � c J . J NEAREST - CROSS ST. ' RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL Ji ` ADDRESS (rC / USEZONE OCCUPANCYBK MAP PO CITY �—^ TEL.NO. CONTRACTOR U CO.IMP.NO. �.. ADDRESS JOB.NO. CITY TEL.NOrrQ� G9 TRUNK PERMIT NO. STATE REGISTRATION NO. u p / 8 COUNTY ROAD PERMIT NO. LEGAL 4 J/I�� STATE ENCROACHMENT DESCRIPTION LOT NQj4 �� PERMIT NO. BLOCK TRACT SI Ai yd 1v l rA 4-14IVD INDUSTRIAL WASTE APPROVAL SIZE OF LOT �d^ N0.OF BLDGB. NOW ON LOT CHARGES USE BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLICSEWER @ S• 3.50 RECEIPT NO. I DATE IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 d CONNECT ADDITIONAL BLDG.OR 1 EXCEPTION RECORDED l� WORK TO HOUSE SEWER1.00 L ALTER OR REPAIR EXISTING NO- DATE IBY , SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM I.DO 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 OWNERS PERMIT $ I I 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE 1 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»— 19f ~NEW HOUSE SEWER �j _ i/' T-+ 'CONNECT ADDITIONAL r OWNER OR BUILDING OR WORK OWNERS AGENT _......_._.....___....._ 3�,yyp� -SEPTIC TANK,SEEP.PIT(S) ADDRESS_.(_--Z_ . - . __ .._.._-___-------._.._ .... AND/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-, CESSPOOL DRYWELL CATION AND 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE D SCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SEEP.PIT(S)o CESSPOOLS 94 Wit 7/?3 SIGNATURE OF PERMITTEE - 76A642A 663 743' DEPARTMENT OF COUNTY ENGINE EE . SEWER—SEWAGE DISPOSAL ' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES �l% WILLIAM J. FOS COUNZY ENGINEER ADDRESS • YYY FOR'APPLICANT 'TO FILL IN LOCALITY BUILDING NEAREST - y ADDRESS `sy--L, 1 CROSS ST /1/ LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO.• C NEAREST A— 7 J CROSS S '` ' RECEIVED.BY��,I, Ready for inspection D44 ISSUW OWNER • �i/ MAIL USE ZO OCCUPANCY BKPAP PG ADORES f� CITY i TEL.NO. o<o_/ CONTRACT ! CO.IMP.NO. Z3:3 �G ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO- Q ®_COUNTY ROAD PERMIT NO. 7�j�a LEGAL S/( i �B� DESCRIPTION -LOT Ne6oz STATE ENCROACHMENT Xdo PERMIT NO. BLOCK � TRACT�- }�, A/iY�4 'L ANDS CPWASTEA PR VAL SIZE OF LOT Y�� J,f lK NO.OF SLOGS.� 3 CHARGES �l D NOW ON LOT USOFa BUE DINGS4-1p I CONNECTION CHAR FEE NO. DESCRIPTION OF WORT FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE , PUBLICSEWER @ $ 3.50 RECEIPT NO. DATE BY - HOUSE SEWER CONNECTING TO l' PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RE RDED WORK TO'HOUSE SEWER 1.00 i ALTER OR REPAIR EXISTING NO- DATE BY _SEWER OR DISPOSAL SYSTEM 1.00 i DISCONNECT AND ABANDON SEWER i I AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/ORDRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL ` SPECIAL CONDITIONS ONLY 2.00 SD• p��' A UPP EFERENC •- r TYPE 0 G CTION LENGTH=FROM OWNERS PERMIT 'I�;` M.L.TO P.L. .. r AUTHORIZATION TOTAL FEE - 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN 'NAMED ,CONTRACTOR TO,CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPEGTOR'SSIGNATURE DATE DWELLING TO THE PUBLIC SEWER " SIGNED THIS_- DAY Iq NEW HOUSE SEWER, OC NNECT ADDITIONAL OWNERS- GE • LDING OR WORK �� SEPTIC TANK.SEEP.PIT(S) ADORES � __ -..__________ AND/OR DRAINFIELD I HEREBY ACKNOWLE GE HAT I HAVE READ THIS APPLI,' CESSPOOL[-] DRYWELL E]CATION AND 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 IHEREBY` CERTIFY THAT I .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 ❑ r SLEEPIT(S)E1 CESSPOOLS :. SIGNATURE % OF PERMITTEE._ 7•, ,2A 663 7/53 ,`Ar. '`'. - _ •'nxY ./•-' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT ' DEPARTMENT OF PUBLIC'WORKS 9701 LAS TUNAS SE 0508 0806250007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE, CITY CA 91780 PHONE: (626) 285-0488 EXT: " •ILEGAL ID- ISEWER / SEPTIC: SEWER BUILDING ADDRESS: I ON FILE IEXIST OCC GRP: 6211.KAUFFMAN-AV IBLDGS. NOW ON LOT: I TEMP CA 917801746 (ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET: 15385-016-026 (ORIGINATION: I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl' I _ ILENGTH ML TO PL: STATION: DEPTH: (TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: EXPIRES ON: I I 106/25/08 SR 12/22/08 ICOUNTY IMPROVEMENT NUMBER: (OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FINAL �-BY: CODE: I ULLRICH NORMAN L;MARCIA TRS (626) 291-2994- iJOB NUMBER: `` 6213 KAUFFMAN AV TRUNK PERMIT NUMBER: ITEMP 917801746 IROAD PERMIT NUMBER: IDESCRI TION OF WORK I IAFFADAVIT: NO IPIPE BURST SEWER 80' I (WAIVER: NO •' I (APPLICANT: . TEL. NO: (•EASEMENT: 'NO _ I ILITTLE JOHN'S PLUMBING (909) 593-0855- 1 I I 12373 2ND. STREET IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: I ILA VERNE, CA 91750 IHIGHWAY/STREET WIDENING: ISTATE ENCROACHMENT PERMIT NUMBER- I (CONTRACTOR: TEL. NO I - FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE ILITTLE JOHN'S PLUMBING (909) 618-4610- 1 I 12373 2ND. STREET LIC. NO 1,FEE DESCRIPTION: QUANTITY: UOM: AMOUNT- INEW HOUSE SEWER !fI I _ ILA VERNE, CA 91750 628921 C36 I I " r I I 1 101 PERMIT ISSUANCE FEE - 27.75 ICONNECT.ADDITIONAL I 115 ALT/REP HOUSE SEWER 1.00 EAC 30.45 IBUILDING'OR WORK I I IARCHITECT'OR ENGINEER: TEL. NO- I TOTAL FEES 58.20 I - I ISEPTIC TANK, SEEPAGE PITI I LIC. NO: IAND/OR DRAIN FIELD I I I IDRYWELL I I I I I I SEWER MAP BOOK: PAGE: I (ALTER, REPAIR SEWER OR I I I ISEWAG AL SYSTEM I I I (DISCONNECT PLUG AND (ABANDON HOUSE SEWER I I I I I I IBACKFILL SEPTIC TANKS -I I • ISEEP. PIT- CESSPOOL IGRAYWATER 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 I I I I I � IREPORT ID: DPR266 ROUTE TO BS0508 I I I I I I I I i I