HomeMy Public PortalAbout9148, 9144 LAS TUNAS DR_Sewer__ '8A84z° . APPLICATION* FOR PERMIT
06808.8.58 1
COUNTY OF LOS ANGELES '
SEWER SEIWAGE DISPOSAL
DEPARTMENT OF COUNTY ENGINEER
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BUII:DING AND SAFETY DIVISION BUIL
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JOHN A. LAMBIE, County Engiaee; _ADDR ��3 ,A `K�f.{/H� (g x yr :j,
r�} CASSATT:D. GRIFFIN, Supt,of Building LOCALtTY � l_ �
' NEAREST
' FOR'APPLICANT TO FILL. IN CROSS ST.
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DESCRIPTsI'ON LOT`N0. .H c� l�5 OWNER 4
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BLOCK' TRACT,,-'> Ci ADDRESS
NO.OF BLDGS. i"'- r1
SIZE"OF LO.T', NOW ON-LOT CITY./ �Lc�-� i . E N0. Y/ .x ZZ,. �«r�
USE OP fl
BUILDINGS. .�. !`, DISTRICT NO. 'GROUP '✓MAP -' y`PROCESSED BY
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CON /TRACTOR �.,,, _ J
'ADDRESS� CONNECTION/DATA -
TEL.NO"./ �` y�'C.�::� STATION �' ` �. DEPTH
` /'� —ESTATE. MANHOLE REFERENCE ►" .. -UPRER—
REGISTRATION N0. Ln � a ;® COUNTY- + ` c' tf..
DESCRIFTI N OF WORK ' FEE F ` ,�+ • 1LoWER
HOUSE SEWER CONNECTING TO
PUBLIC SEWER @ $3.00 TYPE OF COUN ,.CTION LENGTH FROM
SEPTIC TANK, SEEPAGE PIT OR Y. y RE PL
L. ENGTO P.L.
PITSAND/OR.DRAINFIELD. Q $3.00 -
OVERFLOW SEEPAGE PIT,DRAINFIELD - - -
EXTN.;CESSPOOL,DRYWELL,MANHOLE @ $2.00
HOUSE SEWER CONNECTING TO - - P.C.NO.
PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. Y JOB NO.
,CONNE&,A'DDITIONAL BLDG.OR
a TRUNKPERMITNO. - ROAD PERMIT NO.
WORK TO HOUSE SEWER @ $1.00
ALTER;.REPAIR OR ABANDON HOUSE - STATE ENCROACHMENT
SEWER OR DISPOSAL SYSTEM @ '$1.00 PERMIT NO.
INDUSTRIAL
WASTE APPROVAL -
CHARGES _
OWNER'S PERMIT $ (2 _00 CONNECTION CHARGE FEE,
AUTHORIZATION TOTAL FEE ' ,v REIMBURSEMENT FEE
I,IIAVE AT.THIS DATA.CONTRACT WITH THE HEREIN NAMED CON.
TRACTOR TO•CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS• DTE INSPE- GNATl1RE:
-TO THE PUBLIC SEW r
SIGNED THIS AY t9_ NEW.HOUSE SEWER. 7 / ' 41,
OWNER"OR CONNECT ADDITIONAL
OWNERS AGENT BUILDING OR WORK
SEPTIC TANK,SEEP,PIT(S)
ADDRESS AND/OR DRAINFIELD
-HEREBY,ACKNOWLEDGE THAT I VE RAD THIS•APPLICATION
AND, STATE 'THAT THE ABOVE IS CORR T AND AGREE TO COMPLY' CESSPDOL[:IDRYWELL
WITH-ALL COUNTY ORDINANCES AND 'STA_TE LAWS REGULATING"' ..ALTER,REPAIR,SEWER DR '
PLUMBING AND SEWERS: SEWAGE DISPOSAL SYSTEM
1 HEREBY CERTIFY THAT,I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND
LICENSED AS REQUIRED BY LOS ANGELES._C0 NTY AND.:STATE OF ABANDON HOUSE SEWER
CAUFORNIA: OR THAT M THE LEGAL OW E/Z R OF THE ABOVE -
DESCRIBED RESIDENTL� OPERTY. BACKFILL SEPTIC TANKS❑
SIGNATURE SEEP;PIT(S) ❑ CESSPOOLS❑
``.OF:PERMITTE ,
®P VALIDATION ROBERT A.WOOF ..
CSS Y,0. CM9 SuPERVIfiING M6:CHANICAL,SNGINH ll
c1I�P' 549� n "}J; 61 A 5 ( ;.1
COUNTY OF LO$ ANGELES .'TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0002240006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:-'
TR: 5905 LT: 63 BL: .001 EXIST OCC GRP: 9148 LAS TUNAS)DR
BLDGS. NOW ON LOT: TEMP-GA-91.7801.905
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LOMA AVE.
5387-017-001 ORIGINATION: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
DAI HO RESTAURANT 03/02/00 UT 08/29/00
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: C
KU;JIM C. (626) 309-5051- JOB NUMBER:
6032 N. PRIMROSE AVE TRUNK PERMIT NUMBER: 5-23`o-o
TEMPLE CITY, CA ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO NEW COMMERCIAL BUILDING (RESTAURANT)
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
HOLLYEVER CONSTRUCTION (626) 968-1056-
1771 S. RIO LEMPA RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HACIENDA HTS. CA HIGHWAY/ST REE:T=WIDE—NDN
G
STATE ENCROACHMENT,:PERM•I'T-NUMBER`-
CONTRACTOR: TEL. NO: 4F•EES PA:1D APPROVALS DATE INSPECTOR SIGNATURE
HOLLYEVER CONSTRUCTION (818) 968-1056- / \� fy��
2771 S. RIO LEMPA DR. LIC. NO FEE/DESCR•I',PTION QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER Z�
HACIENDA HEIGHTS, CA 91745 637952B
U01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN T0IPUBLI SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TI AL FEES 74.70
SEPTIC TANK, SEEPAGE PIT
LIC. NO.- 1111111 AND/OR DRAIN FIELD
�U DRYWELL _
SEWER MAP BOOK: PAGE: n (� D /�O K 3 ALTER, REPAIR, SEWER OR
�J U \11J(/� IIIJJC-D, lllJJJ SEWAGE DISPOSAL SYSTEM
— DISCONNECT PLUG AND
• ABANDON HOUSE SEWER
0 _ `��� BACKFILL SEPTIC TANKS
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❑ t+, —
SEEP. PIT CESSPOOL
E � ��
� GRAYWATER SYSTEM
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REPORT ID: DPR266 ROUTE TO BS0508