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HomeMy Public PortalAbout9677 LAS TUNAS DR_Sewer__ ' COUNTY OF LOS-ANGELES , TEMPLE CITY # 0508 SEWER PERMIT Al DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1207190001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: I ITR: 6561 LT: 128 ]EXIST OCC GRP: I 9677 A LAS TUNAS DR 1 I 'IBLDGS. NOW ON LOT: TEMP CA 917802103 I [ASSESSOR INFORMATION NUMBER: ((CONNECTION TYPE: I NEAREST CROSS STREET: 1 18587-020-01.1 ]ORIGINATION: [ THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I ' ,[LENGTH ML TO PL: STATION: DEPTH: [ I [TENANT: I' MANHOLE REFERENCE: UPPER/LOWER: [ISSUED ON: PROCESSED BY: ITC SALON 107/19/12 SR [ [ IOOUNTY IMPROVEMENT NUMBER: (OWNER: TEL. NO: (PLAN CHECK NUMBER: IFINAL DATE F AL BY: CODE: [ ITC SALON YOUTHDERM SKIN & BEAUTY - IJOB NUMBER: I �� 19677 A LAS TUNAS DR. ITRUNK PERMIT NUMBER: ITEMPLE CITY CA 91780 IROAD PERMIT NUMBER: IMSCRIPTION OF WORK I [ AFIVIT: O IREPLACE A SECTION OF UNDER GROUND DRAINAGE PIPE 1 (APPLICANT: TEL. NO: [EASEMENT: NO I [ (YANG, JAMES (626) 676-9888- RECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL-CONDITIONS: I [ HIGHWAY/STREET WIDENING: [ I 1 (STATE ENCROACHMENT PERMIT NUMBER: I I ICONTRACTOR: TEL. NO: 1 FEES PAID [APPROVALS DATE INSPECTOR SIGNATURE [ IJ C Y CO. (626) 676-9888- I 1 [ 112012 LOWER AZUSA ROAD LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:JNEW HOUSE SEWER I [ EL MONTE CA 91732 582921 B I I I I I 1101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I I I I 115 ALT/REP HOUSE SEWER 1.00 EAC 30.50 IBUILDING OR WORK I I I (ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.30 1 I I I I - - I ISEPTIC TANK, SEEPAGE PITI 1. I LIC. NO: 1 AND/OR DRAIN FIELD I I I I I DRYWELL _ 1 SEWER MAP BOOK: PAGE: 1 (ALTER, REPAIR, SEWER OR I I I I I (SEWAGE DISPOSAL SYSTEM I I I I I IDISCONNECT PLUG AND I I I I (ABANDON HOUSE SEWER I I I I I BACKFILL SEPTIC TANKS _ I I ISEEP. PIT _ CESSPOOL I, I 1GRAYWATER SYSTEM I I I I I I I I I I I I [ II I I I I I I IREPORT ID: DPR266 ROUTE TO BS0508 I I 1 I I I I I I I a,E-6c S63 9.55 APPLICATION FOR PERMIT S E•6 DIVISION OF BUELDING AND SAFETY SEWER-SEWAGE DISPOSAL i Department of County Engineer County of Los Angeles BUILDING WM.J. FOX, COUNTY ENGINEER ADDRESS -_�.�-r CASSATT 0.GRIFFIN, SUPT OF BVILDtNG LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST, LEGAL. - -DESCRIPTION LOT LOT NO. OWNER BLOCK TRACT MAIL .� NO, OF BLDGS, - VZE OF LOT NOW ON LOT CITY TEL. NO. USE OF SG_C.DINGs — _ _ DISTRICT N0. GROUPN --'---_—K r PV CONTRACTOR ADDRESS _- CONNECTION DATA .CITY TEL. NO. STATION a DEPTH STATE MANHOLE REFERENCE REGISTRATION NO. No. DESCRIPTIW4 OF WORK FEE — --- — -- ------- --- -- — -- --- ---`--- ----- -- --+n- TYPE OF CONNECTION L NGTH rP051 — HOUSE SEWER CONNECTING TOY. CURB P.L. 14 L.TO,PA PUBLIC S V`ER T� $ 3.50 f :____ HOUSE SEWER CONNECTING TO - PRIVATE DISPOSAL SYSTEM 1.00 C NECT ADDIT(ONAL BLDG, OR P C NO WORK TO HOUSE SEWER 1.00 _ CO. IAIP fr,0_= �` __ .,__JOB NO. —'--_-- AI TER OR REPAIR EXISTING -- "'NER OR DISPOSAL SYSTEM 1.00 TRUNK PERMIT NO ROAD PERMIT NO, --�...DISCONNECT AND ABANDON SEWER ._—I^�.-� --- — ---'---- ------- - — t STATE ENCROACHMENT PPID/OR DISPOSAL SYSTEM_ __ 7 OJ ( PERMIT NO, SEPTIC TANK,SEEPA E PIT 0.2 ^�' ANO/OPDRRINkIELD " OD�. �- _` INDUSTRIAL —� CESSPOOL DRYWELL ___t -- - WASTE APPROVAL ----- ---_` - SPECIAL CONDITIONS ONLY 2:00 CHARGES — - --�� - CONNECTION CHARGE FEE ®WNEWn _ PER_MIT_ $ i! DO AUTHORIZATION _—.--- —.._-_ TOTAL FEET i �—�- REIMBURSEMENT_F,�E E i HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE AF30V DESCRIBED EXISTING DY�E..LING APPROVALS DATE (INSPECTDR'SSI;NATUREv TO THE PUBLIC SEWER ----"�- _..-'�----"--- ' NEW HOUSESEWER SIGNED THIIS —DAY -_ CONNECT ADDITIONAL -- - --�--A-= ^-�. OWNER 6P, BUi LDING OR WORK I OWNERS AGENT ._._e_-_._,w..,._._____ .--...,-. --- SEPTIC -- -- _-_-- --- --- ---_--- TAS SEEP, PITS? LNR/Q AND_OR DRAINFIELD --� 1 HEREBY ACKNOVILL-DGE THAT I HAVE READ THIS APPLICATION CESSPOOL 0 DRYWELL C] 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 _ 1 HLPEPY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - "- --- - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _ABANDON HOVE SE'rVER DESCRIBED RESIDENTIAL PROPERTY. _ BACKFILL SEPTIC TANKS C SEEP.PIT(S) © CESSPOOLS CI I SIGNATURE - OF PERMI.TTE.E._.��. -- :..- 11 1 WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PI-130. INSPECTOR