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HomeMy Public PortalAbout6343 LIVIA AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEER I SEWER--SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY i' PERMIT APPLICATION COUNTY OF LOS ANGELES j WILLIAM J. FOX. COUNTY ENl31NEER ��I BUILDINSSG //� Zi ADORE7 FOR APPLICANT TO FILL/IN LOCALITYBUILDC, NEAREST ADDRESSING DDREISS CROSS ST. LOCALITY �,p ,.,6_a • & DISTRICT N0. SERIAL N0. PERMIT N0. NEARESTA S CROSS ST. RECEIVED Y0 Ready for Inspection DAT ISSU OWNER MAIL ADDRESS /�,.�/I/1/�s(� USE ZONE OCCUPANCY Of BK MA PO CITY TELAO. CONTRACTOR M. G. Ottingham Co, of Tpfr (`; CO.IMP.NO. ADDRESS 5933 N. CLOVERLY AVE. JO6.N0. _ CITY T1-1%.CALIF. 1 TRUNK PERMIT NO. STATE REGISTRATION NO. / 7!Z e COUNTY' ROAD PERMIT NO. LEGAL STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT N0. BLOCK TRACT ( INDUSTRIAL a WASTE APPROVAL C NO.OF BLDGS. SIZE OF LOT NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE ` HOUSE SEWER CONNECTING TO PUBLICSEWER 1@ $ 350 RECEIPT NO. I DATE IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EX P ON RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO' DATE IBY 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 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 "`°" NHO E REFERENCE U ER LOWER TYPE OF CONNECTI LENGTH FROM OWNERS $ I I 00 - Y. CURB P.L. M L.TO P.L. PERMIT � AUTHORIZATION I TOTAL FEE I 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.................-._.....-.-........19..._-- NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT__............ - BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS---- ---------------•-•........................................... ................ AND/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL DRYWELL TIfa z� CAONAND 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 1 HEREBY CERTIFY THAT IAM 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[] SIGNATURE SEEP.PIT(S)� CESSPOOLS '' OF PERM ITTEEC ...!-.. l- - - --•----- f 78A642D 663 1/53.9J S&E- 6 APPLICATION FOR PERMIT 1 8&6.889 11.89 �"1 6� �iO I1 CI � E 9 9� DIVISION OF BUILDING AND SAFETY SEWED—SEWAGE- DISPOSAL Deportment of County Engineer County of LOS Angeles BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRESS � _'Z ` ® CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY C41Qe ; e e4 / FOR APPLICANT TO FILL IN CROSS ST. �-- LEGAL OWNER y �4 OVg.DESCRIPTION LOT N0. e MAIL BLOCK TRACT 6' a/S� ADDRESS A4.} L NO. OF BLDGS. s� CITY TEL NO. a m SIZE OF LOT NOW ON LOT _ USE OF p ,/� DISTRICT NO. ROUP MAP BUILDINGS b .� �� � � I BK PG CONTRACTOR a ADDRESS CONNECTION DATA t ' DEPTH CITY STATION UPPER E. A MA E REFERENCE C3STATE LOWER REGISTRATION NO. ❑ COUNTY NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNECTIO GTH FROM PUBLIC SEWER @ $3 50 Y. CURB P L M L TO P.L SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3 00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C NO. EXTN ,CESSPOOL,DRYWELL,MANHOLE @ $2 00 CO IMP NO. JOB NO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 00 1 TRUNK PERMIT NO ROAD PERMIT NO. / CONNECT ADDITIONAL BLDG ORSTATE ENCROA MENT WORK TO HOUSE SEWER @ $1 00 O PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE INDUSTRIA - SEWER OR DISPOSAL SYSTEM @ $1 00 WASTE APP OVAL ` CHARGES i CONNECTION CHARGE FEE ' VNER'S PERMIT $ 1 00 AUTHORIZATIONTOTAL FEE 0 REIMBURSEMENT FEE owe) -4 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR BUILDING OR WORK 3`11 OWNERS AGENT SEPTIC TANK,SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ 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 HEREBY CERTIFY THAT I 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 RESIDENTIAL P PERTY BACKFI LL SEPTIC TANKS❑ SIGNATURESEEP PIT(S) EDCESSPOOLS❑ OF PERMITTEE JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR d 0 CASH ' ,Co 2 1 2 4 MAR18 4 A 2.00- M COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0404070008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL ID: SE S R DRE S: TR: 12115 LT: 7 EXIST OCC GRP: R3 6343 LIVIA AV BLDGS. NOW ON LOT: TEMP CA 917801328 ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: WOOLEY 5382-021-041 ORIGINATION: PROP THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPEL CITY LENGTH ML TO PL: 35 STATION: 9+99 DEPTH: 6 T MANHOLE REFERENCE: 9+64 UPPER/LOWER: LOWER IS PROCESSED EXPIRES N: 04/08/04 VG 10/05/04 COUNTY IMPROVEMENT NUMBER: OWNER: - TEL. NO: PLAN CHECK NUMBER: FI;L DATE FINAL BY: CODE: ARMUS, PAM (626) 286-0180- JOB NUMBER: 6343 LIVIA AV TRUNK PERMIT NUMBER: 7 TEMP 917801328 ROAD PERMIT NUMBER: DESCRIPTION 0 ORS K m AFFADAVIT: NO CONNECT EXISTING HOUSE TO PUBLIC SEWER WAIVER: NO APPLICANT: . NO: EASEMENT: NO SGV UNDERGROUND (626) 286-2899- RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS: HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE SGV UNDERGROUND (626) 446-6276- 120 E. BADILLO LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW ,HOUSE SEWEW-- COVINA CA 91723 800800C36 * 01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL 03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK ARCHITECT R: -77-7-0:: 17 DISCON/ABANDN SEWER 1.00 SYS 30.45 TOTAL FEES 105.15 P , SEEPAGE T LIC. NO:� AND/OR DRAIN FIELD DRYWELL SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR N 88 SEWAGE DISPOSAL SYSTEM D-IS'CONNECT PLUG AND ABANDON HOUSE SEWER SACKFILL SEPTIC TANK - /q �- SEEP. PIT CESSPOVLJ GRAYWATER * ADDITIONAL DATA ON FILE REPORT ID: DPR266 ROUTE TO BS0508