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HomeMy Public PortalAbout9516 LONGDEN AVE_Sewer__ • t CE808 3-64 Pf/ 76A6420 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS 2�__E_,_LQngden Avenue WILLIAM A. JENSEN, Sup't of Building LOCALITY Temple City NEAREST.__-�. . FOR APPLICANT TO FILL IN CROSS 5T LEGAL DESCRIPTION LOT NO._l- OWNERg>iTemple City unified School Dis MAIL 9516 E. Longden Avenue BLOCK _- ';-RACTi ,� ADDRESS --7� NO. OF BLDGS. letup le�-,l- �'LC1T 7-0773 SIZE OF LOT NOW ON LOT CITY TEL. NO. BUELDIN GS-arehouse DISTRICT NO. GROUP MAP PROZESSED BY BK PG CONTRACTOC-reen Brothers Inc.. ,�w^� z� ADDRESS 543 W_ .,�. _ CONNECTION DATA CITY Altadena TEL, ND.681-8775 STATION ------�D-E-PTH STATEMANHOLE REFERENCE 'S "r UPPER REGISTRATION NO. !I COUNTY NO. _A_ES_CRIPTION Ot_WORK FEEN ~ _ _ TYPE OF CONNECTION LENGTH OM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO L. PUBLIC SEWER a $6.00�� - .�..... ..�.,_'....".'_ SEPTIC TANK,SEEPAGE PIT OR — --rP.C.NO, 0- _ITS AND/OR DRAINFIELD $10,00 COvIMP.NO, a JOB NO, M- HOUSE SEWER CONNECTING TO _�---� TRUNK PERMIT NO, ROAD PERMIT NO, V PRIVATE DISPOSAL SYSTEM QI $3.00 CONNECT ADDITIONAL BLQG.OR AFFIDAVIT wAIY1t tAttx[xs RECORD.INSTR.NO. DATE o WORK TO HOUSE SEWER $3.00 _ OVERFLOW SEEPAGE PIT,GRAINFIELD �-� _ ~ EX_T N.,CESSPOOL,O RYWEL L,MAN HOLE $6.00 W ABANDON HOUSE HWY,OR ST.WIDENING f1 XX SEWER OR-DISPOSAL_SYSTEM $3.00 STATE ENCRCAGH MENT x / Z � PERMIT NO. -- ' INDUSTRIALS WASTE APPROVAL CCN R ES OWNERS PERMIT s z oo AUTHORIZATION TOTAL FEE t-e-' CONNECTION CH-GE FEE `- --- A HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING ---- TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS--DAY OF_. _19— OWNER OR _ NEW HOUSE SEWER OWNERS AGENT _ -- — CONNECTADDITIONAL BUILDING OR WORK _ SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY --WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CrI=RTIFY THAT i AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR r LICENSED AS EOUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA O THAT I AM THE LEGAL OW ER F, AND 1NTE O TO DISCONNECT PLUG AND RESIDE IN, TH ABOVE DESCRIBED RE5iD TIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE y BACKFILL SEPTIC TANKS ❑ ! — OF PERMITTEE'.-.r�`.4..:ri._.��� T ❑ I SEEP,PI S) ❑ CESSPOOLS 1 VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK. - M.O. CASH 01 4 F-D- 25 1 D 5.00- V 1 -DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER BUILDING ADDRESS FOUR APPLICANT TO FILL IN LOCALITY BUILDINGr ADDRESS. 15 -6 -E. r-+ongden CROSS ST. LOCALITY 'Temple City DISTRICT NO. � SERIAL NO. PERMIT NO. NEAREST A S CROSS ST. Cak RECEIVED BY ` Ready for Inspection DATE ISSUED OWNER `'Era-p e City !7cho©l_ Dist. MAIL ADDRESS 9516 E. Z.,02"gegen USE ZONE OCCUPANCY I MAP PG CITY 1"'.27:2pl C-3-t TEL.NO. At 6 �14 dry BK I CONTRACTOR CO.IMP.NO. -- ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. ❑❑ STATE REGISTRATION NO. ❑ COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. - STATE ENCROACHMENT ��nn�� PERMIT N0. BLOCK :°° TRACT i>r3V - j' INDUSTRIAL -- SIZE OF LOT NO.OF BLDGS. WASTE APPROVAL NOW ON LOT CHARGES USE OF BUILDINGS Kindergarten CONNECTION CHARGE FEE NO. DESCRIPTION- OF WORK FEE HOUSE SEWERR CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER_ Q $ 3.50 RECEIPT NO. I DATE (BY HOUSESEWER CONNECTING TO 1 PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. I DATE I BY 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 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 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 I NSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS--------------------DAY OF---•..............._..._...............14..._... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT................ - __...... -..... ..... BUILDING OR WORK ( ✓ SEPTIC TANK,SEEP.PIT(S) ADDRESS. - - - - ._._._...... AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] 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 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 I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SEEP.PIT(S)[,: CESSPOOLS SIGNATURE OF PERMITT I _ -' -, 76A642D 663 1/53 DEPAICTMENT OF COUNTY ENGINEER WER-.SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS a FOR APPLICANT TO FILL IN LOCALITY =ti BUILDING ;:{+ G �Ieri NEAREST ADDRESS -'• CROSS ST. DISTRICT N0. SERIAL N0. PERMIT N0, LOCALITY TE-'3i1-(.le v1t�f 1ic g CROSS ST. 001 OWNER TCTil��_r^.NEAREST � S � City School District BY Ready for In3pection DATE ISSUED' MAIL ADDRESS 9516 E. Longden USE ZONE OCCUPANCY MAP BK PG CITY Temple vit,j TELAO. tit.68L;V CONTRACTOR CO.IMP.NO. ADDRESS JOB NO. —-- CITY TELAO. TRUNK PERMIT NO. STATE REGISTRATION NO. COUNTY ROAD PERMIT N0. LEGAL DESCRIPTION LOT NO., STATE ENCROACHMENT �5L� PERMIT N0. BLOCK 14 TRACT A:J7U — 137 INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. �g NOW ON LOT v CHARGES USE OF 4 BUILDINGS wC}look., class rooms 6 thr'a 14 CONNECTION CHARGE FEE DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER @ $ 3.50 RECEIPT.NO. DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDfI.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. I DATE I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDQN 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 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION f TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS....................DAY OF......................................_19._._... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT,..............._--..............................................._. ... BUILDING OR WORK f ADDRESS..-----................ .. SEPTIC TANK,SEEP.PIT(S) - - .._.. AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL 0 DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE I 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 I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SEEP.PIT(S)o CESSPOOLS 0 SIGNATURE G OF PERM ITTEE..-'---•-------------------------•---- 76A642D 663 1/53 .DEPAWMENT OF COUNTY ENGINEER SEWER--SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY - BUILDING ADDRESS )516 E. ljonsden llwe; NEAREST CROSS ST. LOCALITY T(3M-Ole C,1ty DISTRICT NO. SERIAL NO. PERMIT NO.J. NEAREST C CROSS ST. OakA S RECEIVED BY Ready for Inspection DATE ISSUED OWNER Temple C1ty c!chool Dist MAIL '!a' ADDRESS 516 E. Longden USEZONE OCCUPANCY I MAP BK PG CITY Tem;;-i.e City TEL.NO. £'..t+ 6 CONTRACTOR CO.IMP.N0. - ADDRESS JOB NO. CITY TEL.NO. T— _ TRUNK PERMIT N0. -" ❑ STATE REGISTRATION NO. ❑ COUNTY ROAD PERMIT NO. LEGAL h DESCRIPTION LOT N0. 3 STATE ENCROACHMENT PERMIT N0. - BLOCK g''r TRACT mB6 137 INDUSTRIAL N0.OF BLDGS. rp WASTE APPROVAL SIZE OF LOT NOW ON LOT CHARGES USE OF BUILDINGS C'l`ss--rooms 21f212s23 CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO I REIMBURSEMENT FEE — -- — —-- PUBLI HOUSE SEWER Q $ 3.50 RECEIPT N0. I DATE i BY HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. DATE j BY SEWER OR DISPOSAL SYSTEM 1.00 -DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA -DISCONNECT TANK,SEEPAGE;IT 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 ; 1 OO Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS.............------DAY OF......................._....-..._....19..... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT_................-.................................._.........•------•----- BUILDING OR WORK SEPTIC TANK.SEEP.PIT(S) ` ADDRESS. - ....................... AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL 0 DRYWELL Ej 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 1 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 :.. SEEP.PIT(S)G CESSPOOLS E] SIGNATURE '" �,,�,.. �-----�"""q -- OF PERMITTEE � .... -.............. ...•--- i 6A642D 663 1/53 76A642D64 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F-. LDING JOHN A. LAMBIE, County Engineer OREssWILLIAM A. JENSEN, Sup't of Buildingqu7rRE -FOR APPLICANT TO FILL IN ROSS ST DESCRIPTION LOT NO "' �=c' i3"',�: I ",i OWNER 'Ty ^ MAIL �— BLOCK TRACTADDRESS NO. OF SLOGS. ,,rte♦ SIZE OF LOT NOW ON LOT CITY.- '-`,L '�.-'6�"� TEL. NO. USE OF - BUILDINGS. DISTRICT Nd.1 GROUP MAP PROCESSED BY pK CONTRACTOR CONNECTION DATA STATION `'� r DEPTH CtT TEL. NO. -Y _ .. <- STATE UPPER MANHOLE REFERENCE �` ✓ ppp _/ REGISTRATION O. 4 �,''• 'S ,' COUNTY NO. ',, NO. GES RIPTION OF WORK PEE TYPE OF CONNEG.TION LENGTH FRO �.� HOUSE SEWER CONNECTING TO�— Y. �r`'�CURB__ P.L. WL TO P,LA,;' PUBLIC SEWER ® $8.00 �� _ P.C.NO. `!- SEPTIC TANK,SEEPAGE PIT OR JOB NO. f O. CO.IMP.NO, J 1 0 PITS AND NOR OR DRAINFIELD @ $1p.00 -- HOUSE SEWER CONNECTING TO �— I TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 _ X,, FFIVI CONNECT ADDITIONAL BLDG.OR ADAT WAtY[tt iAs[M CN1' RECORD, INSTR.NO, DATE O WORK TO HOUSE SEWER IS $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD 'EXT N.,GESSPOOL,DRYW ELL,MANHOLE HWY, OR ST.WIDENING$8.00 W � ALTER,REPAIR OR ABANDON HOUSE d SEWER OR DISPOSAL SYSTEM_ @ $3.00 STATE ENCROACHMENT N j PERMIT NO. Z - - INDUSTRIAL WASTE APPROVAL i CHARGES OWNERS PERMIT � 21 00 -- CONNECTION CHARGE FEE AUTHORIZATION LTOTAL FEE ? c c - — -- 'IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF - - OWNER OR NEW HOUSE SEWER OWNERS AGENT ---_--- CONNECT ADDITIONAL BUILDING OR WORK ADDRESS_ _ SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ------- WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER.REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS A"C-OkS COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT i AM THE LEGAL WNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED RESIDk NTIAL PROPERTY, ABANDON HOUSE SEWER SIGNATURE ,Y BACKFILL SEPTIC TANKS ❑ OF PERMITTEE' " `'- - _ SEEP,PIT(S) ❑ CESSPOOLS ❑ VALIDATIOAF 4. ROBERT A. WOOD .� SUPERVISING MECHANICAL ENGINEER CK. M.O. CASH :DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS 9516 E. Lonimlen CROSS ST. LOCALITY '1 v.I nle Ciz DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST A S CROSS ST. Oak — RECEIVED BY Ready for Inspection DATE ISSUED OWNER TempleCitySchool ry_'J.S�,Y'7.C're MAR %� ADDRESS 9516 E. L "1"C=eTZ USE ZONE OCCUPANCY� � �y.![ I BK MAP PG r� CITY �E'•TRple C.i t� TEL.NO.,',t 844rI J CONTRACTOR CO.IMP.NO. ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO. COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT No. 1 STATE ENCROACHMENT PERMIT NO. BLOCK 111 TRACT PB6 — 13'; INDUSTRIAL SIZE OF LOT N0.OF BLDGS. WASTE APPROVAL (y,, NOW ON LOT 8 CHARGES USEOF -BUILDINGS warehouse CONNECTION CHARGE FEE ' NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER C $ 3.50 RECEIPT NO. ` DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AHD/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 I MANHOLE REFERENCE F_ UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 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 DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS--------------------DAY OF..........................._...._....19...__ NEW HOUSE SEWER I OWNER OR CONNECT ADDITIONAL OWNERS AGENT...................................__.._..........................-......... BUILDING OR WORK ADDRESS................... --••-----•-----------•--------------- - - SEPTIC TANK,SEEP.PIT(S) - AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL 0 DRYWELL CATION AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR S� 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 DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)E] CESSPOOLS C] - 16AG42D 663 1/53 DEPAItrivTENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING {� i NEAREST ADDRESS /5j'16 L' • I.OY��'den Ve. CROSS ST. LOCALITY Temple City DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST A S CROSS ST. Oak OWNER t"f3nple City School District RECEIVED BY Ready for Inspection DATE ISSUED MAIL ADDRESS 0/516 Lo cden USE ZONE OCCUPANCY SK MAP PG CITY Temol.e C i•GT,'EL.NO. r'i t 03/11.7 CONTRACTOR CO.IMP.NO. _-----__- ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO. _ COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT �/ PERMIT NO. BLOCK A'1 TRACT T1t7CJ "` 137 INDUSTRIAL SIZE OF LOT NO.OF BLDGS. WASTE APPROVAL � NOW ON LOT CHARGES USE OF BUILDINGS School Aiud to il'TrI CONNECTION CHARGE FEE NO.I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ $ 3.50 RECEIPT NO. DATE i BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDQ.OR EXCEPTION RECORDED —L WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO- DATE I BY EWER 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 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS--------------------DAY OF...._.............._.........._......19...... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT...................._..............•.--...._..............--..........-. BUILDING OR WORK ADDRESS............................................................................................ SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] 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 1 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 WGRIBED RESIDE AL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)� CESSPOOLS El s. OF PERMITTE ----------­------- 76A642D 663 1/53 -OEPAIrrMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING / � 7 CNEAREST ROSS ST. ADDRESS ��Cl 1 . TAY ia.�'1) LOCALITY Te s'13l e City DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST A S CROSS ST. Oak RECEIVED BY Ready for Inspection DATE ISSUED OWNER Tomcle City chool District MAIL ADDRESS `1 �� E. �G, C1P2t USEZONE OCCUPANCY MAP BK PG CITY Temple City TELAO-At. 61Q/.°'/ CONTRACTOR CO.IMP.NO. ADDRESS JOB NO. CITY TELAO. STATE TRUNK PERMIT NO. ❑❑ REGISTRATION NO. [j COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT N0,. STATE ENCROACHMENT .r, PERMIT NO. BLOCK M! TRACT 1,M6 - 137 INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT CHARGES USE OF BUILDINGS sC11,001 classroom.s 1 thru 5 CONNECTION CHARGE FEE NO.I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER@ $ 3.50 RECEIPT NO. DATE BY HOUSE SEWER CONNECTINGG TO PRIVAT EDISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. DATE !BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AHD/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION 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 OR..................................... 19..._... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT....................--••-•............................_.............._....... BUILDING OR WORK ADDRESS_---- --------------........................._......----------- SEPTIC TANK,SEEP.PIT(S) - AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL I] 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 I HEREBY CERTIFY THAT 1 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 RESID TIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE _tr > SEEP.PIT(S)(] CESSPOOLS OF PERMIT; _. r 76A642A 663 1/53 DEPAIV MENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY EN13INEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADORE yr C� i. L•O','),�?Cten CROSS ST. LOCALITY riggro.,ole City DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST A S Cnak ROSS SL RECEIVED BY Ready for Inspection DATE ISSUED OWNER Tear_;'e City School Dist. MAIL CC ADDRESS 9516 ]. T 1-T-den USE ZONE OCCUPANCY MAP BK PG CITY it?ni"l e liity TELAO. rt 6 '� 7 CONTRACTOR CO.IMP.NO. ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. --------` STATE REGISTRATION NO. COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT PERI -' II�� MT NO. _ BLOCK I'"= TRACT IM6 -- 137 INDUSTRIAL SIZE OF LOT N0.OF SLOGS. S NOW ON LOT 8 WASTE APPROVAL CHARGES \,1 C USE OF rte.(`tom=1 s BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER @ $ 3.50 RECEIPT NO. i DATE (BY HOUSE SEWER CONNECTING TO _PRiVATE DISPOSAL SYSTEM LDO CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. DATE I BY 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 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS ; I oo Y. CURB P.L. M.L.TO P.L. PERMIT _ AUTHORIZATION TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR' S5iGNATURE DATE DWELLING TO THE PUBLIC -SEWER SIGNED THIS.---------___....DAY OF-.....-......_................_......_19....... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL - -- (§ OWNERS AGENT...--••- ----------------------------------- ---•-•-••-__------•-••------ ADDRESS-------------...........----------------...................._.. SEPTIC TANK.SEEP.PIT(S) ••--•-•--•••--•........-_... AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[:] DRYWELL CA TIMON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COPLY 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 DESCRIBED RESIDENTIA5 PROPERTY. BACKFILL SEPTIC TANKS SEEP.PIT(S)[:] CESSPOOLS SIGNATURE "w OF PERMITTEE.- .--...-- ............... 76A642D 663 1/53 - DEPAIVrMEN'T OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS i FOR APPLICANT TO FILL IN LOCALITY BUILDING N. ADDRESS 9516 t' Lo G.E�n NEAREST N. • CROSS ST. LOCALITY ri BTTYple City DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST A sC CROSS ST. OakS RECEIVED BY Ready for Inspeetion DATE ISSUED OWNER Terip e City Oche-ol 7'ds'. MAIL `A DRESS 95161'% LOrgden USE ZONE OCCUPANCYBK MAP PG CITY sCitV TEL.NO..clt 68U, , CONTRACTOR CO.IMP.NO. ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO. COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. �b STATE ENCROACHMENT � — PERMIT N0. BLOCK 1'j TRACT iB6 — 137 INDUSTRIAL WASTE APPROVAL N0.OF BLDGS. SIZE OF LOT NOW ON LOT 0 CHARGES USE OF BUILDINGS 1)is-t Adni-nistration CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER $ 3.50 RECEIPT NO. DATE I BY HOUSE SEWER CONNECTING TO 1 PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR jj EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 I ALTER OR 1.REPAIR EXISTING NO. I DATE I BY 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 DRAINF{ELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT I 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE 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 ---._._L............... SEPTIC TANK,SEEP.PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 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 _ 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 I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENT AL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE „ +sem 1 SEEP.PIT(S)E] CESSPOOLS OFPERMiTTE) 76A642D 663 1/53