HomeMy Public PortalAbout10726 LORA ST_Sewer__ 1 I r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0001240002
BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL ID: SEWER / SEPTIC: X BUILDING ADDRESS-
TR: 17867 LT: 14 EXIST OCC GRP: 10726 LORA ST
BLDGS. NOW ON LOT: TEMP CA 917803411
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: PERSIMMON
8574-001-014 ORIGINATION: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
01/24/00 UT 07/22/00
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL B CODE:
HAYS DARIUS R;CYNTHIA G (818) 287-3232- JOB NUMBER: 1.20 ,0'a
4901 GOLDEN WEST AV TRUNK PERMIT NUMBER:
TEMP 917803938 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO REPLACE MAIN LINE FROM H U TO PROPERTY/
ROPERTY INE
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
GOOD DAY PLUMBING (626) 285-8080-
4013 ROWLAND AVE. RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
EL MONTE, CA HIGHWAY/STRE�T.WI:D•T--ENING:�_
STATE ENCROAGHMENNT -
CONTRACTOR: TEL. NO: \ •EES-EESAPPROVALS DATE INSPECTOR SIGNATURE
GOOD DAY PLUMBING (626) 285-8080- ���`•�l;�
4013 ROWLAND AVE LIC. NO FE�D� I;P, ION: QUANTITY: UOMAMOUNT: E HOUSE SEWER
EL MONTE, CA 91732 565485 C36
,�04 PERMIT ISS UA
GE FE `�� 27.75 CONNECT ADDITIONAL
d/i15 ALT/RE P�HOUSE`SE ER X1.00 EAC 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: - � OTAL FEE�� ,\ 58.20
/ — ` SEPTIC TANK, SEEPAGE PI
LIC. NO��-�///L ---�- I I -- I ' ,�, AND/OR DRAIN FIELD
----
DRYWELL _
SEWER MAP BOOK: PAGE: itjr' 0;I�� ALTER, REPAIR, SEWER OR
I SEWAGE DISPOSAL SYSTEM
F--------r LL
------------ ------ DISCONNECT PLUG AND
-, Apj ABANDON HOUSE SEWER
`\ BACKFILL SEPTIC ANS _
\N". �' , �f l I / SEEP. PIT _ CESSPOOL _
GRAYWATER SYSTEM
Qa� "'vice
I
i
ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO BS0508
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 1.0726 Lora .9t- CROSS ST.
LOCALITY Fl Iaonte DISTRICT NO. SERIAL NO. PERMIT NO.
NEAREST
CR S ST. E1 Monte Mie• A S
S
RECEIVED BY Ready for Inspection DATE ISSUED
OWNER P, T,, Ile—Hutt
MAIL
USE ZONE OCCUPANCY MAP
ADDRESS 272 .gr rie] Blvd.
BK PG
CITY ,S`8?3 �hri Al TEL.NO. AT 94364
CONTRACTORF uct nn
- —_�r—�}i �Cj�1
.. , anS�.,.�..1X' � COs CO.IMP.N 0.
ADDRESS 408 Winthrop Dro
JOB.N0.
CITY .A11Jambra TEL.NO. T 48315
TRUNK PERMIT N0.
STTTE
REGISTRATION NO. r.J"C'� �: COUNTY
ROAD PERMIT N0.
LEGAL
DESCRIPTION LOT NO. STATET NCROACHMENT
PERMIBLOCK TRACT 17867 INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT N0.OF BLDGS.
NOW ON LOT 1 CHARGES
USE OF
BUILDINGS 1 Reg• CONNECTION CHARGE FEE
NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE
HOUSE SEWER CONNECTING TO
1 PUBLIC SEW ER @ ; 3.50 I RECEIPT NO. DATE (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' I DATE BY
SEWER OR DISPOSAL SY_S_TEM 1.00
�ClfiF61N F&AW)ABANDON.SEWER
AND/OR DISPOSAL SYSTEM 1.00 I CONNECTION DATA
SEPTIC TANK,SEEPAGE PIT OR
--PITS AND/OR DRAINFIELD 2.00 STATION DEPTH
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
i UPPER LOWER
TYPE OF CONNECTION LENGTH FROM
OWNERS PERMIT $ 1 1 00 Y. CURB P.L. M.L.TO P.L.
I
AUTHORIZATION TOTAL FEE I –
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 f
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 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOPLUGAND
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 0 1 N-
EN OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTFC TANKS
fiSGNATURE SEEP.PIT(S)0 CESSPOOLS
OF PERMITTEE--- - -----------------. .:...............
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