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HomeMy Public PortalAbout6263 MUSCATEL AVE_Sewer__ Y 6A642D APPLICATION FOR PERMIT' COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING :.S JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS mussatel LOCA COLEMAN W. JENKINS, SUPT. OF BUILDING ALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. Lonzden REscwp7iorq LOT NO, OWNER Joky 14araliall Constrastie MAIL :1 BLOCK 65 TRACT 5903 ADDRESS 100. E, Las Timax Dr, NO. OF BLDGS. a SIZE OF LOTNOW ON LOT J,. CITY TEL. NO, USE 0 MAPPROCESSEDI By BUILDINGS single Family res, DISTRICT NO.1 GROUP BK PG c_I', CONTRACTOR Jokn Marskall Constrastl . - —as Tmas Dr. ADDRESSATO ELCOON DATA CITYGa *1 TEL. Nll�2M95" STATION DEPTH STATE YC MANHOLE REFERENCE UPPER LICENSE NO., CLASS lal - r__ — 75, -_3 1 WORK FEE --TYPE 'EN6TA FR$M 0 'PT' PE OF CONNECTION SEWER_1,O ING TO Y. CURB P.L, M.L.TO P. PUBLIC SEWER @ $5.00 1 — P .NO 0 SEPTIC TANK SE-E-PAGE PIT OR t CO.IMP.NO. JOB NO. �ITS AND/OR ORA I NFIELD @ $10.00 IHOUSESEWER CONNECTING To TRUNK PERMIT NO, ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM $3.00 0 CONNECT-- ADDITIONAL BLDG,OR A_F_l6kV__JTF[w�R EASEMENT RECORD,INSTR.NO. DATE WORK TO HOUSE SEWER (d OVERF L ow SEEPAGE PIT DR A I N F I E L D IE _CESSPOOL,DRYWELL.MANHOLE $5.00 rl HWY.OR rT.WIDENING ABANDON HOUSE I SEWER C $3,00 STATE ENCROACHMENT EW ROACHMENT PERMIT NO. j,-, INDU WASTES' APPROYAL OWNERS PERMIT 2' 00 CHARGES CONNECTION CHARGE FEE AUTHORIZATION AL FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS----DAY OF�------- OWNER OR NEW HOUSE SEWER OWNERS AGENT_- CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PIT($) IHEREBY NO THAT I HAVE. READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY — WITH ALL COUNTY ORDINANCES E S AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL El DRYWELL El HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR ALTER.REPAIR,SEWER OR L L LICENSED AS REQUIRED BY OS ANGLES COUNTY AND STATE OF SEWAGE DISP OSAL SYSTEM CALIFORNIA. A OR THAT I.AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED RES!DENTLAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS OF PERMITTEE___ El CESSPOOLS ❑ VALIDATION JACK R. ALLEN M.O. CASH SUPERVISING MECHANICAL ENGINEER D L EBOS 3-62 6A642D APPLICATION FOR PERMIT . =- --j , TY cO UN of Los ANGELES SEWER—SE+NAG DISPOSAL_. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 1/ �!,uscatei Avenue JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS C1� ;(.^ may— /v COLEMAN W. JEN KINS. SUPT. OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FII.L IN CROSS ST. e) LI 6 X-� LEGAL '7 DESCRIPTION LOT NO. ;E' .✓i ��r�-jn�./ „ �^ OWNER John Marshall Construction -� MAIL +I �� BLOCK_ TRACT � L ADDRESS 1Q-1Q--F. It±�(�`�-F. Las11 ar, NO. OF SLOGS, ii,,,� -7 286- 822 SIZE OF LOT NOW ON LOT CITY San �.rabrlc�. TEL. NO. C.3 USE OF ^� DISTRICT NO. GROUP MAPPROCESSED BY BUILDINGS _ resident PG CONTRACTOR - Owen Bros._Plumbin Inc. ADDRESS 4265 No. Baldwin - CONNECTION DATA CITY El Monte TEL. NO. .�08STATI ON�ij J DEPTH STATE LIC - ` P �,;y: ,} +' � UPPER LICENSE NO: c ` MANHOLE REF R E NC -I' 231741.. GLASS V'� Cg --�,���j/�y4*� k L. 'C7W�cR NO. DESCRIPTION OF WORK' _ FEE TYPE'Of G' ON LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. jPUBLIC SEWER @ $5.00 I 51 Do `� O -_ _ I P.C.NO. SEPTIC TANK,SEEPAGE PIT OR CO. IMP.NO. JOB NO. U .PITS AND/OR DR.4INFIELD @ 510.00 � ----- - NOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 0 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER I FAS[MENT RECORD.INSTR.NO. DATE WORK TO HOUSE SEWER I OVERFLOW SEEPAGE PIT, DRAIN FIELD !EXTN.,CESSPOOL.DRYWELL.MANHOLE $5.00 j ' Gn —i ALTER.REPAIR OR ABANDON HOUSE —' HWY.OR ST.WIDENING z .- SEWER OR DISPOSAL SYSTEM $3.00 S _ "----'--- TATE ENCROACHMENT 1 PERMIT NO. ----._ '----- --?---- INDUSTRIAL I I WASTE APPROVAL CHARGES OWNER'S PERMIT---- $1 2: oo -- AUTHORIZATION[-TOTAL FEE 5111 CONNECTION CHARGE FEE - - IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON, REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING --- APPROVALS TO THE PUBLIC SEWER. DATE INSPECTOR'S SIGNATURE SIGNED THIS. . DAY OF_ 19._ - - OWNER OR NEW HOUSE SEWER OWNERS AGE NT— CONNECT ADDITIONAL BUILDING OR WORK ADDRESS_____ —_-- -- ----- SEPTIC TANK,SEEP,PIT(S) t HEREBY ACKNOWLEDGE THAT I .HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS- CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN.. THEV SCRIBED R'E IAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE _ ;ro BACKFILL SEPTIC TANKS ❑ nF' PER MTTTEEL SEEP.PIT(s) ❑ CESSPOOLS ❑ VALIDATION JACK R. ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER � tf 4y. �.. mF.81AMEN RTXMTor "Ot COMM 3wara DIVISION or.BUILDING mw g �S [WAGE DISPOSAL Comm OF 14M AXI t. �`>> - .�PERMIT APPLICATION r . WILLIAM oe. FTM �tNw QN®IN u t[W AO®el9lf) eutLarwe FOR APPLICANT TO RLL IN-- DONH9e �r_ ;r��eo�� .�°Y-C�•• • aeaaHer LOWIeTT eNea pa .�•' - • Op■. n :;, seffa D[Na %a IAL ea • Po a. I�All be*IIP {{ AooNtsO 'f ©ATE�s vanc 11141/ .fait � COOUPA_ N r r CONTRACTOR •' ° 1 . AeeN[He � .� es.eon.f�,:,.� am RMISTRATIORHe. P 3, STAT[aTRMPIM rttt LESAL -QM�T-It9�— - t:.stAVPTtOR' 'CdT 810. ."r,A ®m� �• A • .�'• w .rnn�DACII91[dT oLOeH TRACY ®� PHRnfT/Ia INDUST911A< BiAt O 'LOT��X b►o.OPow p �, ' a wACTE APPROVAL BUILD CHARGE'S NsDCBCI)IPTIf]N CR-Wplatt (?OBUILD t7® Ot/[t D PUDLmShcgwltEN O of e[lelfMfARtt; PRIVATE`I e90tI/[a PRIVATE 018►OSAL STSTtAf e.60 ;r r 0 • 1044 L fI­ woNK To ouarditwrN CtEN ON REPAIR tlusTIAD I•iA AAOEPnoN i[CCNDED _ t SEMEN ON DISPOSAL STSTHq 'j 6t3�oTl�tei�M_- --fie " .:� y .r,, OATt O9 A AND N oISP06AL SYBIE// fA8 • a PITS AND OR' RAINPIELB CONNEGTIpN DATA r M i . 11PH01A6CORDITIONSONLr oTAYfod 9Dow.98 imm - r OWNERS 3 PERLIIT 1=:13 - iTPt Mon AIJTfIORIYATION I MAV[TNIS DATE CONTNAC"o a:- ' CONTRACTOR TO CONNECT THE ABOVE D[WII[EO IXtiATIT T, qw LTO TMs Pusuo SEWER SIGNED THISS Dqy fMU=Mr$BMMATURE DST! OR Oo. WHEN, OR'v,y '� NEW�CYltlHYtQt°3yS:0r*��a s �1 ^.. 0:81910 AGENT CONNECT s- Ae0Nt69 Cut L01N®®@ waL SEPTIC TAaNi SEEP.PIM) - e NHN[er ACKNOWL[Ds[THAT f NAVE N[Ae THIS APPLir AND OD NryELD . GAMIN AND$TATE THAT TN``A r m T01bMPLV WITH ALL COVNTr sOVE is CORRHpT AND ASRH ► CcOfPCO`®OI)rw9LL 0 - aHOULATINO PLUN0IN®ANO itOR INANCE$AN tTATC LA ' • 1 N[RtDY 0[ Iif. ALTER NHaiu SEIPHN OR e �•_ _QHe%0N_L��ev.I�Iry'X'LT e'Aw p B9WAOH0 �*!�+•••b,•;. - ��- �IF+xrlesD sv P�:Rt�'r[arHTeae.•. _x--� ANO STATE OF OA EIJfI Os ANO9LHO CON 0lSCON>sHt[ - - tR OF-TNI AD �j{ N TNAT AH TNH SAL ABANDON u •t°f]x... cp AIS 9 SEWER- 7. EWSR � ,�•:.`.::z'3,''a-v,,i: _ 7 ®ApATCRE 'i" A®• :.< °a:. :{ OHtPo/aL�ltCTA..°.. PHNLiI . LII:• . CtsSP00L �� �R .3 �-'%.•. . TSAS-Mo �. .'INS hi :.ar y„°mcir-0.••- .. - u Q