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HomeMy Public PortalAbout5326 NOEL DR_Sewer__ S a«a gas fBe APPLICATION FOR PERMIT 1 oeDIVISION OF BUILDING AND SAFETY SEWER-SIEWAGE DISPOSAL Depwtment of County Engineer County of Los Angeles FADDRESS G JOHN A LAMBIE COGNTY ENGINEER CASSATT D GRIFFIN SOP T OF BUIL15ING 16, 210 YLag," 41-liv FOR APPLICANT TO FILL. IISr CROSS ST LEGAL OWNER DESCRIPTION LOT NO NAIL BLOCK TRACT // 1219 ADDRESS 0 Of BLDGS CITY f / TEL NO � O SIZE OF LOT NOW ON'LOT USE01 DISTRICT NO I GROUP I MAP BUILDINGS BK PG CONTRACTOR CONNECTION DATA ADDRESS , STATION DEPTH CITY TEL NO MANHOLE REFERENCE STATE LOWER REGISTRATION C40 OUNTY NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF TION LENGTH FROM PUBLIC SEWER @ $3 50 Y RB P L N L TOP L SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD $300 OVERFLOW SEEPAGE PIT DRAINFIELD P C NO EXTN CESSPOOL DRYWELL MANHOLE @ $200 CO IMP NO JOB NO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 0 $100 TRUNK PERMIT NO ROAD PERMIT NO C/ CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ $100 100 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL SEW9R OR DISPOSAL SYSTEM @ SI 00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNERS PERMT 3 1 00 AUTHORIZATION I TOTAL FEB 0 REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON APPROVALS DATE INSPqCTOR SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEW R NEW HOUSE SEWER I1 SIGNER TM DAYFF 19 CONNECT ADDITIONAL + OWNER OR BUILDING OR WORK OWNERS AGESEPTIC TANK SEEP PIT(S) ADDRES -of., AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AM PROPERLY REG RED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COU AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT M THE LE OW OF HE VE DESCRIBED RESIDENT[ ROPERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT($)❑ CESSPOOLS O fv OF PERMITTE JOHN A LAMBIE COOFY ERGINEER ATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK M S CASX fAll3 3 L tct 15 4 4.50 jo v J i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0506 0602210006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 ERT LEGAL ID SEWER SEPTIC SEWER BUILDING ADDRESS TR 11218 IT 16 BL E EXIST OCC GRP 5326 NOEL DR BLDGS NOW ON LOT TEMP CA 917803020 ASSESSOR INFORMATION NUMBER CONNECTION TYPE NEAREST CROSS STREET 5388 007 017 ORIGINATION THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C LENGTH ML TO PL STATION DEPTH TENANT MANHOLE REFERENCE UPPER/LOWER ISSUED ON PROCESSED BY EXPIRES ON 02/21/06 JK 08/20/06 COUNTY IMPROVEMENT NUMBER OWNER TEL NO PLAN CHECK NUMBER FINA4� E FINAL BY CODE MR HUNG (626) 287-4330 JOB NUMBER 5326 NOEL DR TRUNK PERMIT NUMBER E TRMP 917803020 ROAD PERMIT NUMBER 8 IPTION OF WORK AFFADAVIT NO ADDITION TO SEWER WAIVER NO APPLICANT TEL NO EASEMENT NO YOM (323) 697 2120 260 8 GARVEY AVE RECORD INSTRUMENT HER RECORD DATE SPECIAL CONDITIONS MONTEREY PARK 91755 HIGHWAY/STREET WIDENING STATE ENCROACHMENT PERMIT NUMBER CONTRACTOR TEL NO FEES PAID APPROVALS DATE INSPECTOR SIGNATURE RUNG HENRY YING NOW (626) 285 5669 6123 RENO AVE LIC NO FEE DESCRIPTION QUANTITY UON AMOUNT NEW HOUSE SEWER TEMPLE CITY CA 91760 608139 B 01 PERMIT ISSUANCE FEE 27 75 CONNECT ADDITIONAL 13 WORK TO HOUSE SEWER 1 00 RAC 30 45 BUILDING OR WORK G ARCHITECT OR ENGINEER TEL NO TOTAL FEES 58 20 v KWOK TERENCE (323) 697 2120 SEPTIC TANK SEEPAGE PIT 260 E GARVEY AVE LIC NO AND/OR DRAIN FIELD MONTEREY PARK CA 91755 NONE DRYWELL _ SEWER MAP BOOK PAGE ALTER REPAIR SENSE OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS _ SEEP PIT CESSPOOL GRAYWATER SYSTEM REPORT ID DPR266 ROUTE TO BS0508