HomeMy Public PortalAbout5326 NOEL DR_Sewer__ S
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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