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Home My Public Portal About5703 NOEL DR_Sewer__ lD sagass llss APPLICATION FOR PERMIT DMSION OF BUMDMG AND SAFETY SEWER SEWAGE DISPOSAL DoparWw t of CouatEngines: Connty of Los Ay, 6 [BULD'Mo I clo JOHN A LAMBIE COUNTY ENGINEER DDRESS ® CASSATT D GRIFFIN SUP T OF BUILDING OCALITY FOR APPLICANT TO FILL IN Ross ST 4220 LEGALF I OWNER ` DESCRIPTION LOT NO MAIL /!_ BLOCK TRACT ADDRESSNO OF v"L SIZE OF LOT NOW ONBLOTS CITY A TEL NO T USE OFDISTRICT NO GROUP MAP BUILDINGS '�2. � BK P6 CONTRACTOR � I � ADDRESS CONNECTION DATA STATION DEPTH CITY TEL NO MANHOLE REFERENCE STATE �/ r LOWE01 REGISTRATION NO ❑ COUNTY I r E No DESCRIPTION OF-WORK FEE HOUSE SEWER CONNECTING TO TYPE 0 TION LENGTH FROM PUBLIC SEWER @ $8 50 Y CURB P L M L TOP L SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $S 00 OVERFLOW SEEPAGE PIT DRAINFIELD I P C NO EXTN CESSPOOL DRYWELL MANHOLE® $200 CO IMP NO JOB NO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 00 TRUNK PERMIT NO ROAD PERMIT NO CON NECTADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ $1 00 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUST IAL SEWER OR DISPOSAL SYSTEM $100 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNERS PER= t 1 00 AUTHORIZATION I TOTAL FEEO REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON APPROVALS DATE INSPECTOR URE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWE NEW HOUSE SEWER SIGNED THU DAY OF 19. CONNECT ADDITIONAL OWNER OR 1 BUILDING OR WORK OWNERS AG T SEPTIC TANK SEEP PIT(S) ADDRES AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I 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 I HEREBY CERTIFY THAT I AM PROPERLY RE STERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT M THE LE 0 ER OF THE VE DESCRIBED RESIDENTI ROPERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PITS)❑ CESSPOOLS & OF PERM ITT JOHN A LAMBIE C!�P^ENGINEERATW-M ROBERT A WOOD CHIEF PLBG INSPECTOR CK Y O sMy23 - 4A 4.50X s sa 76AG42D APPLICATION FOR PERMIT 8A64 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGV=R BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMM County EBgsneer ADDRESS WILLIAM A IENSEN Sup t of Budding �y o- ® LOCALITY /�T//rzio NEAREST FOR APPLICANT TO FML IN °Rosa sT LEGAL DESCRIPTION LOT NO OWNER �JD MAIL BLOCK TRACT ADDRESS NO OF BLDGS 812E OF LOT NOW ON LOT CITY NO USE OF BUILDINGS B O P DISTRICT NO GROUP MAP PROCESSED BY .Cr ^ K CONTRACTOR - V O � L -(3 c 19 w ADDRESS `- CONNECTION DATA ww STATION DEPTH CIT � L NO Q(� ATE UPPER REGISTRATION NO COUNTMANHOLE REFERENCE Y LOWER NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L ML TOP L PUBLIC SEWER SS 00 SEPTIC TANK SEEPAGE PIT OR J NO C NO JOB PITS AND/OR DRAINFIELD $1000 CO IMP NO O HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO V PRIVATE DISPOSAL SYSTEM $300 CONNECT ADDITIONALBLDG OR AFFIDAVIT WAIT!! U1190BMT RECORD INSTR NO DATE 9` -7 WORK TO HOUSE SEWER m 89 00 O O OVERFLOW SEEPAGE PIT DRAINFIELD 1{0 EXTN CESSPOOL DRYWELL MANHOLE ;S 00 HWY OR ST WIDENING ALTER REPAIR OR ABANDON HOUSE d SEWER OR DISPOSAL SYSTEM $300 STATE ENCROACHMENTrz PERMIT NO ,z INDUSTRIAL ��pNER WASTE APPROVAL OWNERS S PERMIT S 2 OO CHARGES CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING O`:R*� AIS TO THE PUBLIC SEWER ♦ DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF 18_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SEPTIC TANK BEEP PIT(8) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSED ASRFJM4RED BY L08 ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR HA i A HE LEGAL OWNER D INTEND TO DISCONNECT PLUG AND RESIDE IN THE AB VIVA (DENT OPERTY ABANDON HOUSE SEWER / SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTE SEEP PIT(S) ❑ CESSPOOLS ❑ QVMMATION ROBERT A WOOD cK M O CASH SUPERVISING MECHANICAL ENGINEER LPL4 M024 1 0 0 5.00ru wc - i COUNTY OF LAS &NGELEQ TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAb TJNAS SE 0508 1310230004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 9178U PHONE (626) 285 0488 FXT ILEGAL ID ISEWER / SEPTIC SEWER I BUILDING ADDRESS I ITR 6561 LT 729 (EXIST OCC GRP 1 5703 OAK AV 1 I IBLDGS NOW ON LOT I TEMP CA 917802431 1 (ASSESSOR INFORMATION NUMBER ICONNECTION TYPE I NEAREST CROSS STREET 1 18587 005 002 (ORIGINATION I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI I ILENGTH ML TO PL STATION DEPTH I I ITENANT IMANHOLE REFERENCE UPPER/LOWER (ISSUED ON PROCESSED BY I I 1 110/23/13 SR I IroUNTY IMPROVEMENT NUMBER I I (OWNER TEL NO IPLAN CHECK NUMBER IFINAL DA FI BY CODE I IFULCO NORMAN J DOROTHY J (626) 818 8566 1JOB NUMBER I 1- 1 15703 OAK AV ITRUNK PERMIT NUMBER ITEMP 917802431 IROAD PERMIT NUMBER 1 SCRIP ION OF WORK I IAFFADAVIT NO (INSTALL SEWER CLEAN OUT IWAIVER NO I 1 1APPLICANT TEL NO 1EASEMENT NO I 1 IRIOS RUDY (626) 858 9288 1 1_ 1 1475 E ARROW HWY IRECORD INSTRUMENT NBR RECORD DATE ISPECIAL CONDITIONS 1 1AZUSA CA 91702 HIGHWAY/STREET WIDENING 1 1 (STATE ENCROACHMENT PERMIT NUMBER I 1. W� ICONTRACTOR TEL NO I FEES PAID IAA PRO��DATE INSPECTOR SIGNATURE INSPECTOR SIGNATURE 1 IRESCUE ROOTER (626) 858 9284 I 1 I 1475 E ARROW HWY LIC NO IFEE DESCRIPTION QUANTITY UOM AMOUNT INEW HOUSE SEWER I I IAZUSA CA 91702 765155 * I I I I 1 101 PERMIT ISSUANCE FEE 27 80 ICONNECT ADDITIONAL I 1 1 103 CONN TO PUBLIC SEWER 1 00 CON 47 00 IBUILDING OR WORK 1 I I (ARCHITECT OR ENGINEER TEL NO I TOTAL FEES 74 80 1 I 1 I I I ISEPrIC TANK SEEPAGE PITI I 1 I LIC NO I IAND/OR DRAIN FIELD I 1 I I IDRYWELL _ I I 1 I SEWER MAP BOOK PAGE I 1ALTER REPAIR SEWER OR I I I I I ISEWAGE DISPOSAL SYSTEM 1 1 I I I IDISCONNECT PLUG AND 1 1 1 ABANDON HOUSE SEWER I I ( I 1 1 I I IBACKFILL SEPTIC TANKS — 1 1 I I ISEEP PIT _ CESSPOOL I I I IGRAYWATER SYSTEM I 1 I I l I I I I I I I I I I I i I I I I II* ADDITIONAL DATA ON FILE 1 1 1 I I I I I I 1 IREPORT ID DPR266 ROUTE TO BS0508 I 1 1 1 I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1211130003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID ISEWER / SEPTIC SEWER I BUILDING ADDRESS ITR 6561 IT 729 JEXIST OCC GRP 1 5703 OAK AV 1BLDGS NOW ON LAT I TEMP CA 917802431 (ASSESSOR INFORMATION NUMBER ICONNECTION TYPE I NEAREST CROSS STREET 18587 005 002 (ORIGINATION I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI I ILENGTH ML TO PL STATION DEPTH I ITT IMANHOLE REFERENCE UPPER/LOWER ISSUED ON PROCESSED BY I tI 11/13/12 SR I ICOUNTY IMPROVEMENT NUMBER I I (OWNER TEL NO IPLAN CHECK NUMBER IF DATE FI CODE IFULCO NORMAN J DOROTHY J IJOB NUMBER I 1 15703 OAK AV ITRUNK PERMIT NUMBER I 7 1 ITEMP 917802431 lJROAD PERMIT NUMBER IMACRIPTION OF WORK [ JAFFADAVIT NO IREPLACE SEWER CLEANOUT AND SEWER LINE SPOT REPAIR [ IWAIVER NO I I [APPLICANT TEL NO (EASEMENT NO 1 I IDOBBINS KEVIN (310) 838 0408 1 1 I 13801 LENAWEE AVE IRECORD INSTRUMENT NBR RECORD DATE ISPECIAL CONDITIONS 1 CULVER CITY 90232 IHIGHWAY/STREET WIDENING 1 I ISTATE ENCROACHMENT PERMIT NUMBER 1 I CONTRACTOR TEL NO I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE 1 IMIKE DIAMOND PLUMBING INC (310) 838 0408 1 1 1 (DBA MIKE DIAMOND PLUMBING LIC NO IFEE DESCRIPTION QUANTITY UOM AMOUNT INEW MOUSE SEWER I I I 13801 LENAWEE AVENUE - 399170 * I - 1 1-1 I ICULVER CITY CA 90232 101 PERMIT ISSUANCE FEE 27 80 ICONNECT ADDITIONAL I I 1 115 ALT/REP HOUSE SEWER 2 00 EAC 61 00 (BUILDING OR WORKIf I:rr I� 1 (ARCHITECT OR ENGINEER TEL NO I TOTAL FEES 88 80 1 I I [ I ISEPTIC TANK SEEPAGE PITI I 1 LIC NO I (AND/OR DRAIN FIELD I I I 1 I 1DRYWFLL 1 SEWER MAP BOOK PAGE i IALTER REPAIR SEWER OR I I I ISEWALUE DISPOSAL SYSTEM I I IDISCONNECT PLUG AND I I 1 [ 1ABAADON HOUSE SEWER 1 1 1 I BACAFILL SEPTIC TANKS I [ ISEEP PIT _ CESSPOOL I [ IGRAYWATER SYSTEM I I 1 [ [ 1 I I 1 I* ADDITIONAL DATA ON FILE I I I 1 I 1 I I IREPORT ID DPR266 ROUTE TO BS0508 1 1 1 I [ I I I I I