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Home My Public Portal About6027 OAK AVE_Sewer__ ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1405280006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS: ITR: 6561 IT: 338 UN: .002 IEXIST OCC GRP: 6029 OAK AV I IBLDGS. NOW ON LOT: TEMP CA 917802030 (ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET: WOODRUFF 1 15385-005-008 (ORIGINATION: I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI ILENGTH ML TO PL: STATION: DEPTH: _ TENANT: IMANHOLE REFERENCE: UPPER/LOWER: IISSUED ON: PROCESSED BY: 1 1 105/28/14 SR I ICOUNTY IMPROVEMENT NUMBER: (OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DAT F it B : CODE: 1 IWEEKS JEANNE M, ERIKSON/JEANNE (626) 872-1202- IJOB NUMBER: i L' •�jy�� 16029 OAK AV ITRUNK PERMIT NUMBER: 7 '2 ITEMP 917802030 IROAD PERMIT NUMBER: IDESCRIPTION OF WORK 1 IAFFADAVIT: NO IREPLACE APPROXIMATELY 45 OF ORIGINAL 1930 OR 1931 CLAY I IWAIVER: NO 1EXTERIOR PIPING WITH NEW BLACK PLASTIC PVCI) COMMERCIAL I (APPLICANT: TEL. NO: (EASEMENT: NO IPIPING 1 ISAME AS OWNER - I I I I IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1 (HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: I I ICONTRACTOR: TEL. NO: I FEES PAID [APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER I I I I 101 PERMIT ISSUANCE FEE 27.80 1CON14ECT ADDITIONAL I I I 115 ALT/REP HOUSE SEWER 1.00 EAC 30.50 IBUILDING OR WORK I [ ARCHITECT OR ENGINEER: TEL. NO: [ TOTAL FEES 58.30 1--- 1 I [ - I ISEPTIC TANK, SEEPAGE PITI [ I LIC. NO: i iAND/OR DRAIN FIELD IDRYWELL [ [ 1 SEWER MAP BOOK: PAGE: 1 (ALTER, REPAIR, SEWER OR I I (SEWAGE DISPOSAL SYSTEM I I IDISCONNECT PLUG AND I I I I I (ABANDON HOUSE SEWER I I I 1 I IBACKFILL SEPTIC TANKS _1 I I ISEEP. PIT _ CESSPOOL _� 1 [ 1 IGRAYWATER SYSTEM I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR266 ROUTE TO BS0508 I I I I I I I I I s N s 24650 INSERTS, CES03 a-so 7GA6420 APPLIC TION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS �''' 70F3N A. LAMBIE, Couatp Enginger WILLIAM A. JENSEN,Supt of Building LOCALITY t" ' FOR APPLICANT TO FILL IN CROSS SST.LEGL DESCRI P ION LOT N0. . fI f d' � 1 {-} OWNER BLOCK TRACT MAIL - _ ADDRES&_ NO.OFF BLDGS. S!ZE OF LOT NOW ON LOT CITY TEL. NO USE OF'BUILDINGS y+ , DISTRICT N0. GROUP BK APAP P� PROCESSED BY CONTRACTO ADDRESS may: =E CONNECTION DATA Ci TELmNO. STATION DEPTH TATE MANHOLE REFEREt` E REGISTRATIONNO. :"� 'e�"" COUNTY - ,1c`" °� r°`' LOWER NO. DESCRIPTION OF WORK FEF_ ,. ✓ r � HOUSE'SEWER CONNECTING TO PUBLIC SEWER C) $3.00 TYPE 0 CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD FXTN..CESSPOOL.DRYWELL @ $ 2.00 HOUSE SEWER GON^dECTiNG TO P.C.NO, PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. � JOB NO. CONNECT ADDITIONAL BLDG.OR P. 1� TRUNK PERMIT NO. RO "PERMIT NO, O WORK 70 HOOSE SEWER �� $1,00 ALTER, REPAIR OR AFIAND€YN HOUSE STATE.ENCROACHMENT - U SEWER OR D[5POSAL 5Y STEM @ $1.00 PERMIT NO ,'s ` O INDUSTRIAL r �° WASTE APP a'AC0.7 CHARGES ran OWNER'S PERMIT $ 21 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE " REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- - TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER SIGNED THIS F NEW HOUSE SEWER _ OWNER OR CONNECT ADDITIONAL. OWNERS AGENT - BUILDING OR.WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE T144AT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS, ALTER,REPAIR,SEWER OR SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE„ DESCRIBED RESIDE-N_14-AL PROPEUT,-y' " BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP.PIT(,',) ❑ CESSPOOLS ❑_ OF PERMIT TEE �r r' -VALIDATION j, ROBERT A. WOOD CK,,. B.O.. CASH :"�,'` GSUPERVISING MECHANICAL ENGINEER 7sAE.66 APPLICATION FOR PERMIT 1 Sic E•868(7.55 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING t : JOHN A. LAMBIE; COUNTY ENGINEER ADDRESS - — ,�,� � , CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY _ FOR APPLICANT TO FILL IN doss ST." '_�a, '" -- ---- LEGAL _DESCRIPTION LOT NO, -- r;:':` 5 ,a-- --« —OWNER -- �— ^ BLOCK TRACT xi' � ADDRESS MAIL NO.OF BLD.GS. - a SIZE OF LOT - NOW ON LOT CITY O TEL, N0. 4 ;; ' USE OF �y BU%LD[NGS DISTRICT N0. GROUP MAP BK PG CONTRACTOR ADDRESS CONNECTION DATA '� c s 7 3 -- -- --'- --- ------ -- ' C STATIONS T DEPTH CITY r TEL. NO. -`- ------- — '��: MANHOLE REFERENCE / ` 60 �'STATE -----._..._ •-_. --- 'f�`� �LOW'ETF REGISTRATIl7N NO, f,✓i '" 'y-�'lv.�-'` ❑ COUNTY '�— NO. DESCf21PTi0N OF' €9ftK #' FEE TYPE OF�Cf3AtPIgCT10N^— LENGTH FROM HOUSE SEWER CONNECTING TO w _ $5.50 '— r' CURB ; P.L. M.L.TO P.L.PUBLlCSEWER _ � — SEPTIC TANK S-HACE PIT OR PITSANDIOR DRA_INFIELD (dl $_3.00. OVERFLOW SEEPAGE PIT, DRA.iNFIELD �P. C. N0. EX1N•,CESSP06L,DRYW'ELL,MANHOLE u� $.2.DD� - _CO.. IMP, NO! �� HOUSE SEWER CONNECTING TO ��"� 1 PRIVATE_DISPOSAL SYSTEM_ �4 S 1.00 I - TRUNK PERMIT NO. ROAD PERMIT NO, g ,y'r,� 7 t" f CONNECT ADDITIOPdAL BLDG.OR STATE,ENCROACHMENT 6` �_WORK TO HOUSE SEWER_ _ _ fw $1.00 PERMIT NO. ALTER,REPAIR OR ABANDON ROUSE INDUSTRIAL INDUSTRIALS—^— - ----- -_----- —j SEWER OR DISPOSAL SYSTEM_ (q! $ WASTE APPROVAL I CHARGES r _ CONNECTION CHARGE FEE OWNER'S PERMIT 5 —I 00 -- ---- AUTHORIZATION TOTAL FEE ' ( REIMBURSEMENT FEE t CO DATE IINSPEC'IOR'SSIGNATURE APPROVALS ' IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN CON.N= ._: _ _....�—...-----.---.�-------{----_._.--„-_—._ ---_._ HAVE TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THP: PUBLIC Sr ER. NEW HOUSE SEWER : SIGNED THIS _DAY OF CONNECT ADDITIONAL —� OWNER OR - - BUILDING.OR WORK OWNERS AGENT--' .y:- .__-._._----------- - " -- SEPTIC TANK.SEEP,PITS) --- ADDRESS AND/OR DRAINFCELD i HEREBY ACKNOWLEDGEABO THAT t HAVE READ THIS APPLICATION CESSPOOL[]_DRYWELL❑_ AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY _— --1- _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR I PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTEM _ 1 HERESY CERTIFY THAT I AW PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATETE 6F AB NDON HOUSESEWE_R_ _ CA ORNIA OR TN. 1' i AM dFt LEGAL,OWNER 0 �TIE A V13.. �- -- --_ DESCPcDENT P Y, YJ KFILL SEPTIC TANKS[� SIGN `' - Z `' '"- ;; S" P.PIT(S) [j CES.SPOOLSr� — _ — I PER I TEE — IOHN A. LAMBIE, COUNTY ENGINEER VALIDATIOIy ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK, U.Q. cxsn s'