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HomeMy Public PortalAbout6154 OAK AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEwFR PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0407140004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: SEER / SEPTIC: SEWER BUILDING ADDR SS: ON FILE EXIST OCC GRP: 6154 OAK AV BLDGS. NOW ON LOT: TEMP CA 917801653 ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LONGDEN AVE. 5385-010-036 ORIGINATION: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON: 07/14/04 JX 01/10/05 COUNTY IMPROVEMENT NUMBER: OWNER: IEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: nEe GUAM, TONY (626) 893-8533- JOB NUMBER: f E/� 6154 OAK AV TRUNK PERMIT NUMBER: V` ` TEMP 917801653 ROAD PERMIT NUMBER: DESCRIPTION OF WORK AFFADAVIT: NO CONNECT HOUSE SEWER WAIVER: NO APPLICANT: TEL. NO: EASEMENT: NO (SAME AS OWNER RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:- HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: it-ON-TUC-TOR- TEL. NO: _ FEES PAID APPR0VALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOME SEWER 01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL 03 CONN TO PUBLIC SEWER 1.00 CON 416.95 BUILDING OR WORK eV ARCHITFC OR ENGINEER: TEL. NO: TCTAL FEES 74.70 ARCH-IM DESIGN (626) 284-0371- SEPTIC TANK, SEEPAGE PIT 1300 E. MAIN ST. LIC. NO: AND/OR DRAIN FIELD ALHAMBRA, CA 91801 NONE C:YWELL SEWER MAP BOOK: PAGE: ALTER, REPAIR, SIN ER2 OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER I BACKFILL SEPTIC TANKS _ SEEP. PIT CESSPOOL GRA WATER SYSTEM i i REPORT ID: DPR266 ROUTE TO BS0508 i CE808 6-64 / 76A642D APPLICATION FOR PERMIT,' If :;OU&TY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS WILLIAM A. IEN5EN, Sup'i of Building -1 — l.00ALITY ///... NEAREST - -� AP LICAI T TO FILLRD55 5T. LEGAL �± DESCRIPTION C)�LOT�NolrP r' /�,�;�,/�j dam'• , `� OWNER — _E- /� MAIL BLOCK (vt 7RACT_��y'Y3s �,1[j./' � '" ADDRESS. ! i ['y_ _4✓p ,- ,..� —{ - NO. OF BLDG.. .y —.LZ.i.=_ SIZE OF LOT .���! ( NOW ON LOT 4- CITY TEL. NO. USE OF JI J DISTRICT NO. GROUP MAP PROC ES ,¢BY BUILDINGS /Yq .�+y� ,�7 P �I y�-IL 1.-/Q`i' —. y�., fk •�T" BK PG � �p J'. CONTRACTOR G. .I} Ly ..�!•�_ _ — 2_ /. C ADDRESS _/ ..t — CONNECTION DATA _ CITY S;1Y TEL. NO. STATION DEPTH STATE MANHOL EFERENCE PER REGISTRATION NO. _ COUNTY LOWER NO. DESCRIPTION OF WORK FEE TYPE OF NNECTION LENGTH F. M HOUSE SEWER CONNECTING TO — Y. C B P.L, M.L.TO PUBLIC SEWER $5.00 SEPTIC TANK.SEEPAGE PIT OR P.C.NO. 0- PITS AND/OR DRAINFIELD $10._00 CO.IMP.NO. JOB NO C IHOUSE SEWER CONNECTING TO —W� TRUNK PERMIT NO. ROA ERMIT NO. PRIVATE DISPOSAL SYSTEM $3 00 CONNECT ADDITIONAL OL b G.OR AFFIDAVIT wAIV[E [ASEN[NT ECO . INSTR.NO. DATE Iy WORK TO HOUSE SEWER ® $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL.DRYWELL,MANHOLE $5.00 HWY. OR ST.WIDENING ABANDON HOUSE -:,� EL SGiVCtt2flk DISPOSAL SYSTEM $3.00 - r STATE ENCROACHMENT --- i PERMIT NO. — z — — -- INDUSTRIAL ` WASTE APPROVAL OWNERS PERMIT i $2 OO — CHARGES W CONNECTION CHA GE FEE AUTHORIZATION TOTAL FEE — 'I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CDN. REIMBURSEMENY FEE TnArTO THE UB CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC SEWER. y DATE INSPECTOR'S SIGNATURE SIGNED THIS_ DAY OF O / 19 -"�— OWNER OR - NEW HOUSE SEWER OWNERS AGENT �' CONNECT ADDITIONAL , ADDRESS_ S /t_" t_ V BUILDING OR WORK SEPTIC TANK,SEEP,PITS) I 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 ❑ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTERR ,REPAI ,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, THE AB p DESCRIBED RESIDENTIAL PROPERTY, ABANDON HOUSE SEWER SIGNATURE ice{% �/ OF PERMITTEE r BACKFILL SEPTIC TANKS ❑. : -" "— SEEP,PIT(S) ❑ CESSPOOLf �-VALIDATION ROBERT A. WOOD � CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER ._J1 APPLICATION FORE808 PERMI E808 10-63 6AS42U COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL'", DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING, y AD DRF SS ,-�'+ - WILLLIAAi A.YENSEN Supt Engineer ng - -- ---= -- LOCAL!TY N EA RE' •Y.,�' FOR APPLICANT TO FILL IN CROS ST CE CA —1 DESCR Pn DN L.oT'Na .: .. OWN:E Ia ---- -- _ - MAIL BLOCK NO. OF BLOCS, SIZE OF LOT NO`W ON S,OT C!T'YTEL. NO. .i SE OF BUILDINGS -- - --- _ - DISTRICT NO. GROUP MAP PROCESSED BY BK Pc CONTRACTOR ADDRESS CONNECTION DATA STATION - DEPTp. CITY 4 - •c. TEL NO. STATk. MANHOLE REFER r UPPER REGIS`TRATiON NO. r �� COUNTY La�I: No 3 DESCR;Pa1•b^. O� •. ---TYPE OF O -- -.._- i �7V©RK fE'c TYPE C?F CONNECT ON LENGTt+FROM - _._ _— _. _ 'H OUSE-SEWER CONN ,rrNG 70 Y CURB -, P L`.--- MEL O P:L. , -. • PUBLIC SEWER � $5.OD � �----"-- - __ __ -... ^ _,..._.___. .�__ _-.— P G IVO =- SEPTIC TANK SEE�PACE:PtT OR JOB NO. ��,+' PITS AND"OR DRAINFIELD @ 810.00 CO_El+t P.NO. i !. NO '€E S€W£P-CONNECTNG TO -_— _ TRUNK PERMIT NO, ROAD PERMIT NC' i PRIVATE DI ?0 A( SYSTEM @ 33.00 , CONNECT ADDI ONA 'ai DG OR AFFIDAVIT wA(VER EASEMENT RECORD. INSTR NO. --DATE S WORK TO HOUSE SEWER Q $3.00 .� I OVERF[_ON SEEPAGE PIT DRAIN-IELD T_--_--' � �'� EXTN.,C ESSPOOL,DRYWF L.MANHOLE ` $5.00 _ __ -_- - ._N- _.___------ SEWER _ __" NAVY. OR ST.V�IDENiNG 0.Al.TE'P.,REPA?R OR ABA"dD0`:HOUSE SE VER OR DISPOSAL SYST EM @ 53.00 STATE ENCROACHMENT INDUSTIR?AL WASTE APPROVAL OWNER'S PERMIT S' zaa --- - - - -- - AUTHORIZATION TOTAL FEF,. CONNECTION CHARGE FEE___ '1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT-FEE TRACTOR TO CONNFCT THE ABOVE DESCRIBED EXISTING DWELLING --- ---/—;—F—T�`+' �'— --'—T' -- `--'- -"- TO TH?, PU BL7C EWF_R- APPROYylyl.7 DATE I[N5PECTORS SIGNATURE SIGNED THIS —__DAY 0E—___------93— OWNER OR ".�, _ NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL .BUILDING OR WORK ADDRESS—-_ —_ _ ._ .. —.__�T .- __.. -' --- - - - tABA TIC TANK,SEEP,PITiS) I HFRFSY A..KNOW1-FDGE THAT i HAVE READ THIS APPLICATIO "OR DRAINHE�DNDS7ATE THAT 7HE ABOVE IS COR RE?'T AND AGREE TO COMPLWIT.H A.LL COUNTY ORDINANCES AND STATE LAWS REGULATINFLU.MBING AND SEWERS: SPOOL ❑ DRYWELL1HEREBY' CERTIFY THAT I. AM PROPEP,LY REGISTERED AND"OERREPAIR,SEWER OR LICENSED A'S REQUIRED BY LOS ANGLES COUNTY AND STATE OAGE DISPOSAL SYSTEMCA�!FORNIA OR iHATi AP4 THE LEGAI. OWNEii OF, AND INTEND 7 ----7--...-- — ----.._-_CONNECT PLUG AND RES+D£ iN, THE ABOVF,DESCRIBED RESIDENTIAL PROPERTY. NOON HOUSE SEWERSIGNATURE - KFILL SEPTIC TANKSOF PERMI'TEE —_ P,PITS:) Lj CESSPOOLS IElj VALIDATION ROBERT A. WOOD CK SUPERVISING MECHANICAL ENGINEER ®j) M.O. CASH :E808 10-63 6A642D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION WILOiNC JOHN A. LAMBIE, County Engineer WILLIAM A. JENSEN, Sup'; of Building LOCA Li TY T S FOR APPLICANT TO FILL IN CF055 L PTION L 0 T?�7q_ OWNER J- BLOCK ADDRESS OF BLOGS. SIZE 05 LOT NOW ON LOT CITY TEL. NO. USE OF MAP BUILDINGS DISTRICT NO. GROUP P.00rlSEr BY BK PG cl wr R A CT 0 1, ADVRr SS CONNECTION DATA STiA�iON L-, DEPTH, CITY TFL. 110, STATEMANHOLE REFERENCE 'UPPER, REG IS ATION NO. Ell COUNTY TYPE OF CONNECTiON LENGTH FROM No. 1 DES��RIP�lq WORK FEE HOUSE SEWERCONNEU7ING'TO P.L. M-L:TO P.L_ PUBLIC SEWFR @ $5.00 P.C.NO. SEPTIC T�AN�S�E P-AGl-PIT-al- ------ C � JOB NO. I PESAND/OP DRAINPIFL-D O,lllipNO, HOUSE:SEwER-ONNEC'TING TO TRUNK PERMIT NO, ROAD PERMIT D. S S @ $3�00 IW _WVATF . PC, AL SYSTEM —;uQNNEGTA D1710NA BLDG.OR DATE i WORK TO FO $E SEWER @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFELD ..XTN.,CESSFOOL,D��YWEL.L,MAN',�OL.E,@ $r,GO z: OR ST,W-DFIRiNG AL'TFR,REPAIR OR ABANDON riOUSE SEPEER OR DISPOSAL SYSTEM @ $3,00 —e SA " TE ENCROAC�.N­ PERMIT NO. INDUSTRIAL WASTE:APPROVAL C H.A R G ES R, FS ONVNE 'MIT CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE 'J I HAVE AT TH;$ DATE A CONTRACT WITH THE HEREIN NAMED CON- _T FEE DESCRIBED I G TOR. T 0 C ON N ECT -!HE ABOVE EXISTING DWELL N TO THE PUBLIC, SEWER. APPROVALS DATE. 1 q GTOR'S SIGNATURE SIGNED THiS DAY 0 19 L_41 OWNER OR NEW HOUSE.SFWER. OWNERS AGENr._ CONNECT ADDITIONAL BUILDING OR WORK ADDRES6z -—---- SEPTIC TANK,SE E P'rlT(S) HEREBY A-KNOWL.EDGL THAT I HAVE READ THIS APPLICAV!ON AND;OR DRAJNFIELD ?.NC I, _f E 15 CORRECT AND AGREE TO COMPLY N, S TA THAT THE ABOVE WITH ALL COUNTY 0 RD;NANCE S AND STATE LAWS REGULATING PLUMBING AND SEWERS, CV55POOL 1:1, ORYWELL 0 I HEREBY CERTIFY THAT I AM PROPFRLY REGI57LRED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REG.U!REO BY LOS ANGLES COUNTY AND STATE OF SC LWAGE DISPOSAL SYSTEM C I R I, r AL-ORN A 0 AT f AM HE LEGAL OWNER OF, AND lfOEND 1-0 DISCONNECT PLUG AND R Ef'51DE iN, THE A8OVIE DESCRIBED RES'OrNTIAL PPOI✓EFITY. APANDON HOUSE'EWER ------------------ SIGNATURE 'PTIG'"'N'S BACKFILL OF PERMITTEFS BACK 'E" Piz I 5' CESSPOOLS VALIDATION ROBERT A. WOOD CK M.0 CASH SUPERVISING MECHANICAL... ENGINEER 17 :E8O8 10-63 'Y 6A642D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION 5 Ur L 10111 N IG SL ADDRESS JOHN A. LAMBIE FADDRESS J County Engineer WILLIAM A. JENSEN, Supi of Building LOCALITY E A:� 44RES-F FOR APPLICANT TO FILL cRosc sT DESCRIPTION LOT NO. OWN MAil BLOCK TRA.T4, jj&7: ADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF D' BUILDINGS NO.,GROUP MAP PG PR '95 ED 13Y 8K CONTRACT ORjj.." ADDRESS (4 CONNECTION DATA STATION DEPTH CITY TFL MANHOLE REFERENCE: ----PER REGISTRATION !TATE COUNTY -z� --IV" N 0.. ESCRIPTION OF WORK FEE TYPE,04W ;4-F R—0m C ER CONNECTING TO HOUSE Y 7'. PL 6L,lC SEWER $5.00 P.C.NO. CO,IMP, NO. SEPTIC TANK,SEE-Fi-4-UK-047 OR JOB NO. P17S AND/OR DRAINPIELD S10,00 HOU SL SEWER TRUNK PERMIT N.O. ROAD PERMIT NO, CONNECTING TO I PRIVATE DISPOSAL SYSTEM MOD CONNCC NT ADDITIOAL BLDG.OR AFFIDAVIT WAIVER tAl RECORD.I 1 EMtN' NSTR. NO. DATE WORK HO-js"SEW" S3.00 nvrRFLOV; EXTN,CF'SSPDOL,0RYWr(L,MANHOLE@ $5.00 Hwy. OR T.WIDENING AL:Fff-fk7,­R5PAIR OR ABANDON.HOUSE SEYV ER GR SAL SYSTEM, $3,00 z STATE ENCROACH MEN'r,,;r P5RMITNO I '.,-.)USTRIAL WASTE APPROVAL OWNER'S AUTHTOTAL FEE ORIZATION .. CHARGES CCNNECTIONCHARGE FEE !��_l M 8 UfELC�!_�N'�F I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON EE T RACT CONNECT THE ABOVE DESCRIBED EXISTING DWELLING 'ro C APPROVALS----T--DATE INSPECTOR'S SIGNATURE OR TO THE PUSLic SEWER, SIGNED THIS _-DAY OF--- i OWNER OR, NEW HOUSE SEWER OWNERS AGENT,__ CONNECTADDITIONAL SL lLDfNG OR WORK ADDRESS, SEPTIC TANK,SEEP. PiTfS) r IH.FRK9Y ACKNOW'-FDGE THAT I HAVE READ THIS APPLIC o. r, N AND/OR ORAI NF IELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE: TO COMPLY WITH ALL COUNT I ORDINANCES AND STATE LAWS REGULATING CESSPOOL, ING AND 5FwRS. CESSF DRYWELL PLUMI HEREBY CERTtFY THAT I A M PROPERLY REGISTERED AND/Or, ALTER,REPAIR,SEWER OR AS REQUIRED BY LOS ANGLES COUNTY AND STATE OP SEWAGE DISPOSAL SYSTEM ,A :FOWNilk OR THAT i AM -7 HE L�Gq!'L 0-WNER OF, AND INTEND TO C�I-SC�;—NNECT­-cjG-AND C- L P RFSIDE IN. THK,%'20VE RESIDENTIAL: PROPERTY.. ABANDON HOUSE SEWER 5IGNATURE KS BACKFILL SEPTIC TAN L OF PERMITr _q SELF.PITfS) El CESSPOOLS Cjjj VALIDATION ROBERT A. WOOD - SUPERVISING MECHANICAL ENGINEER CK. M.D. CASH S lliN 18 1